Adult Day Health Care
The Adult Day Health Care (ADHC) Program is a licensed community-based day health program that provides services to older persons and adults with chronic medical, cognitive, or mental health conditions and/or disabilities that are at risk of needing institutional care. The majority of ADHC participants are Medi-Cal beneficiaries. Through March 31, 2012, ADHC services were an optional benefit under the Medi-Cal Program for individuals eligible for Medi-Cal.
Community-Based Adult Services
Effective April 1, 2012, a new program similar to ADHC – Community-Based Adult Services (CBAS) – has begun under California’s “Bridge to Reform” 1115 Medicaid waiver. Former ADHC participants who meet the more stringent CBAS eligibility standards will begin receiving CBAS services in approved CBAS centers. In addition to meeting Medi-Cal program and waiver requirements, CBAS providers must maintain an ADHC license.
Under an interagency agreement, the ADHC (now CBAS) Program is administered between the Department of Health Care Services (DHCS), the California Department of Public Health (CDPH), and the California Department of Aging (CDA). CDPH licenses ADHC centers and CDA certifies them for participation in the Medi-Cal Program.
The primary objectives of the program are to:
- Restore or maintain optimal capacity for self-care to frail elderly persons or adults with disabilities; and
- Delay or prevent inappropriate or personally undesirable institutionalization.
The Program stresses partnership with the participant, the family and/or caregiver, the primary care physician, and the community in working toward maintaining personal independence.
Each center has a multidisciplinary team of health professionals who conduct a comprehensive assessment of each potential participant to determine and plan services needed to meet the individual's specific health and social needs. Services provided at the center include the following: professional nursing services; physical, occupational and speech therapies; mental health services; therapeutic activities; social services; personal care; hot meals and nutritional counseling; and transportation to and from the participant’s residence.
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