Long Term Care

  Medicaid Adult Day Care

  What Is The Medicaid Adult Day Care Program?

The Medicaid Adult Day Care Program is a structured group program that provides health, social, and related support services to functionally disabled adults, age 16 and older. The Program enables individuals who live in the community the opportunity to receive care during the day in a group program, and provides respite to their caregiver at home. 

Services are provided according to a medically approved plan of care from one to seven days a week, at licensed Adult Care Day Centers, located in Baltimore City and the State’s 23 counties.  Care is provided by licensed nurses and social workers, activity therapists, personal care aides and other service providers.

Plans of Care are developed by Program staff and the individual’s personal physician, and are based upon each individuals' personal care needs.  Adult Day Care centers offer the following services: nursing, nutritional and social work services; physical, occupational, and speech therapy services; personal care services, transportation and a program of therapeutic activities.  Centers may offer additional services such as hair care, escorted trips to medical appointments, and extended hours of care before and after normal day program hours. 

  How To Apply For Services?

Approved applicants must meet the Medicaid Program’s criteria for both income eligibility and medical necessity.  The local Department of Social Services in Baltimore City or the county where the applicant resides determines financial eligibility. The Medicaid Program’s utilization control agent determines medical eligibility, with input from the applicant’s personal physician. 

Application to the Program may be made directly by the Medicaid recipient, a family representative, or caregiver, the applicants personal physician or other interested parties acting on their behalf.  To locate an Adult Day Care center in Baltimore City or the county where the applicant resides, please refer to the list of Adult Day Care centers.

To enroll in the a day care program, applicants are required to have a physical examination, obtain a physician’s order certifying the need for medical day care, and be certified for nursing facility care according to the Medicaid Program’s level of care standards.

  Provider Information

Adult Day Care providers must be licensed.  Licensing standards are found in COMAR 10.12.04, Day Care for Elderly and Medically Handicapped Adults. Copies of the COMAR regulations may be obtained through the Maryland Division of State DocumentsThe Program is administered through the Maryland Department of Health and Mental Hygiene, Office of Health Services, 201 W. Preston St., Baltimore, MD. 21201; Phone: 410-767-1444

  Maryland Medicaid Medical Day Care Services Waiver Program

new information Medical Day Care Waiver Fact Sheet  This is a .pdf file and requires Acrobat Reader

new information Medical Day Care Waiver Application  This is a .pdf file and requires Acrobat Reader

 

 

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