Learn More About ADHC!
What is adult day health care?
Adult day health care (ADHC) is a Medicaid managed long term care (MLTC) benefit that provides skilled nursing and long term services and supports in a day center setting.
What services are provided?
Individuals may receive nursing, personal care, medication management, case management, social services, rehabilitative, occupational and maintenance therapies, meals and therapeutic and recreational activities on a routine or daily basis. Services are provided according to the assessed needs of the individual, and range from monitoring, observing and maintaining an individual's health status to aggressive interventions and utilization of resources.
Who provides the services?
ADHC programs are staffed with medical professionals, including licensed registered nurses, licensed practical nurses, NYS-certified nurse aides, activity staff, social workers, nutritionists and professional physical, occupational and speech therapists.
What is the benefit of attending ADHC?
Registrants have all of their health care needs assessed and met, or arranged for, by the ADHC program. Comprehensive, integrated care leads to stabilization of chronic health conditions, reduced incidence of emergency room visits and delayed nursing home placement. Registrants are provided with the medical and social services they need to remain at home and a part of the community.
Who is eligible?
ADHC is designed to meet the health care needs of chronically ill, frail elderly and disabled adults who require skilled nursing, therapeutic, rehabilitative or palliative care services.
Does Medicaid cover ADHC and how can one enroll?
ADHC is a MLTC, Mainstream Managed Care (MMC), Program for All Inclusive Care for the Elderly (PACE), Fully Integrated Duals Advantage (FIDA) and Medicaid Advantage Plus benefit. ADHC is also a straight, community-based long term care Medicaid benefit. If you are enrolled in a managed care plan, contact your case manager and ask to attend ADHC. The case manager will decide the amount and duration of services you can receive.
ADHC programs also accept private pay, long term care insurance and Veteran's Administration benefits.
When would a person consider ADHC?
An individual might seek adult day health services:
- If existing and necessary caregiver support is eliminated or compromised
- When a medical condition develops or new diagnosis is rendered which requires acute or chronic medical care
- Following an accident or acute episode if an existing condition is exacerbated
- When hospice care is required if restorative therapy is needed following an acute episode
- During the end-stage disease process
Is transportation available?
Yes. Door-to-door transportation to and from the center is available. This permits individuals who need physical assistance and who are wheelchair-bound to leave the isolation of their home and join a group setting.
How do I find a program in my area?
Call 1-877-LTC-BOOK for a free guide to programs in New York State or visit the Adult Day Health Care Council’s website at www.adhcc.org and click on “program locator” at the top of the page.