4242. PROGRAM SERVICES:ADULT DAY HEALTH

4242 PROGRAM SERVICES: ADULT DAY HEALTH 4242.1 Adult day health services shall encourage adults enrolled in the EPD Waiver to live in the community by offering non-residential medical supports and supervised, therapeutic activities in an integrated community setting, to foster opportunities for community inclusion, and to deter more costly facility-based care. 4242.2 In order to receive Medicaid reimbursement, adult day health services shall include all of the following: Medical and nursing consultation services including health counseling to improve and maintain the health, safety, and psycho-social needs of the beneficiary; Individual and group therapeutic activities which may include various social, recreational, and educational activities; Social service supports including consultations to determine the beneficiary’s need for services and, guidance through counseling and teaching on matters related to the beneficiary’s health, safety, and general welfare; Direct care supports including personal care assistance, and offering guidance in performing self-care and activities of daily living; Instruction on accident prevention and the use of special aides; Medication administration services provided by an RN or Certified Medication Aide (MA-C), in accordance with District regulations; Nutrition services; and Coordination of transportation services for therapeutic activities that are scheduled off-site. 4242.3 Consistent with Chapter 97 of Title 29 DCMR, ADHP Waiver providers shall not be reimbursed separately for transportation services, including therapeutic activities occurring off-site. However, providers shall coordinate transportation provided under the DHCF non-emergency medical transportation benefit. 4242.4 All services shall be provided in accordance with the requirements set forth in Chapter 97 of Title 29 DCMR. SOURCE: Final Rulemaking published at 64 DCR 6784 (July 21, 2017); as amended by Final Rulemaking published at 72 DCR 004996 (April 25, 2025). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 4242