Adult Day Care
and Adult Day Health Care
Congregate, assisted living or nursing care communities may offer elderly care as an "outpatient" service to the neighboring population on a per day basis. Those that do, may also offer respite care for a weekend, or a week. Senior centers may also offer senior day care as one of their life senior services.
A center will monitor medications,
offer meals and some physical therapy, and a chance to socialize with
You should consider an Adult Day Care Center when your loved one:
While the center staff will provide you information on how to make the transition easier, keep in mind that it may take many visits before your loved one feels comfortable and adjusts to the new environment.
Paying for Adult Day Care
Adult Day Care for your state==>
Distinguishing Features between Adult Day Care and Adult Day Health Care Centers
There are three types of Senior Day Care. The lines between may overlap in practice. In shopping for a elderly care facility, pre-determine (perhaps with the help of a professional, and specially trained social worker, what are the needs of the senior and the goals of the caregiver.
The three types of adult or senior day care can be broken down to meet the need for:
The inclusion of "health" in the type of day care a center provides should indicate that they provide elements of health care, and are not just a model for socialization and baby-sitting of seniors. The designation of Adult Day Health Care (ADHC) in many states is reserved for those centers that have been licensed by their state to provide health and medical-related care, similar to what might be provided by a state licensed assisted living community or by a state licensed nursing home. A senior or adult day care center that is not an ADHC, in most states will not be licensed to include, or have available on site, psychological evaluations, licensed social workers, administration of medications, assistance with bathing and hair washing, dressing of wounds and assistance with feeding. Their costs will also not be reimbursed by Medicaid (Medical in California).
Most states require a licensing process for ADHC and a state licensing process to be approved for Medicare reimbursement and/or Medicaid (Medical in California) reimbursement. In some states the legislature has recognized the cost savings between supporting an indigent person in assisted living at $2,500 - $5,000 per month or in a nursing home at $3,500 -$6,000 per month and supporting them in an ADHC where they return home each night to live with family.
Medicare does not cover day care costs, but in a licensed medical or Alzheimer's environment Medicaid may pay all of the costs if the senior qualifies financially. Some day care centers offer need-based scholarships. Private medical insurance policies sometimes cover a portion of day care costs when registered, licensed medical people are involved with the care. Long Term Care Insurance policies can cover day care.
There are limited spaces for Medicaid provided ADHC, as there are limited spaces for Adult Day Care as a social model, so waiting lists may prevail in both urban and suburban settings.
Adult Day Care Programs
Adult day care
centers provide programs for adults in a community-based group setting.
These programs are generally planned to provide daytime social/health
services to adults who need supervised care outside the home. Some centers
may offer significantly more services.
Adult day care and adult day health care offers seniors:
for an adult day care center for elderly care, look for:
care pamphlet resulting from the United States Senate Special Committee
on Aging Report, based on allowed deductions on income tax filing is
available by calling 800.829.3676 and asking for IRS publication covering
The National Family Caregivers Association offers a magazine to their membership.
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