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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, psycological 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 appoved 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 and adult day health care offers seniors:
When shopping for an adult day care center for elderly care, look for:
A elderly cade 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 dependent care. "If
a dependent spends at least 8 hours a day living in your home, expenditures
made for out of home, noninstitutional care are eligible for Dependent
Care Tax Credits." The Dependent Care Center must be in compliance with
all state and local regulations for expenditures to qualify.
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The National Family Caregivers Association offers a magazine to their membership.
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