Adult Day Health Care Program Guidance

The Department of Health (DOH) has issued guidance (DAL NH 23-06) regarding the reopening of Adult Day Health Care Programs (ADHCPs). Effective November 8, 2023, ADHC programs planning to reopen must follow the Centers for Disease Control (CDC) Core Infection Prevention and Control Practices for all staff and registrants. ADHC programs must ensure that infection control policies and procedures in place prior to reopening.

In addition, in order to continue to receive federal funding, ADHCPs must be compliant with “home and community-based” setting rules under Federal regulations 42 CFR 441.301 and 42 CFR 441.710. The guidance also outlines certain criteria for meeting compliance with the federal Department of Health and Human Services’ (HHS’) Home and Community Based Services (HCBS) Final rule, specifically as it relates to the definition of a “home and community-based” setting.

The guidance also outlines the necessary steps for notifying the DOH of the ADHCP’s intent to reopen along with the information required for submission.   This guidance supersedes the March 25, 2021, Health Advisory requirement for ADHC programs considering reopening, which was later updated on July 23, 2021