Adult Day Center Legal Package

Who?

The Adult Day Center Legal Package is a start-to-license legal representation to get approval for one location for adult day center services.

Why?

The Adult Day Center license is a particularly complicated license and an attorney can help expedite the approval process. Generally the rental or mortgage fee for your facility will be large and every month that you are not open can cost $10,000 plus in costs and lost revenue.

What?

Start to finish acquisition of the adult day center license which is a day program for elderly adults. Adults are transported to a facility where they perform activities and are fed before being transported home. This is not a residential facility, so participants do not sleep at the facility. We help guide you through the application process, which includes (1) guidelines on what a good location includes (but not getting you that location); (2) Inspection help/coordination; (3) Policies and procedures; (4) Staff and recipient file templates; (5) Coordination with your Registered Nurse, Dietician and Physical therapist; (6) Communication with DHS to get license approval (7) DHS provider enrollment

Pricing: $7500

Does NOT include (1) County/Lead Agency Needs Determination Process for 65+; (2)  Adult license fee $500; (3) DHS provider enrollment fee $709 – 2024; (4) Enrollment with Insurance payors like UCare, Medica, etc – referral provided; (5) Transportation Enrollment is an add-on for $750; (5) Any inspection or entity filing fees

What do I need to start?

To begin this process with us, you will need to have a fairly good idea of where your program will be located. If you plan on providing services to individuals on BI, CAC, CADI, or DD waivers, you will need to get the county/lead agency needs determination approval prior to us assisting on your application.

When/Timeline?

Onboarding is generally within 2 days of free initial consultation. Package is complete within 6 months unless delays due to county approvals, inspection issues/building issues or State delays outside control of our law firm. The biggest delay is currently the County approval and on occasion inspections that result in building modifications needed.

Rates/Reimbursement for Services

See the Long-Term Services and Supports (LTSS) Service Rate Limits, DHS-3945. Under AC, ECS, and EW the lead agency authorized in-person and remote day services at the state-established, 15 minute rate. BI, CADI, and DD, the lead agency uses the Rate Management System (RMS) to determine rates.

Additional resources

Use this link for the pre-application worksheet

Use this link to apply for a license

Sample policies:

• Consultant  RN Personnel File(DOCX)
• Consultant Dietician Personnel File(DOCX)
• Consultant PT Personnel File(DOCX)
• Center Director Roster(DOCX)
• Participant Record (DOCX)
• Participant Record Checklist(DOC)
• Personnel Record(DOCX)
• Staff Training Record(DOCX)
• Death Report Fax Transmission Cover Sheet(PDF)
• Death Report Form(PDF)
• Emergencies Caused by Fire and Weather Policy(DOCX)
• Grievance Policy(DOCX)
• Health Services Policy(DOCX)
• Medical Emergencies Policy(DOCX)
• Participant’s Right to Contest Policy(DOCX)
• Participant’s Rights(DOCX)
• Policy and Procedures Table of Contents(DOCX)
• Policy and Program Information Requirements(DOCX)
• Policy for Reporting Death in the Program(DOCX)
• Policy on Alzheimer’s Disease or Related Disorders(DOCX)
• Program Abuse Prevention Plan(DOCX)
• Program Drug and Alcohol Policy(DOCX)
• Self-monitoring checklist for Adult Day Centers (PDF)
• Vulnerable Adults Maltreatment Reporting and Internal Review Policy(PDF)