What is it?

Adult Day Care is a program available to persons aged 60 and older to provide health and social services in a community-based setting.  Services are generally furnished on a regular basis for four or more hours per day, one or more days per week. 

This program may be available to individuals who are not yet 60, if the service planning team deems day habilitation or employment services to be inappropriate because the individual is medically fragile.

Transportation between the participant's home and the adult day care center is provided and included in the rate paid to providers of adult day care.

How Do I Become A Provider?

1.  You must have a current contract with the Department on Aging.

2.  You must be in compliance with Rule 240.

3. You must determine if your agency needs to obtain a National Provider Identification Number (NPI).

  • Adult Day Care providers are currently not required to have an NPI to enroll as a Medicaid Waiver provider.  However, if your agency plans on providing services that require a NPI, it is advised that you obtain one. Currently the only DD waiver services that require an NPI are CILA, Child Group Home, Community Living Facility and Developmental Training providers. Please see the National Plan and Provider Enumeration System website for information on applying for an NPI.

4.  You must submit the following documents to DDD Provider Enrollment

5.  You must enroll in the IMPACT provider enrollment system as a DD waiver provider:

  1. If you are a provider that is enrolling to provide Adult Day Care AND additional DD waiver services, you must submit an IMPACT provider enrollment application to enroll as a DD Medicaid Waiver provider. 

    • Note: All users to the IMPACT system must have a Single Sign-On ID to access the provider enrollment system. Once the User has been granted access to the provider enrollment system, the user may begin the provider enrollment application for your agency.
    • The first step in the provider enrollment application is selecting the agency's enrollment type. The enrollment type is based on whether or not your agency is choosing to enroll with a National Provider Identifier. Agencies enrolling with an NPI will select the enrollment type Facility, Agency, Organization (FAO). Agencies enrolling without an NPI will select the enrollment type Atypical Agency. Please use the PowerPoint presentations available on the DDD IMPACT Provider page to walk you through each step of the applications.
    • The application must include the following information:
      • Step 3, Add Specialty:  Social Services; Adult Day Health; No Subspecialty
      • Step 6, Associate Billing Agent:  Billing Agent ID number 7094638; Billing Agent Name:  DDD Billing Agent
      • Step 9, Associate MCO Plan:  MCO Plan ID number 3000006; Plan Name:  DDD MCO
    • After submitting the IMPACT application, please email Provider Enrollment the IMPACT application ID to ensure that the application is reviewed by a DDD Provider Enrollment Specialist.
  2. If you are an Adult Day Care provider that is NOT enrolling to provide additional DD waiver funded services, you may submit an IMPACT Provider Enrollment Modification requesting to be an DD Adult Day Care provider. 

    • Please use the Enrollment Modification PowerPoint presentation as a guide to completing the modification.  The following information must be included in the modification request:
      • Associate MCO Plan:  DD MCO Plan ID - 3000006
      • Associate Billing Agent:  DD Billing Agent ID - 7094638
    • After submitting the IMPACT application, please email Provider Enrollment the IMPACT application ID to ensure that the application is reviewed by a DDD Provider Enrollment Specialist.

Important Resources For Program Requirements