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Adult Day Health Care (ADHC)
In 2002, a new reimbursement methodology was implemented for payment to Adult Day Health Care (ADHC) providers. ADHC facilities provide direct care for five or more hours in a 24-hour weekday to individuals who are physically and/or mentally impaired. ADHC’s target those individuals who need direct professional medical supervision or personal care supervision. Eligibility requires that individuals would require intermediate care or skilled nursing services. In 2003, a Blended Rate Methodology was implemented to ease the adaptation to the new methodology. In 2002, a new reimbursement methodology was implemented for payment to Adult Day Health Care (ADHC) providers. ADHC facilities provide direct care for five or more hours in a 24-hour weekday to individuals who are physically and/or mentally impaired. ADHC’s target those individuals who need direct professional medical supervision or personal care supervision. Eligibility requires that individuals would require intermediate care or skilled nursing services. In 2003, a Blended Rate Methodology was implemented to ease the adaptation to the new methodology.
See ADHC Rule starting on page 2034
Providers are required to annually submit a cost report showing allowable costs. These cost reports are must be received by the Department by September 30. Submission of ADHC Cost Reports The ADHC annual cost reports (facility and central office) covering the period of July 1st through June 30th must be submitted by September 30th. The ADHC cost report software is available free of charge on the internet at http://la.mslc.com/Downloads.aspx. Our contractors, Myers & Stauffer, LC, are available to answer your questions or assist you if software problems are encountered. The contractors can be reached at (800) 374-6858. We require that providers use this software for all cost reports. If a provider experiences unavoidable difficulties in preparing its cost report by the prescribed due date, an extension may be requested. Written requests must be received by Rate and Audit Review prior to the due date. There shall be no automatic extension of time for the filing of cost reports. The request shall explain in detail why the extension is necessary. If cost reports and all accompanying forms are not received by Myers & Stauffer, LC by September 30th (or an extension date is granted) penalties may be assessed as outlined in Section 3.5, A.2 of the DHH Rate Setting Manual. If the calculation of Direct Care Cost Settlement shows money due to the Department, do not remit payment with the cost report. The provider will be notified of the amount due after desk review or audit. |
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Link to the Office of the State Register to Download February 20, 2004 ADHC Rule|
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