ADULT DAY HEALTH SERVICES PROVIDER IN INDIANA
By Watchen Roberts · 2025-07-21 · 4 min read
SUPPORTING HEALTH, WELLNESS, AND COMMUNITY CONNECTIONS FOR ADULTS THROUGH STRUCTURED DAYTIME CARE
Adult Day Health Services in Indiana provide medically supervised daytime care, personal support, therapeutic activities, and social engagement to adults with disabilities, chronic illnesses, or aging-related needs. These services are authorized under Indiana Medicaid Home and Community-Based Services (HCBS) Waiver programs, helping participants maintain independence, prevent institutionalization, and promote health and social inclusion.
1. GOVERNING AGENCIES
Agency: Indiana Family and Social Services Administration (FSSA) — Division of Aging and Division of Disability and Rehabilitative Services (DDRS)
Role: Oversees Adult Day Health Service provider standards, participant protections, quality monitoring, and program administration under Medicaid Waivers
Agency: Indiana Office of Medicaid Policy and Planning (OMPP)
Role: Administers Medicaid funding for Adult Day Health Services and manages provider enrollment and billing processes
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight, ensuring Adult Day Health Services meet HCBS Settings Rule, person-centered planning, and quality service delivery standards
2. ADULT DAY HEALTH SERVICE OVERVIEW
Adult Day Health Services offer medically supervised daytime programs focused on maintaining and improving participants' health, functional status, and quality of life through coordinated healthcare and supportive services.
Approved providers may deliver:
Skilled nursing services such as medication administration, vital signs monitoring, and chronic disease management
Personal care assistance with Activities of Daily Living (ADLs), including bathing, grooming, toileting, and eating
Therapy support services such as physical, occupational, and speech therapy, and maintenance exercises
Therapeutic activities, recreation, and socialization programs to reduce isolation and promote mental well-being
Nutritional services including meals, hydration, and special diet accommodations
Transportation coordination to and from the day health center
Case management and caregiver support services
All services must be based on an individualized plan of care developed collaboratively with the participant, healthcare professionals, and case managers.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business entity with the Indiana Secretary of State
Obtain EIN from the IRS and NPI (Type 2)
Obtain Adult Day Service Certification through FSSA if participating in Medicaid-funded services
Maintain general liability, professional liability, and workers’ compensation insurance
Meet local and state health department licensing requirements (if meals and nursing services are provided)
Develop comprehensive policies for healthcare services, participant protection, emergency preparedness, infection control, and service documentation
Ensure staff meet background screening, licensure, certification, and ongoing training standards
4. INDIANA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Submit Provider Enrollment Application through the Indiana Medicaid Provider Portal for Adult Day Health Services under the Aged & Disabled Waiver or other relevant waivers
Application and Documentation Submission:
Provide Articles of Incorporation, EIN/NPI confirmation, facility information (floor plans, safety compliance), staff licensure and training documentation, operational policies, and insurance certificates
Program Readiness Review:
FSSA and/or local survey agencies review program readiness, including facility safety, service plans, healthcare oversight, staff ratios, and participant protections
Approval & Medicaid Enrollment:
Upon approval, providers are assigned billing codes for Adult Day Health Services based on service hours, healthcare supervision, and participant care levels
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Indiana Secretary of State)
IRS EIN confirmation
NPI confirmation
Facility licenses, food service permits (if applicable)
Proof of general liability, professional liability, and workers’ compensation insurance
Adult Day Health Services Policy & Procedure Manual, including:
Participant intake, assessment, and individualized service planning procedures
Skilled nursing services, medication administration protocols, and health monitoring procedures
Activity programming, therapy maintenance, and community engagement activities
Infection control, emergency preparedness, fire safety, and disaster response plans
Participant rights protections, HIPAA compliance, and grievance policies
Staff credentialing, licensure, background checks, training records, and competency validations
Medicaid billing, service tracking, and audit readiness documentation
6. STAFFING REQUIREMENTS
Role: Program Director / Administrator
Requirements: Bachelor’s degree in healthcare, nursing, social work, or related field preferred; administrative experience; background clearance
Role: Registered Nurse (RN) / Health Services Coordinator
Requirements: Active Indiana RN license; clinical supervision and participant health oversight responsibilities
Role: Activity Director / Recreation Specialist
Requirements: Certification or experience in therapeutic recreation, activity coordination, or gerontology preferred
Role: Direct Care Workers / Personal Care Aides
Requirements: High school diploma or GED minimum; CPR/First Aid certification; training in ADL assistance, infection control, and participant safety; background screening clearance
All staff must complete:
Abuse, neglect, and exploitation prevention training
HIPAA confidentiality and participant rights training
Infection control and emergency procedures training
Skills training for dementia care, behavioral health supports, and health-related monitoring
Annual competency evaluations and continuing education
7. MEDICAID WAIVER PROGRAMS
Adult Day Health Services are available under the following Indiana Medicaid Waivers:
Aged and Disabled (A&D) Waiver
Traumatic Brain Injury (TBI) Waiver
Approved providers may deliver:
Structured, medically supervised daytime services
Nursing and personal care assistance
Nutritional services, including special diet accommodations
Therapeutic activity programming and socialization support
Caregiver respite and support coordination
8. TIMELINE TO LAUNCH
Phase: Business Formation, Facility Setup, and Compliance Preparation
Timeline: 2–4 months
Phase: Staff Hiring, Credentialing, and Adult Day Program Development
Timeline: 2–3 months
Phase: Indiana Medicaid Enrollment and FSSA Certification/Survey
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Adult Day Health Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Indiana Family and Social Services Administration (FSSA) — Division of Aging
Website: https://www.in.gov/fssa/da/
Indiana Medicaid — Provider Enrollment Portal
Website: https://www.in.gov/medicaid/providers/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — INDIANA ADULT DAY HEALTH SERVICES PROVIDER
WCG assists adult day health centers, senior service organizations, and community healthcare agencies in launching Medicaid-compliant Adult Day Health Services across Indiana.
Scope of Work:
Business registration, facility setup guidance, Medicaid enrollment, and certification support
Development of Adult Day Health Services Policy & Procedure Manual
Staff credentialing templates, service tracking forms, and healthcare documentation systems
Medicaid billing system setup and audit-ready claims management
Website, domain, and professional branding setup
Structured program curriculum development, including therapeutic activities and healthcare integration
Quality assurance systems for participant safety monitoring, outcomes tracking, and satisfaction surveys
Strategic partnership development with hospitals, case management agencies, and community organizations
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.