ADULT DAY HEALTH SERVICES PROVIDER IN CONNECTICUT

PROVIDING HEALTHCARE, SOCIALIZATION, AND DAILY SUPPORT FOR OLDER ADULTS AND INDIVIDUALS WITH DISABILITIES IN A COMMUNITY-BASED SETTING

Adult Day Health Services in Connecticut offer medical monitoring, therapeutic activities, and personal care to individuals who need assistance during the day but wish to remain living at home. These services are provided under Connecticut Medicaid’s Home and Community-Based Services (HCBS) Waivers, especially the Connecticut Home Care Program for Elders (CHCPE) and the Personal Care Assistance Waiver.

1. GOVERNING AGENCIES

Agency: Connecticut Department of Social Services (DSS)

Role: Administers Medicaid and HCBS waiver programs, including Adult Day Health Services under CHCPE and related waivers

Agency: Connecticut Department of Public Health (DPH)

Role: Licenses adult day centers and ensures compliance with health and safety standards

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight to ensure services meet HCBS waiver and Medicaid requirements

2. ADULT DAY HEALTH SERVICE OVERVIEW

Adult Day Health Services provide supervised care in a licensed community-based setting during daytime hours. These programs are designed to delay institutional care by supporting individuals with medical and social needs.

Approved providers may deliver:

• Nursing services (e.g., monitoring vital signs, medication management)

• Physical, occupational, and speech therapies (as authorized)

• Personal care services (e.g., hygiene, toileting, mobility assistance)

• Nutritional meals and snacks

• Social and therapeutic recreational activities

• Transportation to and from the day center

• Documentation of service delivery, progress, and medical oversight

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Connecticut Secretary of the State

• Obtain EIN from the IRS and NPI (Type 2)

• Apply for and receive licensure as an Adult Day Center from the Connecticut Department of Public Health (DPH)

• Enroll as a Medicaid provider with the Department of Social Services (DSS)

• Maintain liability insurance, infection control procedures, and a multidisciplinary staff

4. PROVIDER ENROLLMENT PROCESS

Step 1: DPH Licensing

• Submit application including building layout, staff credentials, operating policies, and safety plans

• Undergo facility inspection to meet state health codes and fire safety standards

Step 2: Medicaid Enrollment with DSS

• Apply through the Medicaid Provider Enrollment Portal

• Submit required documentation including DPH license, tax ID, bank information, and NPI

• Select waiver programs served (e.g., CHCPE, PCA Waiver)

Step 3: Waiver Service Authorization

• Coordinate with case managers to receive participant referrals and service authorizations

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or proof of business registration

• IRS EIN Letter

• NPI confirmation

• Connecticut DPH Adult Day Center license

• DSS Medicaid enrollment confirmation

• Policy & procedure manual including:

  • Health assessment and medication administration protocols

  • Activity schedules and therapeutic programming

  • Nutrition service plans and dietary logs

  • Client rights, confidentiality, and grievance procedures

  • Staff training manuals and job descriptions

  • Daily attendance tracking and service logs

  • Infection control, emergency response, and evacuation plans

6. STAFFING REQUIREMENTS

Role: Program Director / Nurse Manager

Requirements: RN licensed in Connecticut with experience in geriatrics or disabilities

Role: Licensed Nurses (RN or LPN)

Requirements: Valid Connecticut license, CPR certification, and clinical experience

Role: Certified Nursing Assistants (CNAs) / Personal Care Aides

Requirements: Completion of CNA program or equivalent, background check, and TB test

Role: Activity Coordinator / Therapist (if applicable)

Requirements: Background in recreation therapy, occupational therapy, or human services

Training Requirements for All Staff:

• First Aid and CPR

• Infection control and universal precautions

• Elder abuse recognition and mandated reporting

• Documentation procedures and ethics

• Annual in-service and continuing education requirements

7. MEDICAID WAIVER SERVICES

Adult Day Health Services are covered under:

• Connecticut Home Care Program for Elders (CHCPE)

• Personal Care Assistance Waiver (for adults with disabilities)

• Acquired Brain Injury (ABI) Waiver (in specific cases)

Approved providers may deliver:

• Individualized nursing care and medical monitoring

• Supportive personal care and activities of daily living

• Nutrition and social engagement

• Transportation coordination (if part of care plan)

• Progress reporting to DSS or case managers

8. TIMELINE TO LAUNCH

Phase: Business FormationTimeline: 1–2 weeks

Phase: Facility Setup and DPH LicensingTimeline: 60–120 days

Phase: Medicaid Enrollment with DSSTimeline: 30–60 days

Phase: Staff Hiring and Program ReadinessTimeline: 2–4 weeks

9. CONTACT INFORMATION

Connecticut Department of Social Services (DSS)

Email: dss.ctmedical@ct.gov

Website: https://portal.ct.gov/DSS

Connecticut Department of Public Health (DPH) – Facility Licensing

Phone: (860) 509-7400

Website: https://portal.ct.gov/DPH

Medicaid Provider Enrollment Portal

Website: https://www.ctdssmap.com

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — CONNECTICUT ADULT DAY HEALTH SERVICES PROVIDER

We help providers and healthcare entrepreneurs launch licensed, Medicaid-compliant Adult Day Health Services under Connecticut’s CHCPE and other HCBS waiver programs.

Scope of Work:

• Business registration (LLC, EIN, NPI)

• DPH Adult Day Center licensing support

• Medicaid enrollment and waiver coordination through DSS

• Policy & procedure manual for clinical care and daily operations

• Templates for care plans, medication logs, and activity tracking

• Website, domain, and email setup

• Staff credentialing trackers and supervision logs

• Client intake packet, consent forms, and service agreements

• Incident reporting systems and audit preparation tools

• Referral networking with care managers, hospitals, and family caregivers

Continue To Our Client Portal To Get Started

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.