ADULT DAY HEALTH SERVICES PROVIDER IN MISSOURI

SUPPORTING HEALTH, WELLNESS, AND SOCIAL ENGAGEMENT FOR ADULTS WITH DISABILITIES AND THE ELDERLY

Adult Day Health Services in Missouri provide structured healthcare and social activities during daytime hours for individuals who need medical oversight, personal care, and social interaction. These services are tailored for adults with disabilities, chronic conditions, or age-related needs. Adult Day Health Services are available under Missouri’s Home and Community-Based Services (HCBS) Waivers.

1. GOVERNING AGENCIES

• Agency: Missouri Department of Health and Senior Services (DHSS)

  • Role: Administers Medicaid and HCBS Waiver programs, including adult day health services

• Agency: Missouri Department of Social Services (DSS)

  • Role: Oversees Medicaid provider enrollment and service authorization

• Agency: Centers for Medicare & Medicaid Services (CMS)

  • Role: Provides federal oversight and ensures waiver compliance

2. ADULT DAY HEALTH SERVICE OVERVIEW

Adult Day Health Services provide medical care, therapeutic services, and social activities in a structured setting. Services are designed according to the Individual Service Plan (ISP) or Person-Centered Plan (PCP) and may include:

• Health monitoring and medication administration

• Physical, occupational, and speech therapy

• Assistance with activities of daily living (ADLs)

• Social and recreational activities

• Nutritious meals and snacks

• Caregiver respite and support

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register your business with the Missouri Secretary of State

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

• Enroll as a Medicaid provider with the Missouri Department of Social Services

• Obtain an Adult Day Health License from the Missouri Department of Health and Senior Services

• Maintain liability insurance and clinical staff documentation

4. MEDICAID PROVIDER ENROLLMENT PROCESS

Step 1: Pre-Application Contact

• Contact the Missouri Department of Social Services for adult day health provider requirements

Step 2: Application Submission

• Submit business registration, license, liability insurance, and service descriptions

Step 3: License Verification

• Obtain and verify the Adult Day Health License

Step 4: Approval and Medicaid Number Assignment

• Once approved, receive a Medicaid provider number and authorization to deliver services

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business Name Registration

• IRS EIN Letter

• NPI confirmation

• Adult Day Health License

• Liability insurance certificate

• Policy & procedure manual including:

  • Client intake and health assessment procedures

  • Daily schedule of health monitoring and activities

  • Safety and infection control protocols

  • Documentation of medical care and daily progress

  • Staff training and supervision logs

6. STAFFING REQUIREMENTS

Role: Program Director / Health Services Coordinator

• Requirements: Experience in healthcare administration or adult care management

Role: Registered Nurse (RN) / Licensed Practical Nurse (LPN)

• Requirements:

  • Nursing degree and active license

  • CPR/First Aid certification

  • Background check and TB clearance

Role: Activity Coordinator / Direct Support Worker

• Requirements:

  • High school diploma or equivalent

  • Training in recreational therapy or social work

Training Requirements:

• Infection control and safety procedures

• Client care and ADL assistance

• Documentation and health monitoring

• Communication and social engagement techniques

7. MEDICAID WAIVER SERVICES

Adult Day Health Services in Missouri are available through:

• Aged and Disabled Waiver (ADW)

• Independent Living Waiver

• Medically Fragile Adult Waiver

Approved providers may deliver:

• Health and wellness monitoring

• Therapeutic and rehabilitative activities

• Social interaction and caregiver respite

8. TIMELINE TO LAUNCH

Phase: Business Formation

• Timeline: 1–2 weeks

Phase: Medicaid Provider Enrollment

• Timeline: 60–90 days

Phase: Staff Hiring and Training

• Timeline: 30–45 days

Phase: Facility Licensing and Setup

• Timeline: 2–4 weeks

9. CONTACT INFORMATION

Missouri Department of Health and Senior Services (DHSS)

• Website: https://health.mo.gov

Missouri Department of Social Services (DSS)

• Website: https://mydss.mo.gov

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

We support agencies and entrepreneurs in launching compliant Adult Day Health Services across Missouri under the HCBS Waiver models.

Scope of Work:

• Business registration and licensing assistance

• Medicaid provider enrollment

• Policy & procedure manual for adult day health operations

• Templates for health monitoring logs and activity schedules

• Website, domain, and email setup

• Staff credentialing and training documentation

• Client intake packet and health assessment forms

• Risk management and infection control procedures

• Referral networking with healthcare professionals and community organizations

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.