


I Have a Moral Problem with Adult Day Services Programs Who Take Pride in Avoiding Serving Medicaid Recipients
I Have a Moral Problem with Adult Day Services Programs Who Take Pride in Avoiding Serving Medicaid Recipients Adult day care/health programs promote medical stability, cut into self-neglect among the elderly and disabled and keep families together. For decades...
You Cannot Bill Medicare Directly for Adult Day Care
You Cannot Bill Medicare Directly for Adult Day Care The question comes up, sometimes multiple times after we answer it. There is no direct bill to Medicare specifically for adult day services. Several years ago, California Representative Linda Sanchez did sponsor a...
A Fatal Mistake Too Many Adult Day Care Centers Make…
There is no doubt adult day care/health centers have changed the world. They keep families together, assist in managing medication and nutritional considerations for the frail elderly and younger disabled and help protect the employment of family caregivers. They...
An Unfortunate and Potentially Dangerous Mischaracterization
A Look at The Inappropriate Discrediting of Day Services Programs Adult day programs and their contributions to the long-term community and to America’s neighborhoods are not new. From the shores of the Florida gulf to the top of Green Bay, Wisconsin these...
The Forgotten Adult Day Care Population
Dr. Erma Leverette called three, (3) adult day care centers in the Los Angeles, California area with the goal of gathering information and choosing one in which to enroll her aunt. To her surprise and disappointment, not one of those who answered the phone could...
When They Are Not All Coming….
How fortunate that in many states residential care is Medicaid reimbursed. These same qualifying residents may also participate in an adult day services program and have that reimbursed as well. Generally, there are limits, i.e. 2 to 3 days per week of...
Product Alert: Specific Training for Adult Day Care in Pennsylvania
It is our pleasure to serve providers of adult day care in Pennsylvania. Some whom we have watched grow and blossom in professionalism and person centered care include Fox Chase Adult Day Care, Inc. and Golden Age. Of course there are tons of others. Many are now...
The Governing Body in Your CORF
The ever evolving adult day care model is complementing log-term care in very unique ways. This includes the addition of highly skilled nursing, physician, restorative and rehabilitative services often under the CMS certification as a Comprehensive Outpatient...
Know the Rules; Including What Some Do Not Say…
You would be hard-pressed to find an adult day care provider in a state where licensure is required who does not know the rules that apply to their business model. This is commendable and often impressive. Regulatory compliance can save lots of grief. Many programs...
In Preparing for CORF Survey, a Utilization Review Reminder…
Many are now providing or preparing to provide more clinical services in your adult day health programs. This is impressive and important. Maximizing how you serve your community has value and speaks to your commitment to care along the continuum. Generally your...
“In the Multitude of Counselors There is Wisdom”
Many may be familiar with that Scripture from the Bible (Proverbs 14:22) that reminds us that in all situations more than one voice can often have value, (although the focus of the verse are spiritual situations). While this Blog is not about using the Bible, we...
Reimbursable Diabetes Self-Management Training A Complement in Adult Day Services
More and more adult day programs are becoming boons of clinical education for their communities. This is especially true of those who offer rehabilitative services. While focusing on what is best to keep care along the continuum in place, some centers offer Diabetes...
The Right Knowledge Can Lead to Increased Income; Or….
Unknown to those who may not be in the business of adult day care, the program’s expenses extend beyond a meal and the everyday items associated with running a building. Of course there are liability coverages and the cost of transportation. Fleet management...
The Right Software is About More than Organization
Adult day programs, which are becoming more and more clinical need truly defined organizational tools. Nowadays the task of these tools has expanded as billing to Medicaid and Medicare become essential parts of many operations. Clinically competent programs partner...
Timing Matters with Strategic Relationship Development
New businesses start everyday and oh boy, the preparation can be enormous. This is especially true when regulatory requirements must be met before we can operate. At the same time that we are in full preparatory mode, there is the question of when should we begin to...
In Adult Day Care, Operators Must be Both Thoughtful and Creative….
No one in care enters a business to hurt someone. We want to help relieve the stress of family caregiving, help intensify the clinical competence of care providing entities and enhance to what extent we can help someone to be self-reliant. We are not sure anyone...
Adult Day Care and Auto No-Fault; A Failing Relationship?
Talk to any insurance adjuster who works in the Michigan no-fault system and they will tell you that they have an obligation to combine quality service identification with cost effectiveness. So many of the 1200+ persons injured in Michigan auto accidents each year...
Shadowing Both Effective and Scary….
In some jurisdictions, training for new direct care workers is allowed by using current employees to impart skill and policy to the new employee. This is called shadowing. While this can be an effective means of familiarizing someone with routines and policy, there...
Just Call it What it Is….
Adult day care centers, adult foster care and other community based care environments often rely heavily upon publicly funded reimbursements for services. Without these, the business operation can be really tough. Some operators have decided to forgo this funding...
Oh the Challenge to Keep Customers Forever; One Trap to Avoid
Every business wants to enjoy loyalty from customers, clients, residents, patients, etc. for decades. After all it is often less expensive and a bit less tiring to keep serving those who know you as opposed to the exhaustive efforts associated with attracting new...
Preparedness Helps Eliminate Entrepreneurial Grief
America is known for the creation of entrepreneurs; those business owners that excite neighborhoods and often provide wonderfully arranged and needed services. The care business, from group living to adult day care is no exception. At the same time it is not unusual...
In Residential Program Development; Know Population Facts
More and more residential adult day care centers are popping up. This is, in fact a good thing. One of the main priorities for a new center is identifying whom you care to serve. For some it might be a population mix of the mentally ill and the medically fragile...
No Need to Abolish No-Fault; Shift its Focus…
For over forty, (40) years the personal injury protection benefits payable under Michigan’s auto no-fault law have been the subject of much discussion. Thousands of personal injury attorneys fight the insurers for more benefits while case managers help...