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Massachusetts Adult Day Care

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Cost of Massachusetts Adult Day Care Centers

According to the 2015 Genworth Financial cost of care survey, the average cost of adult day care in Massachusetts is $1,408 per month.

The monthly base rate for Massachusetts adult day care is typically lower when compared to neighboring states. Massachusetts is also less expensive compared to the national average.

This cost is the base cost for in Massachusetts. Additional fees beyond the base rate may apply.

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Monthly Costs Compared to Neighboring States

New Hampshire$1,408
Rhode Island$1,441
New York$1,842

Massachusetts Adult Day Care Information

The Adult Day Health program, in Massachusetts, is a community-based program designed to meet the needs of functionally-impaired adults through an individual plan of care. The program is an alternative to institutionalized care. Individuals receive a variety of health, social, and related services in a protective setting during part of the day. In Massachusetts, adult day health services are primarily paid for by Medicaid, although there are some other state agencies such as the Executive Office of Elder Affairs and some private insurers who will also provide reimbursement for the program.

Massachusetts Adult Day Care Minimum Standards

The general goal, of these adult day care services, is to provide an organized program of services including nursing and supervision, therapy, nutrition, counseling, activities, and case management. An adult day health program must be in operation at least Monday through Friday for no less than eight hours per day. There are two levels of care: adult day health basic and adult day health complex. The level of care provided is based on the memberís care needs. In adult day health care, medications and treatments, prescribed by the memberís physician during the time the member is at the program, may be administered. However, in supportive day programs, participants must be responsible for administering their own medications.

Programs must provide staff training appropriate to the mix of services provided, no fewer than eight hours of in-service training sessions per year. Orientation, in-service training, and evaluations must be provided to all employees. For programs which specialize in serving members with dementia, staff training must include topics such as dealing with dementia, verbal and nonverbal communication skills, behavior management skills, group process skills, family functioning, dealing with difficulty in group participation, dealing with high anxiety, dealing with aggressive behavior and wandering. Regardless of the type of program, all levels of care must have available sufficient direct-care staff to meet the needs of their members. A registered nurse must be on site each program day that members are on site, for no fewer than four hours. In addition, there must be nursing coverage on site for a minimum of eight hours total daily, though four of those hours may be provided by a licensed practical nurse. Programs must employ an activity director for a minimum of four scheduled hours each day. For the programs specializing in serving members with dementia, the program must maintain a staff-to-member ratio of at least one-to-four on site. In Massachusetts, a provider must agree to periodic inspections that assess the quality of member care and ensure compliance with the regulations. In a supportive day program, the Office of Elder Affairs Program for Councils on Aging and Senior Centers may inspect providers, but it has no regular schedule or requirement to do so. Massachusetts adult day care services regulations can be found here.

Massachusetts Adult Day Care Medicaid Waiver

Massachusetts provides adult day health services through its Medicaid state plan program, MassHealth. Provider services are governed by regulations published in the Adult Day Health Provider Manual under a contract between MassHealth and the provider. The only requirements for adult day health services are those contained in the Adult Day Health Care Provider Manual for the MassHealth Program.

Massachusetts Adult Day Care Resources

Adult Day/Foster Care
Executive Office of Elder Affairs
One Ashburton Place, Room 517
Boston, MA 02108
Tel: (617) 727-7750
Toll Free: 1-800-AGE-INFO (243-4636 nationwide)
TTY Toll Free: 1-800-872-0166 (within Mass. only)
Fax: (617) 727-9368

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