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Day-to-day center administration, staffing, licensing, audit preparation, and regulatory compliance.

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Illustration of a 2026 calendar strip with a second health plan card overlapping an earlier plan's months, a remittance sheet with one line struck through and a new line beside it, and an adult day center inside a Minnesota outline, representing retroactive MSHO enrollment and claim rebilling, with no readable client information or logos.
Article

Minnesota Adult Day Providers: Why a Paid UCare MSC+ Claim Can Be Reversed After a Retroactive MSHO Enrollment — and How to Rebill Medica

A high volume of Minnesota seniors were auto-enrolled in UCare MSC+ on January 1, 2026 and are now being approved for Medica MSHO with backdated effective dates. Medica will void the MSC+ payments and expects providers to rebill payer ID 94265 — here is the sequence for adult day services.

September 8, 2026
Illustration of an adult day center with two generic payment paths — one direct to the state for DAHS, one routed through a program-provider agency for ISS — with no readable client information.
Article

DAHS vs. DAHS-ISS: Two Licenses, Two Ways to Get Paid

Texas now licenses more ISS-only facilities than traditional DAHS, and the two get paid in completely different ways. DAHS facilities bill Medicaid themselves; DAHS-ISS facilities never do — the program provider bills TMHP and pays them by subcontract.

September 7, 2026
Illustration of an adult day center inside an Illinois outline connected to a generic state agency card and a group of generic health-plan cards, representing the two payment paths under Illinois' Community Care Program, with no readable client information or logos.
Article

How Illinois Pays for Adult Day Service: The Community Care Program, a $16.84 Hour Rising to $17.84, and Two Ways to Get Paid

Illinois pays adult day service at $16.84 an hour under the Community Care Program — $17.84 from January 1, 2027 — from the Department on Aging or the participant's HealthChoice plan. Eligibility, certification, both billing paths, and IDoA reviews.

September 6, 2026
Illustration of an adult day center inside a Michigan outline connected to a generic waiver agency card and then to a generic state Medicaid card, representing how MI Choice pays adult day health through waiver agencies, with no readable client information or logos.
Article

How Michigan Medicaid Pays for Adult Day Health: MI Choice Waiver Agencies, Negotiated Rates, and a Second Payer for Dual Eligibles

In Michigan the adult day center bills a MI Choice waiver agency, not the state, at a negotiated rate — and since January 1, 2026 dual eligibles in four regions have a second payer. Provider standards, the $3.40 wage add-on, and ten-year records.

September 6, 2026
Illustration of an adult day center inside a Missouri outline with a clock segment and a van, connected to a generic state Medicaid card, representing Missouri's waiver adult day care benefit, with no readable client information or logos.
Article

How Missouri Medicaid Pays for Adult Day Care: Two Waivers, a 15-Minute Unit Frozen at $3.32 Since 2023, and the Records DSDS Requires

MO HealthNet pays adult day care fee-for-service through two waivers at $3.32 per 15-minute unit, frozen since July 2023 while the July 2026 budget raised other HCBS rates. Units and caps, DSDS authorization, DHSS licensing, and required records.

September 6, 2026
Illustration of an adult day center inside a Nebraska outline with a clock marking a six-hour span and a generic state Medicaid card, representing Nebraska's AD Waiver adult day health benefit, with no readable client information or logos.
Article

How Nebraska Medicaid Pays for Adult Day Health: The AD Waiver's New Six-Hour Day, an $81.22 Rate, and a 150 Percent Cost Cap

Nebraska's AD Waiver was renewed July 1, 2026 with a six-hour day, an hourly unit, a published $81.22 daily rate, and a 150 percent cost cap — and the State Auditor's August report shows what reviewers check. Licensing, billing, and records.

September 6, 2026
Illustration of an adult day center inside an Arizona outline connected to three generic health-plan cards, representing Arizona's ALTCS managed care plans, with no readable client information or logos.
Article

How Arizona Medicaid Pays for Adult Day Health Care: Three ALTCS Plans, a $101.33 Per Diem, and a Re-Procurement Due This Month

Arizona's ALTCS program pays adult day health care through three managed care plans whose contracts run out in 2027 — and the replacement RFP is due September 24. The $101.33 per diem, ADHS licensing, plan claim rules, and required records.

September 6, 2026
Illustration of an adult day center inside a Colorado outline connected to four generic waiver cards, representing Colorado's HCBS waivers that pay for adult day services, with no readable client information or logos.
Article

How Colorado Medicaid Pays for Adult Day Services: Four Waivers, Basic vs. Specialized, and Two Rate Cuts in Ten Months

Health First Colorado pays adult day services through four HCBS waivers, fee-for-service, at rates cut twice in ten months. What Basic and Specialized centers must provide, how CDPHE certifies without a license, and the records behind a half-day claim.

September 5, 2026
Illustration of an adult day center inside a North Carolina outline connected to a single generic state Medicaid card, representing the fee-for-service CAP/DA waiver, with no readable client information or logos.
Article

How North Carolina Medicaid Pays for Adult Day Health: The CAP/DA Waiver, a $43.06 Per Diem That Went on a Round Trip, and Tougher Provider Screening

North Carolina's adult day health benefit lives in the CAP/DA waiver, outside managed care, at $43.06 a day — cut in October 2025, restored by court order in December, skipped by the August 2026 raise. Certification, billing, and records.

September 3, 2026
Illustration of an adult day center inside a Pennsylvania outline connected to three generic health-plan cards, representing Pennsylvania's Community HealthChoices plans, with no readable client information or logos.
Article

How Pennsylvania Medicaid Pays for Adult Daily Living: Three CHC Plans, a Rate Sheet Unchanged Since 2016, and a Re-Procurement Back to Square One

Three Community HealthChoices plans pay for nearly all adult daily living in Pennsylvania, on a rate sheet unchanged since 2016 — and the re-procurement meant to replace them was cancelled in June. Basic vs. Enhanced, licensing, and where claims go.

September 3, 2026
Illustration of an adult day center inside a New Jersey outline connected to five generic health-plan cards, representing New Jersey's NJ FamilyCare managed care plans, with no readable client information or logos.
Article

How New Jersey Medicaid Pays for Adult Medical Day Care: Five Health Plans, a $95.96 Per-Diem Floor, and the Records Auditors Check

Five NJ FamilyCare plans pay for nearly all adult medical day care in New Jersey, and the FY2027 budget set the per-diem floor at $95.96. Who qualifies, what one per diem covers, where claims go, and the three billing patterns the Comptroller flagged.

September 3, 2026
Illustration of an adult day center inside a Florida outline connected to seven generic health-plan cards, representing Florida's Long-Term Care managed care plans, with no readable client information or logos.
Article

How Florida Medicaid Pays for Adult Day Health Care: Seven LTC Plans, Negotiated Rates, and the July 2026 Fee-Schedule Law

Florida's 172,906 Long-Term Care enrollees get adult day health care through seven managed care plans, at rates each plan negotiates. A law effective July 1, 2026 lets AHCA set a fee schedule for the first time. Who the plans are, how centers qualify, and where claims go.

September 3, 2026
Illustration of an adult day center inside a Texas outline with two generic claim paths, representing the state and health-plan payment tracks for DAHS, with no readable client information.
Article

How Texas Medicaid Pays for DAHS: The $18.59 Unit, STAR+PLUS, and What Changed in 2026

Texas Medicaid pays DAHS a flat $18.59 per unit — a half day of 3 to 6 hours — since September 1, 2025, when the rate-enhancement ladder ended. How the two payment tracks work, what the forms chain requires, and the October 6 SEMARC deadline.

September 2, 2026
Illustration of two roads merging at an adult day center, representing Ohio's PASSPORT waiver and MyCare managed care payment tracks, with no readable client information.
Article

PASSPORT and MyCare: How Ohio Medicaid Pays for Adult Day Services

Ohio Medicaid pays for adult day through the PASSPORT waiver — up to $106.26 a day at the intensive level — and, statewide since August 2026, the four Next Generation MyCare plans. Who certifies centers, what the rates are, and where claims go.

September 2, 2026
Illustration of an adult medical day care center passing a folder to a separate case management office, representing Maryland's 2026 case management change, with no readable client information.
Article

Maryland Medical Day Care: Medicaid Rates, S5102 Billing, and the 2026 Case Management Change

Maryland pays adult medical day care fee-for-service under one waiver: $116.59 per day, S5102 billed electronically through Availity, and documentation rules written into COMAR. As of March 16, 2026, case management moves to five state agencies.

September 2, 2026
Illustration of two pathways labeled generically leading into one adult day health center, representing Georgia's CCSP and SOURCE programs under the EDWP waiver, with no readable client information.
Article

CCSP vs. SOURCE: How Georgia Medicaid Pays for Adult Day Health

Georgia Medicaid pays for adult day health through one waiver, two programs: CCSP and SOURCE under EDWP. Learn who qualifies for each, the 2024 rate table, and how centers enroll and bill.

September 2, 2026
Illustration of a generic attendance sign-in sheet flowing into a documentation-to-audit workflow, with no readable names, personal health information, or government-form copy.
Article

What New York’s 2026 Social Adult Day Care Audit Means for Attendance and Documentation

Policy 25.05 sets current MLTC oversight of SADC attendance records: member name, date, and start and end times. The 2026 OSC audit found 7,964 of 92,969 sampled claims lacked a sign-in log.

September 1, 2026
Illustration of a generic hourly billing workflow from attendance times to a claim, with no readable names, PHI, or government-form copy.
Article

Virginia Medicaid S5102 Hourly Billing for Adult Day Health Care

Bill Virginia Medicaid Adult Day Health Care as hourly S5102: $11.55 NOVA and $10.70 rest of state. Cap reimbursement at six hours per day, document attendance hours, and bill A0120 trips separately.

August 30, 2026
Generic illustration of a TULIP login and employability-check workflow, with no readable names, PHI, or government-form copy.
Article

Texas SEMARC Replaces the EMR Search: What DAHS Providers Must Do Before October 6, 2026

Log into TULIP today and check that SEMARC appears under Other Actions. SEMARC replaces the EMR search for Texas DAHS providers; HHSC starts surveying SEMARC on October 6, 2026.

August 30, 2026
Illustration of a generic New York social adult day care site record, an organizational NPI card, and a sign-in sheet with start and end times, with no readable names.
Article

New York Social Adult Day Care Documentation and NPI Requirements: MLTC Policy 25.05

MLTC Policy 25.05 sets New York social adult day care NPI, attendance, and claim-support records for MLTC Partial Capitation and MAP plans. Confirm current DOH rules.

August 25, 2026
Illustration of an arrival flowing into one attendance record that becomes a claim, plus chart, meals, and report icons, with no readable names.
Article

What Is Adult Day Care Management Software?

Adult day care management software keeps one record from sign-in through the claim, plus the chart, meals, and the named reports a center actually prints.

August 23, 2026
Illustration of a generic vendor-question list beside an attendance and claims desk, with no readable names.
Article

Adult Day Care Software Checklist: Questions to Ask Before You Buy

Use these vendor questions to test whether attendance becomes the claim, units are calculated but can be adjusted at claim level, and what happens after submission.

August 23, 2026
Illustration of a Windows desktop, a provider record, a client list, and a first claim path, with no readable names.
Article

Adult Day Care Software Implementation: What to Expect When Switching Systems

Switching to ElderSuite starts with installing and authorizing the Windows application, completing core setup, adding clients, and validating the workflows your center uses.

August 23, 2026
Illustration of a generic monthly invoice beside attendance and claim records, with no readable names or dollar amounts.
Article

How Much Does Adult Day Care Software Cost?

ElderSuite is $299 per month for one provider location after a 30-day free trial. Every subscription includes all features, unlimited users and workstations, training, support, and upgrades.

August 23, 2026
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