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Adult Day Health Care Services

Adult day health care programs provide health, therapeutic, and social services and activities to program enrollees. Beneficiaries enrolled must meet eligibility requirements, and services must be furnished in accordance with a plan of care. Medicaid allows payments for adult day health care through various authorities, including home- and community-based services waivers (SSA § 1915 and 42 CFR § 440.180). Prior OIG work shows that these payments do not always comply with Federal and State requirements. We will review Medicaid payments by States for adult day health care services to determine whether providers complied with Federal and State requirements.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Completed Centers for Medicare & Medicaid Services Adult Day Health Care Services Office of Audit Services A-03-16-00201;
various reviews