Articles & Guides

Starting and running an adult day center, explained honestly: the two models, the license, the building, the people, and the funding. Browse by topic below.

Featured Articles by Topic

Start with the cornerstone guide in each topic, then go deeper.

State Guides

How adult day licensing actually varies by state: which agency owns it, how the social and medical models are treated, and the questions that settle your state's answer.

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Licensing Process

From concept to issued license: the model decision, the application document stack, inspections, and the order that keeps a launch from stalling.

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Facility & Staffing

The building and the people: space rules, safety and accessibility, required roles, typical ratios, training, and the schedules that hold at lunch.

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Funding & Medicaid

How adult day centers actually get paid: Medicaid HCBS waivers, VA programs, Older Americans Act funds, CACFP meals, LTC insurance, and private pay, sourced to the agencies that run them.

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Operations

Running the day: enrollment and intake, care plans, activity programming, incident handling, and the compliance rhythm that keeps a license healthy.

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