Free Adult Day Care Funding Readiness Checklist

Licensing and entity

Model chosen on paper (social or medical)The model decides which payers are even available, so it comes first.License or certification applied for or issuedMost public payers require the state license before provider enrollment starts.Business entity formed with an EINPayer agreements are signed with an entity; the EIN is free from irs.gov.Liability insurance quoted or boundPublic payer enrollment commonly asks for proof of coverage.

Medicaid readiness

Identified which Medicaid programs cover adult day in your stateAsk your state Medicaid agency which waiver or managed care programs pay for adult day services; medicaid.gov lists state contacts.Contacted provider enrollment and written down the stepsEvery state has an enrollment unit; the steps and timeline come from them, not from forums.Listed the managed care plans, if your state runs LTSS through themWhere managed care runs long term services, your real enrollment is a contract with each plan.Asked whether EVV or prior authorization applies to adult day billingBetter to know at enrollment than at first claim denial.

VA, aging network, and meals

Contacted the regional VA about community adult day health careStart at va.gov/geriatrics, then the regional VA medical center's community care office.Met your Area Agency on AgingFind it via the Eldercare Locator (acl.gov). Some AAAs contract for day services or respite; all of them refer families.Asked your state CACFP agency about meal reimbursementQualifying adult day centers can receive USDA CACFP reimbursement for meals; find your state agency via fns.usda.gov/cacfp.

Private-pay readiness

Published rate sheet: daily rate, what it includes, extrasClear rates build trust with families and referrers; improvised pricing breeds disputes.Enrollment agreement covering payment termsBilling cycle, absences, and termination terms, in writing, before the first day.Ready to document for long term care insurance claimsAttendance records and your license number are what policies typically ask for.Tour process and referral packet readyPrivate-pay census comes through referrers and tours; the kit includes both frameworks.

Your readiness

0 of 15 items covered

Licensing and entity: 0/4
Medicaid readiness: 0/4
VA, aging network, and meals: 0/3
Private-pay readiness: 0/4

A completeness measure of your own checklist, not an eligibility determination, an approval prediction, or advice. Each program's administering agency decides who participates.

Every unchecked box has a section in the kit.

The Adult Day Care Licensing Kit covers each payer above in working detail: what it is, how enrollment runs, and the documentation it audits, plus the licensing path that unlocks all of it. $199 once, 30-day money-back guarantee.

See the Licensing Kit Read: how centers get paid

AdultDayPathAdult day care licensing, decoded: the social model, the medical model, and the path to an open door.

Get the Licensing Kit for $199