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CMS to Study Home Health Care and Medical Adult Day Care

The Centers for Medicare & Medicaid Services (CMS) have announced the implementation of the Medical Adult Day Care Services Demonstration, which encourages Home Health Agencies (HHA’s) to partner with Medical Adult Day Care Facilities (MADCF’s) to provide medical adult day-care services to Medicare beneficiaries as a substitute for a portion of home health services otherwise provided in the home.

“This demonstration will allow Medicare to assess whether providing medical adult day care services as part of the home health benefit will improve patient outcomes and increase patient satisfaction,” said CMS Administrator Mark B. McClellan, M.D., Ph.D.

There are approximately 2,100 licensed medical adult day care facilities throughout the country providing adult day services that include health care, as well as social interaction and caregiver respite services, to meet the day-time needs of individuals with functional or cognitive impairments.

Currently, Medicare beneficiaries who attend medical adult day care facilities pay out of pocket for those services or they are reimbursed through a third party payer other than Medicare.

The home health agencies that will participate in the demonstration project are:

Aurora Visiting Nurse Association, Milwaukee , Wisconsin
Doctor’s Care Home Health, McAllen , Texas
Landmark Home Health Care Services, Allison Park, Pennsylvania
Metropolitan Jewish Health System, Brooklyn , New York
Neighborly Care Network, St. Petersburg , Florida

What is your take on this project? What impact will mixing home health care and medical adult day care have on your business?

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