Missouri Department of Health & Senior Services Adult Day Health Care Proposal Packet
General Proposal Information for Adult Day Health Care
Adult Day Health Care Services (ADHC) are organized programs consisting of therapeutic, rehabilitative and social activities provided outside the home, for a period of less than twenty-four (24) hours, to persons with functional impairments of at least a nursing facility level of care.
Funding Sources
ADHC is funded through Social Services Block Grant (SSBG) with the Department of Health and Senior Services (DHSS), Division of Senior and Disability Services (DSDS).
Pre-Approval Requirements
The following requirements must be met prior to submission of a proposal to the Missouri Medicaid Audit and Compliance Unit (MMAC):
- Entities must have an Adult Day Care (ADC) license in good standing issued by the DHSS, Section for Long Term Care Regulation pursuant to 19 CSR 30-90.010 and 19 CSR 30-90.020. If the ADC is not currently licensed, an Application for License is available on DHSS’ web site.
- Entities must be enrolled with the MMAC Provider Enrollment Unit pursuant to 13 CSR 70-92.010. MMAC Provider Enrollment Unit can be contacted regarding MO HealthNet enrollment by e-mail at providerenrollment@dss.mo.gov.
Process of Review and Approval
Upon receipt of a proposal, MMAC Provider Contracts:
- Will process the proposal and determine the ADC’s eligibility for a contract. MMAC Provider Contracts will conduct any investigation necessary to verify, supplement or change the information contained within the proposal.
- If the proposal is incomplete or further information is needed from the applying provider to verify or supplement the proposal, MMAC Provider Contracts will request the information in writing.
- When the review is complete, and if the ADC is found to be in good standing, a Participation Agreement for Home and Community Based Care (contract) will be mailed to the applying provider for completion. The contract will not become effective until the MMAC Director signs it.
- Once the contract has been fully executed by the MMAC, the ADC will receive a copy of the fully executed contract and written notification of their SSBG provider number.
Upon receipt of the SSBG provider number, the ADC can begin providing services to authorized participants of the DSDS during periods of Medicaid ineligibility.
Proposal Submission
All items listed in the Adult Day Health Care Proposal for Contract must be included in the proposal and must be organized according to the outline.
Questions
Should you require additional information or have questions regarding the proposal, you must contact MMAC Provider Contracts by e-mail at mmac.ihscontracts@dss.mo.gov. Submitting questions through e-mail will provide a written record of MMAC Provider Contracts’ response. Your e-mail must include the name of your agency.
ADHC Proposal for Contract
ADHC Assurances