1. Program Definition and Services 

Adult Day Care Services in Maryland provide structured programs in group settings for adults with medical disabilities or elderly individuals. Services include: 

• Health monitoring and maintenance 

• Social activities and recreation 

• Meals and nutrition services 

• Personal care assistance 

• Transportation 

• Therapeutic services (e.g., physical, occupational, speech therapy) 

2. Regulations 

Adult Day Care Services are governed by COMAR 10.12.04 (Adult Medical Day Care). 

3. Licensing or Certification 

Providers must obtain a license from the Office of Health Care Quality (OHCQ) in the Maryland Department of Health. 

4. Responsible State Agency 

The Maryland Department of Health's Office of Health Care Quality (OHCQ) oversees licensing for Adult Day Care Services. 

5. Application Process 

Review FAQs for Adult Medical Day Care Licensure on the OHCQ website. 

Submit a completed application form with all required documentation to OHCQ. 

6. Required Documentation 

Compliance with health, fire safety, and zoning regulations 

Staff qualifications and training records 

Policies and procedures for program implementation 

Emergency plans 

HIPAA compliance documentation 

7. Timeline for Approval 

The specific timeline is not provided in the available results. Contact OHCQ for detailed information. 

8. Pre-Application Process 

There is no explicit pre-application process mentioned in the provided results. 

9. Pre-Application Training 

While not explicitly required, providers should ensure staff are trained in: 

• Care for adults with medical disabilities or elderly individuals 

• Health monitoring and medication management 

• Activity planning and implementation 

• Safety and emergency procedures 

10. Additional Notes 

• The staff to participant ratio must be a minimum of 1:7 for the first two years after adoption of regulations 

• Centers must have a registered nurse and a social worker on staff 

• Services can be provided in various settings, including standalone centers, senior centers, nursing facilities, and hospitals 

• Costs can range from $25 to over $100 per day, depending on services offered and location 

• Some financial assistance may be available through Medicaid, Older Americans Act, or Veterans Health Administration