1. Program Definition and Services 

Adult Day Health (ADH) services in Massachusetts provide daytime care and supervision in a community-based, non-residential setting for adults aged 18 and older with physical, cognitive, or behavioral health impairments. Services include: 

• Nursing care and health oversight 

• Therapy services (physical, occupational, speech/language) 

• Assistance with activities of daily living (ADLs) 

• Nutritional and dietary services 

• Counseling services 

• Therapeutic activities 

• Case management 

• Transportation to and from the program 

2. Regulations 

Adult Day Health Services are governed by: 

• 130 CMR 404.000: Adult Day Health Services 

• Adult Day Health Provider Manual under MassHealth 

3. Licensing or Certification 

Providers must be licensed by the Department of Public Health 

4. Responsible State Agency 

The Massachusetts Executive Office of Health and Human Services (EOHHS) and MassHealth oversee Adult Day Health Services 

5. Application Process 

Providers can apply for a license through the Division of Health Care Facility Licensure and Certification. Individuals can apply for ADH services through MassHealth or their local Aging Services Access Point (ASAP)  

6. Required Documentation 

Providers must submit: 

• Application Checklist 

• Suitability Form 

• Local Fire Certificate 

• CORI Form 

• Program Capacity Form 

• Clinical Information and Attestation Form 

• HCFRS Enrollment Forms 

7. Timeline for Approval 

The timeline for approval is not specified in the available information. 

8. Pre-Application Process 

There is no formal pre-application process mentioned. 

9. Pre-Application Training 

No specific pre-application training is mentioned. However, providers must meet licensing requirements and staff qualifications. 

10. Additional Notes 

• ADH programs must operate at least Monday through Friday for 8 hours a day 

• As of March 6, 2025, there are 134 ADH programs in Massachusetts, with 105 represented by the Massachusetts Adult Day Services Association (MADSA)  

• ADH services are funded by the state, insurance providers, or privately 

• The program supports independent living and provides respite for caregivers