WlUlAM F. WELD
GOVERNOR
ARGEO PAUL CEUUCCI
LIEUTENANT GOVERNOR
-
FRANKLIN P. OUlVlERRE
SECRETARY
I
INFORMATION REGARDI*
SOCIAL D A Y CARE AND ADULT D A Y HEALTH PROGRAMS
Social Dav Care (SDC) programs provide structured community settings for
persons w h o require daytime supervision due t o social/or emotional problems or
physical impairments. SDC is one of the services available t o clients in the State
Home Care Program w h i c h is administered b y the Executive Office of Elder Affairs
(EOEA) through contracts w i t h 2 7 Home Care Corporations (HCCrs). Participants
also m a y pay privately t o attend SDC.
Currently, SDC programs have no licensing requirements in Massachusetts.
However, SDC programs contracting w i t h any o f the HCCrs must adhere t o
standard contract requirements and service standards (Attachment A ) established
b y EOEA. The rate of reimbursement is negotiated between the SDC and t h e
HCC. The current minimum rate established b y EOEA is $ 2 0 . 0 0 per day.
If y o u are interested in starting a SDC program, contact your local HCC.
The Executive Director may be able t o inform y o u of the need for the service as
well as contracting procedures for referring Home Care clients. For more
information, contact the SDC program in your area. A SDC listing is included in
Attachment A. You m a y also contact EOEA a t 1 Ashburton Place, 5 t h Floor,
Boston, M A 0 2 108, telephone number ( 6 17) 7 2 7 - 7 7 5 0 or 1-800-882-2003.
Adult Dav Health (ADH) programs provide an alternative t o long-term
institutional care through organized community programs o f health care and
supervision, restorative services, and socialization. Medicaid recipients w h o are 1 8
or over, w h o require skilled services or assistance w i t h Activities o f Daily Living,
m a y be eligible for A D H if they are willing t o attend a rr~inimumo f 2, full six-hour
days per week. HCC clients m a y also be eligible t o participate in the A D H
program. Participants may also pay privately.
A D H is regulated (see Attachment B for excerpts from these regulations) b y
t h e Division o f Medical Assistance under the Executive Office o f Health and Human
Services. The current Medicaid per diem rate is $32.41. A n A D H listing is
included in Attachment 0. For information o n h o w t o become a certified ADH
provider, contact the Division of Medical Assistance, 6 0 0 Washington Street,
Boston, M A 0 2 1 11, telephone number ( 6 17) 348-5570.
Attachments: A and B
April 1 9 9 5
PROVIDER AGREEMENT
ATTACHMENT A
SOCIAL DAY CARE SERVICES provide individualized programs of
recreational and social activities, and support for elders who
require day time supervision and assistance with daily care
needs. This service includes assistance with mobility, grooming,
and mealtime activities.
*
Nutrition services provided by this program include a
minimum of~one(1)meal per day which is of suitable
quality and quantity, and supplies at least one-third
(1/3) of the daily nutritional requirements. Special
diets must be made available if indicated.
*
Social Day Care services are provided by trained,
supervised staff and the provider must comply with the
Social Day Care Standards issued by the Executive Office of
Elder ~ffairs. These standards are as follows:
SOCIAL DAY CARE STANDARDS
A. Operates the service in a site that meets all local
building codes;
B. Employs qualified staff to operate the program.
~ualifiedstaff includes:
1.
A Program Director responsible for supervising the
program (he/she may not have administrative
responsibility for the Center within which the Program
is located). Additional staff should be employed at a
ratio of one staff member for each eight participants
or portion thereof.
2.
The Prograc Director shall have a Master's degree in
social work or a related field, or shall have
comparable experience. In addition, he/she shall have
experience in geriatrics or gerontology, supervisory
skills, and transferring skills.
3.
Staff staff members shall have experience in working
with elders and/or special needs clients, and group
work or recreational skills.
4.
At least one staff person in each Social Day Care
program shall be CPR trained.
5.
Elder Service Corps enrollees and Senior Aides may be
used as available.
C. Has the capacity to provide individual and group activity
programs that offer social, recreational, and educational
events designed to meet the needs of participants;
D. Has the capacity to provide nutrition services, either
directly or as a site at which other agencies may provide
the service. Nutrition services must include a minimum of
one meal per day which is of suitable quality and quantity
and supplies at least one-third of the daily nutritional
requirements, special diets that may be indicated by a
client's home care service plan and morning and afternoon
snacks. Nutrition services at the Social Day Care Center
may be provided either:
1. Through the Title 111-C Nutrition Program if the Social
Day Care Center is a Title 111-C meal site.
2. By purchase by the Home Care Corporation from the home
care purchased service (home delivered meals) account
with the meals being delivered to the Social Day Care
center rather than to the client's home; or
3. As a direct service by the provider.
. Has
in place a procedure for action in case of emergency
(e.g. fire) on which staff is trained. Training must take
place within one week of employment. Follow-up training
must be held for all staff at a minimum of once every three
months.
F. Is open no later than 8:30 a.m. and closes no earlier
than 4:00 p.m.
G. Is handicapped accessible.
Provider agrees to perform services in compliance with
651 CMR 3.00
EXECUTIVE OFFICE OF ELDER AFFAIRS
INDEX OF SOCIAL DAY CARE PROGRAMS
CitvtTown
SDC NAME
Acton
Cooperative Elder Services
Adams
Adams COA
Andover
Andover Adult Day Health
Arlington
Cooperative Elder Services, Inc.
Bellingham
Belchertown COA - Social Day Care
Boston
Greater Boston Chinese Golden Age Center
North End Health Center
Hale Bernard Day Program
3
4
3
Braintree
Braintree Social Day Care
1
Brighton
Greater Boston Chinese Golden Age Center
St. Elizabeth's Hospital ADHC/SDC
2
5
Brockton
Dorn Davies Center
1
Cambridge
Stride Rite Intergenerational Center
Windsor House Cambridge - ADC Program
4
5
Chelmsford
Chelmsford COA
Danvers
Spectrum II at Hunt Center
Dedham
Health Care Plus
Dorcester
Kit Clark Senior Services
Edgartown
Edgartown Senior Center
- SDP
2
Fairhaven
Fairhaven COA - Fairhaven SDC
2
Fall River
Family Services Ass. of Greater Fall River
2
- Social Day Care
- Chelmsford SDC
- Senior Place at the V N A
1
2
5
3
4
Fitchburg
Gardner VNA-Adult Day Health Care Center
of Fitchburg & Leominster
Foxboro
Foxboro Human Services
-Senior Day Activity Center
Framingham
Adult Day Center, Inc.
Gardner
Gardner COA
Great Barrington
Great Barrington Adult Day Health
Greenfield
Franklin Medical CenterIElder Day Center
Hanson
Hanson Social Day Care
Harwich
Winsted Elder Day Center
Holyoke
Geriatric Authority of Holyoke- ADH
lpswich
Spectrum (BAVNA)
Jamaica Plain
Rogerson House - Social Day Program
Lawrence
M.I. Socia Day Center
Lexington
Lexington COA
Longmeadow
Longmeadow Adult Day Care
Lynn
Greater Lynn Senior Services Social Day
Marlborough
Assabet Valley Home Health Ass.
-Adult SDC
Methuen
Nevins Family o f Services Center
Middleborough
Middleborough SDC
Millbury
District Nursing Society ADHC
Nantucket
Adult Community Day Center
Needham
Health Care Plus
- Social Day Program
- SDC
Newburyport
Harborside Adult Day Health
Golden Opportunity Club
North Adams
Downtown Adult Day Center
Northampton
North Eastham
Northampton Nursing Home
Lower Cape Day Care
Peabody
Peabody COA - Roger B. Trask Adult
Social Day Center
Pittsfield
Girls, Inc.
Pittsfield Adult Day Health Center
Pittsfield COA
Salem
Salem COA
Sandwich
Cape Heritage Day Center
Somerville
Windsor House Somerville
South Dartmouth
Dartmouth COA - Dartmouth Social Day
Swansea
New Beginnings Social Day Care
Wakefield
Eastern Middlesex Human Services
Wareham
Wareham Social Day Care
Watertown
Windsor House WatertownIBelmont
Adult Day Care Program
West Newton
Newton Community Service Center
4
Whitinsville
Beaumont Adult Day Health
1
Woburn
Cooperitive Elder Services, Inc.
2
Worcester
1
Westport
Age Center of Worcester Area
Social Day Care
Westport COA - Senioir Social Day Program
5
West Roxbury
Boston Aid to the Blind
1
-
ADCP
Rev. 4/95
EXECUTIVE OFFICE OF ELDER AFFAIRS
SOCIAL DAY CARE PROGRAMS
Adult Community Day Center
Landmark House
Orange St.
Nantucket, M A 02554
Assabet Valley Home Health Assoc.
Adult Social Day Care
17 Washington St.
Marlborough, M A 01 752
(508)228-5543
(508)485-9685
Contact: Anna Grizzard
Contact: Denise Allegrezza
Adams COA
Social Day Care
PO Box 225
[site: 18 East St.]
Adams, M A 01 220
Beaumont Adult Day Health
18 Granite St.
Whitinsville, M A 01 588
(508)234-6481
Contact: Letty Wheelock
(413)743-8333
Contact: Antoinette Alizio
Adult Day Center, Inc.
Box 9008
[site: Dudley Rd.]
Framingham, M A 01 701 -9008
Belchertown COA
Social Day Care
2 Maple St.
Bellingham, M A 0201 9
(508)966-0398
Contact: Muriel Simmons
(508)879-1771
Contact: Nancy Sargon
Age Center of Worcester Area
Social Day Care
Whitcomb Hall, 51 Harvard St.
Worcester, Ma 01 609
Contact: Kathy Urquhart
[site: Zion Lutheran Church
41 Whitmarsh Ave]
(508)755-4388/ 852-3205
Contact: Gloria Castriotta
Andover Adult Day Health
36 Bartlet St.
Andover, M A 01 801
(508)470-3830
Contact: Kathy Urquhart
Dorn Davies Center
789 N. Main St.
Brockton,MA 02401
(508)580-7811 / 583-2517
Contact: Charlotte Frye
Boston Aid t o the Blind
1980 Centre St. P.O. Box 22
West Roxbury, M A 021 32
(617)323-511 1
Contact Sheila Fitzpatrick
Braintree Social Day Care
507 Washington St.
Braintree, M A 021 84
(617)848-21 24
Contact: Pat Conrad
Cape Heritage Day Center
37 Route 6A
Sandwich, M A 02563
(508)888-8222x 27
Contact: Carol Weston
D o w n t o w n Adult Day Center
Chelmsford COA
Chelmsford Social Day Care
75 Groton Rd.
Chelmsford, M A 01 863
North Adams, M A 021 47
(508)
25 1-8788
Contact: Thomas Bein
26 Union St.
(413)664-4048
Contact: Pande Busfield
Eastern Middlesex Human Services
395 Main St.
Cooperative Elder Services, Inc.
PO Box 178
Acton, M A 01 720
Wakefield, M A 01 880
(508)264-4440
Contact: Anne Washburn
(617)665-915 4
Contact: Grace Haley
Cooperative Elder Services, Inc.
27 Maple St.
Arlington, M A 021 74
(617)646-1000 x 4750
Contact: Garce Haley
Edgartown Senior Center
Social Day Program
PO Box 1295
Edgartown, M A 02539
(508)627-4368
Contact: Shirley Wilbur
Cooperative Elder Services, Inc.
144 School St.
Woburn, M A 01 801
(617)646-1000 x 4750
Contact: Grace Haley
Fairhaven COA
Fairhaven Social Day Care
PO Box 106
[site: 150 Sconticut Neck Rd.]
Fairhaven, M A 0271 9
Dartmouth COA
Dartmouth Social Day
628 Dartmouth St.
South Dartmouth, M A 02747
Contact: Marie Tucker
(508)979-4029
(508)991-6018
Contact: Lee Brown
Family Services Association
of Greater Fall River
PO Box 70
[site: 160 Rock St.]
(508)678-7542
District Nursing Society ADHC
123 Elm St., PO Box 45
Millbury, M A 01 527
(508)865-4373
Contact: Janet Clawson
Franklin Medical Center1
Elder Day Center
60 Wells St.
Greenfield, M A 01 301
(413)774-2275
Contact: Shirley Hunting
Contact: Anne Marie Hughs
Foxboro Human Services
Senior Day Activity Center
PO Box 507
Foxboro, M A 02035
(508)543-7336
Contact: Diane Caldwell
Greater Boston Chinese Golden Age
Center
677 Cambridge St.
Brighton, M A 021 35
(617)789-4289
Pg 2
Gardner COA
Social Day Program
175 Connors St.
Gardner, M A 01440
(508) 632-5527
Contact: Daniel A. Novak
Greater Boston Chinese Golden Age
Center
25-31 Essex St.
Boston, M A 02 116
(617) 542-7458
Contact: Kun Chang
Gardner VNA - Adult Day Health
Care Center of Fitchburg &
Leominster
1199 John Fitch Highway
Fitchburg, M A 01420
(508) 342-9428
Contract: Mildred Funnell
Greater Lynn Senior Services
Social Day
8 Silsbee St.
Lynn, M A 01901
(617) 599-01 10 x 409 or 302
Contact: Harriet Udoff
Geriatric Authority of Holyoke
Adult Day Health
45 Lower Westfield Rd.
Holyoke,MA 01040
(413) 536-81 10
Contact: Judy EaganIPat Jaffe
Girls, Inc.
165 East St.
Pittsfield, M A 01201
(413) 442-4048
Contact: Barbara Lacasse
Hale Bernard Day Program
11 E. Newton St.
Boston, M A 021 14
(617) 536-3726
Contact: Karen Sullivan
Hanson Social Day Care
Liberty St. Fire Station
Hanson, M A 02341
(617) 293-2683
Contact: Anne Marie Delacomo
Golden Opportunity Club
10 Opportunity Way
Newburyport, M A 01950
(508) 462-6 144
Contact: Pam Hooper
Harborside Adult Day Health
166 High St.
PO Box 108
St. Paul's Church
Newburyport, M A 01950
(508) 465-1980
Contact: Susan Toohui
Great Barrington Adult Day Health
148 Maple Ave.
Great Barrington, M A 01 230 ,
(413 )528-3198
Contact: Allison Giracca
Middleborough Social Day Care
8 Benton St.
Middleborough, M A 02346
(508) 946-2490
Contact: Manuel Haendler
Health Care Plus
Senior Place at the VNA
1100 High St.
Dedham, M A 02026
(617) 329-8603
Contact: Jamie Gutner
Nevins Family of Services Center
12 lngalls Court
Methuen, M A 01844
(508) 686-2807
Contact: Terry Thompson
pg 3
Health Care Plus
High Rock School
77 Ferndale Rd.
Needham, M A 021 92
N e w Beginnings Social Day Care
485 Ocean Grove Ave.
Swansea, M A 02777
(617)329-8603
Contact: Shirley Puccio
(508)676-1831
Contact: Jamie Gutner
Newton Community Service Center
Kit Clark Senior Services
1500 Dorchester Ave.
Dorchester, M A 021 22
492 Waltham St.
(617)825-5000
Contact: Mary Whalen
West Newton, M A 02165
(617)969-5906
Contact: Maureen Kroner
Lexington COA
Social Day Care
1474 Massachusetts Ave.
Lexington, M A 021 73
Northampton Nursing Home
Bridge Rd.
Northampton, M A 01 060
(413) 586-3300
Contact: Betty Thayer
(617)861-0194
Contact: Karen Santucci
Longmeadow Adult Day Care
231 Maple Rd.
Longmeadow, M A 01056
North End Health Center
70 Fulton St.
Boston, M A 021 09
(617)367-3750
Contact: Claudia Rassmussan
(413) 567-9599
Contact: Judy Mikkola
Lower Cape D a y Care
PO Box 1203
[site: 1405 Nauset Rd.1
North Eastham, M A 02651
(508)255-6734
Peabody COA
Roger B. Trask Adult Social
Day Center
79 Central St.
Peabody, M A 01960
(508)531 -2254
Contact: Cathy Moran
Contact: Kathy Gill
M.I. Social Day Center
193 Maple St.
Lawrence, M A 01 842
(508)682-7575
Stride Rite Intergenerational Center
5 Cambridge Center
Cambridge, M A 021 42
(617)491-8800x 4003
Contact: Ellen Foley
Contact: Terry Habib
Pittsfield Adult Day Health Center
33 Bratford St.
Pittsfield, M A 01 201
Wareham Social Day Care
T o w n Hall
54 Marion Rd.
Wareham, M A 02571
(413)442-4978
(508)291 -3132
Contact: Anne Loy Maynard
Contact: Diane Cunningham
(413)499-9347
Westport COA
Senior Social Day Program
400 Old County Rd.
Westport, M A 02790
Deborah Padgette
(508)636-1027
Pittsfield COA
330 North St.
Pittsfield, M A . 01 201
Contact: Leonora Brown
Rogerson House
Social Day Program
434 Jamaica Way
Jamaica Plain, M.A 021 30
(617)522-7230
Windsor House Cambridge
Adult Day Care Program
105 Windsor St.
Cambridge, M A 02139
Contact: Amy Field
(617)628-2575
Contact: Mary Gorman
Salem COA
5 Broad St.
Salem, M A 01970
(508)745-0409
Contact: Helen Solar
Windsor House Somerville
Adult Day Care Program
75 Myrtle St.
Somerville, M A 021 45
(617)628-2575
Spectrum II at Hunt Center
75 Lindall St.
Danvers, M A 01 923
(508)774-4400x 3064
Contact: Phyllis Scanzani
Spectrum (BAVNA)
County Rd.
Ipswich, M A 01938
(508)356-5992
Contact: Susan Parker
St. Elizabeth's Hospital ADHCISDC
159 Washington St.
Brighton, M A 021 35
Contact: Jean Roberts
,
Windsor House WatertownlBelmont
Adult Day Care Program
100 Warren St.
Watertown, M A 021 72
(617)926-8550
Contact: Eileen Gleason
Winsted Elder Day Center
328 Bank St.
Harwich, M A 02645
(508)432-4594
Contact: Betty Mcosker
(617)789-2618
Contact: Mary Ellen Peters
Rev 4/95
Attachment8
-
Excerpts from the Medical Assistance Program Adult Day Health Manual
PAGE
SUBCHAPTER NUHBER AND TITLE
4 PROGRAM REGULATIONS
Commonwealth of Massachusetts
Hedical Assistance Program
Provider Hanual Series
4-1
TRANSHIITAL LETTER
DATE
ADH-13
06/01/87
ADULT DAY' HEALTH MANUAL
Cite the sections on this page as
106 CHR 404.--401 INTRODUCTION
In an effort to provide high-quality alternatives to institutional care,
the Department has elected to pay for adult day health services under the
Medical Assistance Program, subject to the conditions and limitations set
forth in these regulations.
The following definitions apply when used in these regulations.
(A) Adult
- any
person aged 18 or older.
-
all services provided by adult day health
(B) Adult Day Health Services
programs approved for operation by the Ikpartment that meet the conditions set forth in the regulations in this Chapter 404.000 and whose
general goal is to provide an alternative to 24-hour long-term institutional care through an organized program of health care and supervision, restorative services, and socialization.
(C)
Attendance Day -- any day during which a participant attends the adult
day health program for a minimum of six hours.
-
supplemental or follow-up physical,
(D) Maintenance Therapy Services
occupational, or speech therapy performed by adult day health program
staff members under the direction of therapists, the program's registered nurse, or both.
--
a qualified occupational therapist who is
(E) Occupational Therapist
currently registered with the American Occupational Therapy
Association.
-- a qualified physical therapist who is a graduate
of a curriculum in physical therapy approved by the Council on Hedical
Education and Hospitals of the American Medical Association, who is
currently registered by the Board of Registration and Discipline in
Medicine under the laws of the Commonwealth of klassachusetts, and who
has been certified by the U.S. Social Security Administration on or
after October 30, 1970.
(F) Physical Therapist
'
(G) Program Day
operation.
-- any
day during which the adult day health program is in
(H) Restorative Services
-
physical, occupational, and speech evaluation
and therapy directly performed by a physical therapist, occupational
thera~ist. or s~eechpathologist.
1
Commonvealth of Hassachusetts
Hedical Assistance Program
Provider Hanual Series
PAGE
SUBCHAPTER NUHBW AND TITLE
4
PROGRAM REGULATIONS
TRANSHITTAL LE'ITER
ADULT DAY ' HEALTH MANUAL*
ADH-13
4-2
DATE
06/01/92
Cite the sections on this page as
106 CHR 404.--402
DEFINITIONS (cont.)
--
a single physical location of an adult day health program
(I) Site
revieved and approved by the Department and by other appropriate
authorities for the operation of adult day health program services for
a specified number of daily participants. If an adult day health
provider operates an adult day health program in tvo separate locations, each location is considered'to be a site. Each site must meet
the regulations in this Chapter 404.000.
(J)
-
Speech Pathologist
a qualified speech pathologist vho has been
granted a Certificate of Clinical Competence by the American Speech
and Bearing Association or vho meets the equivalent educational
requirements and vork experience for such certification.
(K) Speech Therapist
403
- see "Speech
Pathologist."
ELIGIBLE RECIPIENTS
(A)
Hedical Assistance Reci~ients
The Department pays for services provided to adult Hedical Assistance
recipients (categories of assistance 00, 01, 02, 03, 05, 06, 07, and
08) vho require services in a structured adult day health setting and
vho meet the three eligibility requirements belov.
(1) The recipient must have a medical or mental dysfunction that
involves one or more physiological systems and requires nursing
care. (The dysfunction does not have to be one that can be
stabilized).
(2)
The recipient must require one or both of the folloving:
(a) skilled services; or
(b) assistance in activities of daily living.
(3) Recipients referred to the program must be villing to attend the
program a minimum of tvo full six-hour days per veek, unless a
recipient's physician completes a vritten justification explaining vhy the recipient should attend less often. This vritten
justification must be approved by the Department.
Commonvealth of Hassachusetts
Medical Assistance Program
Provider Hanual Series
SUBCHAPTER NLRIBER AND TITLE
4
PROGRAM REGULATIONS
TRANSHI'JTAL LETTER
ADULT DAY.HEALTH MANUAL
ADH-13
PAGE
4-3
DATE
06/01/92
Cite the sections on this page as
106 CMR 404. --403 ELIGIBLE RECIPIENTS (cont.)
Emergency Aid to the Elderly, Disabled and Children Program (category
of assistance 04), see 106 CHR 450.111.
PROVIDER ELIGIBILITY
(A)
In order to-be eligible for Hedical Assistance Program payment for'
adult day health services, a provider must:
.
(1) 'be enrolled as a participating provider in the Hedical Assistance
Program ;
(2) meet the Nassachusetts Department of Public Health Determination
of Need -requirements necessary for adult day health programs
based in nursing homes or off-campus hospital-affiliated health
centers and clinics; and
(3) meet the kiassachusetts Department of Public Safety and local fire
department requirements specified in Subsection 415(B).
(B) Groups or individuals that operate specialized day programs primarily
for persons who are developmentally disabled, blind, deaf, or acutely
mentally ill are not eligible to become adult day health providers.
(C) Adult day health programs operating outside of Hassachusetts are not
eligible to become adult day health providers.
PAGE
S U B C H A m NUMBER AND 'ITIZE
COMMONWEALTH
OF M A Z S A C H U S E ~ ? ~
4-7
4 PROGRAM REGlLtlTIONS
MEDICAL ASSISANCE PROGRAM
PROVIDER MANUAL SERIES
ADULT DAY HEALTH MANUAL
'IRANsmAL
ADH- I
LFITER
DATE
2/1/80
i
Cite the s e c t i o n s on t h i s page as
106 CMR 404.--
PROGRAM SERVICES REQUIREMENTS
Providers must o f f e r t h e services specified below in order t o meet t h e needs
of t h e p a r t i c i p a n t population.
(A)
Nursing Services
A r e g i s t e r e d nurse who is on s i t e d a i l y f o r a minimum of f o u r hours
must provide or supervise nursing s e d c e s , . If a nurse working within
an i n s t i t u t i o n is employed by t h e a d u l t day h e a l t h program, his s o l e
r e s p o n s i b i l i t y during t h e . h o u r s t h a t he is employed by t h e program
w i l l be t o meet t h e n e e d s of t h e a d u l t day h e a l t h p a r t i c i p a n t s ,
Nursing
s e r v i c e s must be provided i n accordance vith t h e p a r t i c u l a r needs of
each p a r t i c i p a n t and lmrst include the following:
(1)
supervision of t h e administration of medicatioas and treatments
as prescribed by t h e p a r t i c i p a n t ' s physician;
(2)
coordination of t h e development of t h e p a r t i c i p a n t c a r e plan;
(3)
on-going monitoring of each p a r t i c i p a n t ' s h e a l t h s t a t u s ;
(4)
maintenance-therapy
(5)
coordination among t h e p a r t i c i p a n t , h i s family, and program staff
members of o r d e r s from t h e participant's physician.
treatment as r e c o m e d e d by a t h e r a p i s t ; and
I
(
I
COMMONWEU.~ OF M A S S A C W U S E ~
L
I
I
SUB-
NUMBER ANU A A A L C
4 PROGRAM REGULATIOXS
ADULT DAY HEALTH MANUAL
I
I
A
4-8
.
I
MEDICAL ASSISTANCE P R O G U
PROVIDER MANUAL SER.IES
I
TRANSMITTAL LEITER
ADH- 1
DATE
2/1/80
Cite the sections on t h i s page a s
106 CMR 404
.---
407
PROGRAM SERVICES REQUIREMENTS (cont.)
(B)
Restorative Services
Adult day h e a l t h programs must provide o r coordinate r e s t o r a t i v e services
as needed f o r each p a r t i c i p a n t , when recommended by t h e r a p i s t s and
prescribed by a physician. Restorative s e n r i c e s must include occupat i o n a l , physical, and speech therapy. The provider must e s t a b l i s h
w r i t t e n agreements v i t h individual physical, speech, and occupational
t h e r a p i s t s (unless they a r e employed as staff members), o r must establ i s h agreements f o r t h e serpices of such t h e r a p i s t s with hospitals,
clinics, o r V i s i t i n g Nurse Associations, t o provide consultant services
t o t h e program and, i f necessary, t o provide direct therapeutic s e r v i c e s
t o a participant. Therapists must provide direct therapeutic treatment
t o a p a r t i c i p a n t o w - if such treatment is r e f e r r e d by a p a r t i c i p a n t ' s
physician and cannot be administered by program staff members. The
Department will pay t h e restorative-services provider f o r d i r e c t therapy
administered t o a p a r t i c i p a n t on a fee-for-service b a s i s in accordance
with t h e Department's r e g u l a t i o n s governing r e s t o r a t i v e services.
(C)
Maintenance-Therapy Services
A d u l t day h e a l t h programs must provide maintenance therapy t o meet the
p a r t i c u l a r needs of each p a r t i c i p a n t when indicated by t h e therapy
consultants o r t h e p a r t i c i p a n t ' s physician. The program's r e g i s t e r e d
nurse must supervise t h e administration of maintenance therapy t o
participants.
Activities
. ..
-
Adult day h e a l t h programs must provide individual and group a c t i v i t y
programs t h a t o f f e r social., r e c r e a t i o n a l , and educational events
designed t o improve each p a r t i c i p a n t ' s self-awareness and level of
functioning. The d i g n i t y , interests, and therapeutic needs of
i n d i v i d u a l p a r t i c i p a n t s must be considered in t h e development of
a c t i v i t y programs.
personal-'&re
'
Services
Adult day h e a l t h programs, under t h e s u p e n i s i o n of a r e g i s t e r e d nurse,
m u s t provide personal-care s e r v i c e s as necessary, and must o f f e r t r a i n i n g
and a s s i s t a n c e i n dressing, grooming, personal hygiene, use of s p e c i a l
a i d s , accident prevention, and a c t i v i t i e s of d a i l y l i v i n g .
I
PAGE
SUBCHAPTER NUMBER AND TITLE
CDMMOWW~
OF M A S S A O T U S E ~
4 PROGRAM REGULATIONS
I
MEDICAL ASSISTANCE PROGRAM
PROVIDER M A N U A L SERIES
ADULT DAY HEALTH MANUAL
4-9
T k W S M m A L LETTER
ADH- 1
DATE
2/ 1/80
C i t e t h e s e c t i o n s on t h i s page a s
106 CMR 404 .--
407
PROGRAM SERVICES REQUIREMENTS (cont.)
N u t r i t i o n Services
.
A h o t m e a l , prepared under t h e d i r e c t i o n of a d i e t i t i a n , and two snacks
must be provided t o every p a r t i c i p a n t each day he a t t e n d s t h e program.
The hot m e a l must be e q u i v a l e n t t o a t least cne-third of t h e recornsended
d a i l y d i e t a r y allowance e s t a b l i s h e d by t h e National Research Council.
The provider must f u r n i s h s p e c i a l d i e t s , i f required by a p a r t i c i p a n t
and prescribed by h i s physician.
In a d d i t i o n , program s t a f f members,
under t h e supervision of a r e g i s t e r e d n u r s e o r d i e t i t i a n , must provide
n u t r i t i o n counseling, consumer shopping advice, and menu planning t o
t h e p a r t i c i p a n t and, i f necessary, t o h i s family.
(G)
Counseling Services
A s o c i a l worker, o r o t h e r p r o f e s s i o n a l s t a f f members i f a s o c i a l worker
is not employed by t h e program, must provide i n d i v i d u a l and group
counseling services t o p a r t i c i p a n t s and t h e i r f a m i l i e s . Counselors
must o f f e r a s s i s t a n c e w i t h personal, s o u , family, and adjustment
problems.
I f s p e c i a l i z e d counseling i s necessary f o r a p a r t i c i p a n t
o r h i s family, t h e program m u s t r e f e r t h e p a r t i c i p a n t o r family t o t h e
appropriate community resource.
Attachment
B
DEPARTMENT OF MEDICAL ASSISTANCE ADULT DAY HEALTH PROGRAMS
CENTRAL MASS A CHUSETTS
ADHC FITCHBURG-LEOMINSTER
159 Richardson Road
Fitchburg, Ma 01420
Elaine Fluet, Millie Funnell
(508) 342-9428
COOPERATIVE ELDERS -ACTON ADHP
2352 Main Street
Concord, Ma 01742
Joanne Fuller
(508) 897-0642
ANN & LOUISE KUI-IN ADH
JEWISH HOME FOR THE AGED
629 Salisbury Street
Worcester, Ma 01609
Mary-Ann Wren
(508) 7988-653
DISTRICT NURSING SOCIETY ADHC
450 Colonial Drive
Millbu , Ma 01527
Janet lawson
(508) 865-1401
ASSABETH VALLEY HOME HEALTH
420 Maple Street
Marlboro, Ma 01752
Dennis Allegrezza
(508) 485-9685
ELDER DAY SERVICES 1 S.WORC CTY
6 River Court
Webster, Ma 01570
Marion Chapdelaine
(508) 949-3598
BEAUMONT OF NORTHBRIDGE ADHC
85 Beaumont Drive
Northbridge, Ma 01534
Letty Wheelock
(508) 234-9771
FRAMlNGHAM ADHC CUSHING HOSP
FONTE BONNE HALL
85 Bethany Road
Framin ham, Ma 01701
Nancy argon
(508) 879-1771
BLACKSTONE VALLEY REGIONAL
1167 South Main Street
Bellingharn, Ma 02109
Jouce Godbout
(508) 966-2529
GARDNER VNA
95 Mechanic Street
Gardner, Ma 01440
Elaine Fluet
(508) 632-1230
BLAIRE HOUSE OF MILFORD
20 Chaflin Street
Milford, Ma 01757
Dr. Robert Dwyer
(508) 473-1272
GOLDEN POND ADH
50 West Main Street
Hopkinton, Ma 01748
Grace Kuntz
(508) 435-1250
COOPERATIVE ELDERS APPLE VAL
400 Groton Road
Ayer, Ma 01432
Joanne Fuller
(508) 772-5085
GREY NUNS
10 Pelham Road
Lexington, Ma 01824
Sr. Gloria Auger
(617) 862-4700
COOPERATIVE ELDERS SERV
27 Maple Street
Arlington, Ma 02174
Jane Warren
(617) 641-5487
LUTHERAN HOME ADH
26 Harvard Street
Worcester, Ma 01609
IreneJones
(508) 752-1090
z
8
DEPARTMENT OF MEDICAL ASSISTANCE ADULT DAY HEALTH PROGRAMS
CENTRAL MASS ACHUSETTS
SOUTHBRIDGE CTR OF HOPE ADH
PO Box 66
38 Walnut Street
Southbridge, Ma 01550
Deborah Masters
(508) 765-0977
THE HIGHLANDS ADHC
50 Nichols Road
Fitchburg, Ma 01420
Bernadette Oinonen
(508) 343-4411
ST. FRANCIS ADH
101 Plantation Street
Worcester, Ma 01604
Mary Pincipe
(508) 752-2546
GARDNER VNA COMMUNITY CENTER
Orange Industrial Park
Governor Dukakis Drive
Orange, MA 01364
(508) 6323 230
DEPARTMENT OF MEDICAL ASSISTANCE ADULT DAY HEALTH PROGRAMS
MERRIMACK VALLEY
BLAIRE HOUSE OF TEWKSBURY
10 Erlin Terrace
Tewksbury, Ma 01876
Barbara Sanborn
(508) 851-3121
COMMUNITY FAMILY-LOWELL
Memo Disorder Care Center
21 Wal er Street
Lowell, Ma 01845
Maria Maskaluk
(508) 458-4844
?;
DYOUVILLE ADHC
981 Vamum Avenue
Lowell, Ma 01854
Lorraine Christedes
(508) 454-5681
KENOZA ADHP
190 North Avenue
Haverhill, Ma 01830
Patricia A. Mullin
(508) 373-1584
M.I. ADULT DAY HC
189 Maple Street
Lavrence, Ma 01841
Theresa Habib
(508) 682-7575
NEVINS ADHC
Twelve In alls Court
Methuen, a 01844
Terry Thompson
(508) 868-2807
8,
NEVINS-NORTH ANDOVER
3 Great Pond Road
North Andover, Ma 01845
Joan Poutenis
(508) 794-0746
DEPARTMENT OF MEDICAL ASSISTANCE ADULT DAY HEALTH PROGRAMS
METRO BO S T O N
BOSTON AID TO THE BLIND ADHP
1 980 Center Street, PO Box 21 8
West Roxbury, Ma 02132
Elliot Feldman
(617)323-511 1
BRIGHTON HOUSE DAY HEALTH
GREEN STREET CENTER
1 79 Green Street
Melrose, Ma 02176
Nina Takayama
(617)665-9154
HERITAGE ADULT HEALTH
677 Cambridge Street
Brighton, Ma 02135
209 Summer Street
East Boston, Ma 02128
(617)789-4289
(617)56%5800 x371
Eleanor Fotergill
Ruth Moy
COMMUNITY FAMILY - MEDFORD ADHP
HON LOK HOUSE DAY HEALTH
42 Water Street
Medford, Ma 02155
25-31Essex Street (Rt. 60)
Boston, Ma 0211 1
(617)322-1979
(617)542-7458
Kun Chang
Marilyn Mulligan
-
COOPERATIVE ELDERS WOBURN
21 Warren Avenue
Wobum, Ma 01801
Joanne Fuller
KIT CLARK SENIOR HOUSE
1 500 Dorchester Avenue
Dorchester, Ma 02122
Gervaise Haley
(617)933-3723
(617)825-5000~ 2 9
COUNCIL OF ELDERS ADHP
2055 Columbus Avenue
Roxbury, Ma 02119
Elizabeth Burden
409 Dudley Street
Roxbury, Ma 021 19
Joses Morales
(617)442-4001x225
(617)427-7175
DON ORIONE ADHP
1 1 1 Orient Avenue
East Boston, Ma 02128
Nancy J. Pontremoli
376 West Fourth Street
Boston, Ma 02128
(617)569-2100 x247
(617)268-9670
ELUS MEMORIAL ADHP
LYMAN SCHOOL ADHP
c/o EB Neighborhood Health Ctr
1 0 Gove Street
East Boston, Ma 02128
Dayna Brown (617)569-5800x272
95 Berkely Street, PO Box 237
Boston, Ma 02117
Beverly Mahaffey
(617)695-9310
GERI-DAY PROGRAM ROSUNDALE
LA ALIANZA HlSPANlA ADHP
LABOURE'S ADHP
Anne Connaughton
MATTAPAN ADHC
780 American Legion Hwy
Roslindale, Ma 02131
249 River Street
Mattapan, Ma 02126
(617)325-6700
(617)298-7970
Marie McCall
GRTR BOSTN CHINESE GLDN AGE CTR
5 Oak Street
Boston, Ma 021 16
Kwei-Fa Chan
(617)423-7563
Margaret Kiggins
NEWTON COMMUNIY SERVICE CTR
492 Waltharn Street
West Newton, Ma 02165
Anthony J. Bibbodie
(617)969-5906
DEPARTMENT OF MEDICAL ASSISTANCE ADULT DAY HEALTH PROGRAMS
METRO BO S T O N
NORTH END COMMUNITY ADHP
70 Fulton Street
Boston, Ma 02109
Claudia Rasrnussen
(617) 367-3750
WESTON MANOR ADH CENTER
75 Norumberga Road
Weston, Ma 02193
Benjamin Shuman
(617) 891-6751
ROGERSON HOUSE ADHC
434 Jarnaicaway
Boston, Ma 02130
Stephen Kyner
(617) 522-7230
WINSOR HOUSE - CAMBRIDGE
105 Winsor Street
Cambridge, Ma 02139
Mary Gorrnan
(617) 547:7836
SENIOR PLACE ADHC
1100 High Street
Dedharn, Ma 02026
Jamie Gutner
(617) 3248603
WINSOR HOUSE - SOMERVILLE
75 Myrtle Street
Somenrille, Ma 12145
Jean Roberts
(617) 628-2575
ST ELIZABETH HOSPlTAL ADHP
159 Washington Street
Brighton, Ma 02135
Mary Ellen Peters
(617) 789-2618
WINSOR HSE-WATERTOWN/BELMONT
100 Warren Street
Watertown, MA 02172
Eileen Gleason
(617)926-8550
THE COMMUNITY FAMILY
138 School Street
Everett, Ma 02149
Marilyn Mulligan
(617) 389-4500
DEPARTMENT OF MEDICAL ASSISTANCE ADULT DAY HEALTH PROGRAMS
NORTH S H O R E AREA
CATHERINE ADHP
13 Pulanski Street
Peabody, Ma 01960
Linda Elworthy
(508) 532-4303
JEWISH REHABILITATION CENTER
SHAPIRO-RUDOLPH
330 Paradise Road
Swampscott, Ma 01907
June Davis
(617) 598-5310
GLLS ADHC-BRIARCLIFF LODGE
112 Kemwood Drive
Lynn, Ma 01904
Joan Lee
(617) 581-7197
KALOS AHP INC.
265 Essex Street
Beverly, Ma 01915
Jackie Wilson
(508) 927-9070
GLLS ALZHEIMER'S AND RELATED
DISORDERS DAY PROGRAM
8 Silsbee Street
Lynn, Ma 01901
Haniet Udoff (617) 599-0110
SENIOR HOME CARE SERVICES ADHP
3 Blackburn Center
Gloucester, Ma 01930
Jannice Chafe
(508) 281-0252
HARBOR SIDE ADHC
St. Paul's Church
166 High Street, PO Box 108
Newburyport, Ma 01950
Paula Chase
(508) 4651980
SPECTRUM
126 County Road
'ch, Ma 01938
usan Parker
(508) 356-5992
HARRIS HOUSE
391 Bay Road
Hamilton, Ma 01982
Kathy Blamire
(508)468-4599
SPECTRUM ll
DANVERS-HUNT CENTER
Danvers, MA 01923
Susan Parker
(508)922-1722
r
DEPARTMENT OF MEDICAL ASSISTANCE ADULT DAY HEALTH PROGRAMS
SOUTHERN MAS S ACHUSETTS
BARNSTABLE COLINTY HOSPITAL
870 County Road
Pocasset, Ma 02559
Connie Tulloch
(508) 563-5941
EVANSWOOD ADHP
18 Chipman Way
Kin ton, Ma 02364
Da ene Sellars
(617) 585-4100 ~ 3 0 8
BAYPATHATDUXBURYDHC
308 Kings Town Way
Dubury, Ma 02332
Pat Leavy
(617) 585-5561
FALL RIVER ADHC
1748 Highland Avenue
Fall River, Ma 02720
Lucille Hargraves
(508) 67551131
BLAIRE HOUSE OF NEW BEDFORD
397 County Street
New Bedford, Ma 02740
Paulette Masse
(508) 997-9396
FRIENDLY HARBOR ADHC PROGRAM
PO Box 865
57 Fairhaven Road
Mattapoisett, Ma 02739
Diane St-Marie(508) 758-6171
BRANDON WOODS OF DARTMOUTH
567 Dartmouth Street
Dartmouth, Ma 02748
Megan Salafia
(508) 997-3796
HIGHLAND ADHC
CARDINAL MEDEIROS TOWERS
1197 Robeson Sreet
Fall River, Ma 02720
Lucille Hargraves (617) 675-1131
CAPE HERITAGE
37 Route 6A
Sandwich, Ma 02563
Carol Weston
(508) 888-8222
HILLSIDE ADHC
50 Walton Street
Attleboro, Ma 02703
Carol Falcone
(508) 226-6150
COLONIAL DAY HEALTH CENTER
125 Broad Street
Weyrnouth, Ma 02188
Pat Leavey
(508) 337-3121
HOLLINGSWORTH ADHC
1120 Washington Street
Braintree, Ma 02184
Jeane Hodgkins
(617) 848-4710
CRANBERRY SPECIALTY HOSPITAL
266 High Street
Hanson, Ma 02341
Arlene Finn
(6 17) 294-1602
JML CARE CENTER, INC. ADHP
184 Terheun Drive
Falmouth, Ma 02540-2503
Ann McGrath
(508) 457-4621
ELDER HAVEN ADHC
107 Welby Road
New Bedford, Ma 02745
Katheline S. Audette
(508) 998-8100
MATER DEI ADH
215 Thatcher Street
Brockton, Ma 02402
Kelly Ethiu
(508) 583-8313
ELIZABETH W. WHITE ADHC
143 School Street
Taunton, Ma 02780
Barbara Richards
(508) 823-4493
NEW ENGLAND SINAI HOSP & REHAB
150 York Street
Stoughton, Ma 02072
Marleen Spengler
(617) 344-0600 x 369
4
DEPARTMENT OF MEDICAL ASSISTANCE ADULT DAY HEALTH PROGRAMS
SOUTHERN MAS S ACHUSETTS
NEW ENGLAND SINAI-W.H.CONANT
5 Wally Kruegar Way
Bidgewater, Ma 02324
Marleen Spengler
(508) 697-0600
NORFOLK DAY ACTIVITY CTR
RIVERSIDE ADH
190 Lenox Street
Norwood, Ma 02062
Pat lyer
(617) 769-4495 or (617) 769-8670
PROJECT INDEPENDENCE ADHC
250 Elm Street
P.O. Box 3066
New Bedford, Ma 02741
Karen Macuilewicz
(508) 997-1441
SALVATION ARMY ADHP
6 Baxter Street
Quincy, Ma 02169
Lillian Mi~rphy
(617) 479-3040
SOMERSET ADHC
265 High Street
Somerset, Ma 02726
Lucille Hargraves
(508) 677-2366
THE WINDSOR ADHC
265 North Main Street
South Yarmouth, Ma 02664
Edith Roach
(508) 394-3514
WACS GATEWAY ADULT CTR
PO Box 245
65 Redbrook Raod
Wareham, Ma 02571
Allison Savary
(508) 245-3600
DEPARTMENT OF MEDICAL ASSISTANCE
ADULT DAY HEALTH PROGRAMS
WESTERN MASS A CHUSETTS
AMHERST NURSING HOME ADHC
150 University Drive
Amherst, Ma 01002
Shriley Crites
(413)256-8185 x22
MARY LANE HOSPITAL ADHC
85 South Street (Mailing)
40 Chestnut Street (Actual)
Ware, Ma 01082
AnnMarie Durand
(413)967-3744
DOWNTOWN ADHC
26 Union Street
North Adams, Ma 01247
Tom Bein (Berkshire Mental Hosp)
(413)662-3325
MEDI-PLEX OF EAST LONGMEADOW ADF
135 Benton Drive
East Lon meadow, Ma 01028
Juneann fanders
(413)52Q336 1Q14
EDCC FRANKLIN COUNTY MED. CTR
60 Wells Street
Greenfield, Ma 01301
Shirley Hunting
(413)774-2275
MERCY HOSPITAL ADHC
271 Carew Street
Springfield, Ma 011 04
David Landry
(413)748-9000x6986
GERIATRIC AUTHORITY OF HOLYOKE
ADULT DAY HEALTH CENTER I
662-664High Street
Hol oke, Ma 01040
Be Reardon (413)536-6599
Judith Egan (413)536-8110
NORTHAMPTON NURSING HOME ADHC
737 Bridge Road
Northampton, Ma 01060
Betty Thayer
(413)586-3300
GERIATRIC AUTHORITH OF HOLYOKE
ADULT DAY HEALTH CENTER II
45 Lower Westfield Road
Holyoke, Ma 01040
Judith Egan
(413)536-8110
SALVATION ARMY ADHP
170 Pearl Street
Springfield, Ma 01101
Veronica Shea
(413)737-3990
GREAT BARRINGTON HEALTH CARE
148 Maple Street
Great Barrington, Ma 01230
Dianne Thibodeau
(413)528-3198
THERAPEUTIC ADC JEWISH N.H. W MA
770 Converse Street
Lon meadow, Ma 01106
Gla ys Chemick
(413)567-6211
LONGMEADOW ADULT DAY HEALTH, INC
231 Maple Road
Longmeadow, Ma 01106
Judith Mikkola
(413)567-9599
VOC ADULT DAY HEALTH CTR
36 Center Street (Mailing)
591 Memorial (Actual)
Chicopee, Ma 01020
Judy Rogers
(413)594-6688
ti
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