10A NCAC 06P .0201. LIMITATIONS

Limitations on the provision of day care services for adults receiving state or federal funds include the following:

(1)           Day care services for adults shall be provided on a time‑limited basis to individuals enrolled in adult day care who are no longer able to maintain themselves in an independent living situation and for whom placement in group care is necessary.  Under these circumstances, adult day care services may continue to be provided for a maximum of 90 days after entering the group care facility.  State and federal funds may not be used to support the provision of adult day care for individuals in group care beyond this 90 day period, except in the circumstances of Item (2) of this Rule.

(2)           Day care services for adults shall be provided on a time‑limited basis for individuals preparing to leave a group care facility for an independent living arrangement.  Under these circumstances, adult day care services may be provided for a period of up to 90 days prior to the individual's discharge from the group care facility.  Continued eligibility for adult day care after discharge from the group care facility shall be determined on the basis of basic eligibility criteria and need for the service as stated in 10A NCAC  71R .0501 or 10A NCAC 05A .0101(6) and (12).  State and federal funds shall not be used to support the provision of adult day care for individuals in group care prior to this 90-day period, except in the circumstances of Item (1) of this Rule.

(3)           If a day care program's written admission criteria limit the number of persons with certain conditions which can be served at any one time and an eligible client with such a condition cannot be accepted because the program has its maximum number of persons with that condition, the client must be considered for enrollment at the first opening for persons with that condition.

(4)           Adult day care participants shall be:

(a)           adults who do not need nursing supervision but who require complete, full‑time daytime supervision in order to live in their own home or the home of a relative; or

(b)           adults who need help with activities of daily living in order to maintain themselves in their own home; or

(c)           adults who need intervention in the form of enrichment and opportunities for social activities in order to prevent deterioration that would lead to placement in group care; or

(d)           adults enrolled in an adult day care program who need time‑limited support in making the transition from independent living to group care, or adults who need time‑limited support in making the transition from group care to independent living.

 

History Note:        Authority G.S. 131D-6; 143B‑153;

Eff. July 1, 1979;

Amended Eff. July 1, 2007; July 1, 2000; July 1, 1984; July 1, 1983; January 1, 1983; July 1, 1982.