9705.1 An Adult Day Health Program shall provide, at minimum, all of the following services:

1. (a) Nursing services, as described under Subsection 9704.6, including monitoring the participants' health care-needs, providing health counseling, and the coordinating and implementing the ADHP plans of care for each participant;
2. (b) Individual and group therapeutic activities, including social, recreational and education activities, that:
3. (1) Are based upon each participant's assessed needs and personal preferences,
4. (2) Are consistent with the participant's person-centered service plan, and
5. (3) Are designed to improve each participant's self-awareness, cognitive and physical functional abilities and personal safety;
6. (c) Individual and group counseling for participants and their families;
7. (d) Personal care assistance services, including training and assistance in activities of daily living, accident prevention, and the use of special aides provided under the overall supervision of a registered nurse;
8. (e) Medication administration, assistance and counseling, including education and counseling of participants and family members regarding medication safety, efficacy and adherence, that are provided in accordance with the requirements set forth in Section 9707;
9. (f) Nutrition services that are provided in accordance with the requirements set forth in Section 9706; and
10. (g) Coordination of transportation services for therapeutic activities that are scheduled off-site.

9705.2 Transportation for non-emergency medical services including therapeutic activities not included in the participant’s ADHP plan of care, but outlined under the participant’s person-centered service plan, shall be provided under the DHCF non-emergency medical transportation contract. Each transportation provider shall comply with all applicable business licensing and certification requirements set forth under the District of Columbia Non-Emergency Medical Transportation

contract.

9705.3 Each ADHP provider shall develop a safety and emergency preparedness plan which includes procedures for evacuation in the event of an emergency and ensuring staff is trained in CPR and First Aid.

9705.4 An ADHP program may provide or arrange for additional services including but not limited to non-emergency medical transportation services to and from the program site, and other activities not outlined under the participant's ADHP plan of care, but included under the participant's person-centered service plan, including psychiatric services and occupational, physical and speech therapies. These services are not included in the reimbursement rates set forth in Section 9723. -

9705.5 Each provider shall coordinate the participant's care by sharing information with all other health care and service providers rendering services under the person-centered service plan, as necessary to ensure that the participant's care is organized and to achieve safer and more effective health outcomes.

SOURCE: Final Rulemaking published at 63 DCR 1031 (January 29, 2016).