Addus Healthcare, Inc.
Addus Evergreen Club
Adult Day Center
Let’s Increase Our Census
Adults with Developmental Disabilities:
How it can work in an Adult Day Center
Setting.
Origination of Idea
• The center was currently serving clients that had a
primary diagnosis of Developmental Disability
• Current programming was integrated with seniors
with limited functional activities directly related to
diagnosis
• Due to past experience in residential and DT services
for DHS and IDPH, I felt we could expand our
program
Origination continued…
• That began my investigation into the how the
pay rates differentiated from IDOA, DORS, and
the various other payor sources that the
agency currently accepted.
• This presentation will give you the framework
to increase your centers census.
Funding/Payor Sources
DORS
Waiver Services –
35U
Private Pay
Funding/Payor Sources
• Waiver Services 35U is the funding sources that is
often not being utilized in Adult Day Centers
• In order for a center to bill under 35U the Adult
Day Center must meet the following
requirements:
1. Current contract with Department on Aging
2. Must be in compliance with Rule 240
3. Community Care Program
(89 III. Admin. Code 240)
Where do you Start?
There are several key professionals that a Center’s
Director/Marketing staff should focus on to start
developing these relationships.
• DHS Office
• Residential Agencies that provide CILA and/or
Home Based Services
• Office of State Guardian
DHS Office
• Follow the below link to identify the office
that serves your area:
http://www.dhs.state.il.us/page.aspx?module=
• Important to connect with an ISSA (Individual
Support Service Advocate).
• The ISSA agent serves a similar role in DHS as
the Care Coordinator does with the CCU.
Residential Agency
• Identify local Residential Agencies in your area
by going to the following website:
www.dhs.state.il.us/page.aspx?item=56783
• Once an agency has been identified, request to speak
with the QIDP (Qualified Intellectual Disability
Professional)
• QIDP is the case manager for the individual who is
receiving services at the specific agency
Office of State Guardian
• Many clients served in a residential agency
have state appointed guardians. The
guardians ultimately have the final decision in
which agency provides services for their ward.
• The link to identify the office in your area is
the following:
https://gac.state.il.us/osg/osgcont.html
Key Topics to Discuss with
Professionals
Provide specific examples of programs that your center provides
for different cognitive levels.
Provide the professional with a “daily set schedule” that provides
structure to the clients that attend.
Provide examples of the type of documentation that is used at
your center for each client.
Key Topics to Discuss with
Professionals continued…
Provide basic outline of training that is provided at the Adult Day
Center.
Transportation process for clients who attend the center.
Nursing services and the hours that your nurse is available during
the day.
Programs
• Examples of programs that would meet the
requirements of a DHS funded program.
1. Money Skills
2. Sorting
3. Exercise
4. Learning
5. Wii
6. Social Skills
An example of a daily
schedule that would provide
the structure that a
residential QIDP or guardian
would looking for in a day
site:
9-10 – Social Skills
11-12 - Wii
12 -1 – Lunch
2-2:30 – Snack/Break
2:30-3:30 – Intergenerational
Programs with Seniors
10-11 - Exercise
1-2 – Money Skills
Documentation
Care Plans
Personal
Care Notes
Nursing
Notes
Activity
Flow Sheet
Activity
Notes
Training
• Provide detailed explanation on the type of
training as well as on-going training that is
provided to all staff.
• Express willingness to train staff on specific
needs of each and every client that attends
the Adult Day Center
Transportation
• Provide them examples of what type of
transportation you utilize at your center.
• Wheelchair accessible buses/vans
Nursing
Important
• Nursing is the area that will be one of the best
selling points for your center.
• Majority of other DT sites do not have the
options of either an RN or an LPN available
during the day to provide medication
administration, insulin, injections, etc.
Bullet Points to Take Away
Prior to completing admission, I would recommend
that a trial day of at least two days is completed.
Gather as much information from all professionals
to make sure you are able to meet the needs of the
client.
If a client has a history of maladaptive behaviors,
additional training will be required to ensure that
admission doesn’t negatively affect the other clients
at your center.
Reimbursement Rates
• Reimbursement Rate for clients who attend
your program through the 35U is:
$12.34/hour includes transportation
• Maximum hours per year is 1100
Summary/Results
• The Adult Day Center increased clients served
from this specific age/cognitive functioning by
50% in 8 months.
• Since MCOs began referring clients to the
center, 4 out of 8 referrals have been clients
with a primary diagnosis of a Developmental
• Disability.
Contact Information
Laura Altenbaumer
Email address: laltenbaumer@addus.com
Office Phone: 708-957-4365
Cell Phone: 708-518-6228