VNS Health MLTC: Adult Day Health Care

Adult day health takes place in a residential health care facility or state-approved site and offers many skilled services, supervised by nurses.

Access all my benefits
Get more personalized support for free with Helpful.

Get insurance benefits, legal documents, and medical records in one place

Cost
$0
Prior Authorization Required
Yes
Provider Referral or Order Required
Yes

How To Receive

Details on how to apply

  1. Adult day health care requires a provider assessment.

  2. Following assessment, obtain a provider order for adult day health care.

  3. Contact the VNS Health MLTC Care Team at (888) 867-6555 (TTY: 711) for prior authorization and guidance.

  4. The Care Team will coordinate these services and ensure that all the care received is carefully coordinated in accordance with the Person-Centered Service Plan.

For questions or concerns, contact the VNS Health MLTC Care Team at (888) 867-6555 (TTY 711), 9 am - 5 pm, Monday - Friday, or use the Send Us a Message form.

Availability
Ongoing, as ordered and authorized
Access all my benefits

Get more support and guidance on insurance benefits, medical records and legal forms.

Helpful brings together your insurance benefits, legal documents, and medical records in one personalized place — so you always know what you have, and never have to search again.

banner

Adult day care centers are designed to provide care and companionship for older adults who require assistance or supervision during the day, allowing seniors to socialize and enjoy planned activities in a group setting, while still receiving needed health services such as medical, nursing, dental, pharmaceutical (medication administration and management), nutritional, occupational therapy, social services, psychosocial assessment, rehabilitation, socialization, coordination of outpatient referrals, and leisure time and activities.

Adult day care centers vary in their programs and services, though typically offer intensive medical services and physical, occupational, and speech therapy, as well as social services for individuals with serious medical conditions and those at risk of requiring nursing home care. These centers provide frail adults experiencing physical, mental, or social problems associated with stroke, isolation, confusion, or other conditions with the opportunity to meet new people, participate in activities, and enjoy daily life in a comfortable, supervised setting.

Caregivers can also receive services at adult day care through counseling, support groups, and education/training courses.

Adult day care centers are always staffed with a registered nurse and, commonly, several other health professionals. It is common practice for the program to require a health assessment by a physician prior to admission.

The Care Manager can arrange for you or your loved one to receive adult day care in a residential health care facility or state-approved site supervised by a physician.

To participate in adult day care, you or your loved one cannot be homebound and must require certain preventive or therapeutic services to attend.

Access all my benefits

Navigate Healthcare with A Little Help from Helpful

Get more from your healthcare. Whether for you or your loved one, Helpful makes it easy to book with our in-network mental healthcare providers, book other doctor visits, manage insurance benefits, check prescriptions, and handle important forms.

  • Covered by Your Insurance

  • For You or For Caregivers

  • HIPAA Compliant, Data is Never Shared

hero-hand
sync 1

Healthcare Made Simple

sync 1

From syncing records to spotting drug interactions, Helpful does the heavy lifting, turning complex health info into clear tasks and showing you benefits you can actually use, giving you clarity and control over your care.

Get help with care

therapy

In-Network Mental Health

therapy

Our licensed therapists are here to support you and your loved ones through stress, burnout, and life’s hardest moments, with an inclusive, compassionate approach that works with most insurance plans.

Talk to a therapist

legal

Create Legal Documents

legal

Plan ahead by creating will, trusts, advance directives and more, that ensure your wishes are honored in the event you can’t speak for yourself -with Helpful guiding you every step of the way.

Get started with legal