New Hampshire Adult Day Agency Policy Manual

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The New Hampshire Adult Day Agency Policy Manual provides a comprehensive operational framework for agencies delivering adult day services to older adults, individuals with disabilities, and others with chronic health or cognitive support needs in New Hampshire. This manual aligns with the regulations established by the New Hampshire Department of Health and Human Services (DHHS), including the Bureau of Elderly and Adult Services (BEAS), and complies with Medicaid Home and Community-Based Services (HCBS) waiver programs such as the Choices for Independence (CFI) Waiver. The manual includes policies and procedures governing agency licensure and enrollment, participant eligibility and assessment, person-centered service planning, health and social services coordination, therapeutic activities, medication oversight, nutrition and meal services, transportation coordination, staff qualifications and training, participant rights and protections, emergency preparedness, infection control protocols, incident reporting, documentation and billing, and quality assurance. It emphasizes structured daytime care that promotes independence, social engagement, and health maintenance in a safe, supportive, and community-based setting. This manual serves as a foundational resource for adult day service providers in New Hampshire, ensuring the delivery of high-quality, person-centered, and compliant services that enhance quality of life, reduce isolation, and support caregivers through reliable respite care.