Washington Adult Day Health Agency Policy Manual

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The Washington Adult Day Health Agency Policy Manual provides a comprehensive operational framework for agencies delivering adult day health services to older adults and individuals with disabilities or chronic health conditions across Washington State. This manual aligns with the regulations established by the Washington State Department of Social and Health Services (DSHS), including the Aging and Long-Term Support Administration (ALTSA) and the Developmental Disabilities Administration (DDA). It also ensures compliance with Medicaid Home and Community-Based Services (HCBS) waiver programs, including the Community First Choice (CFC) program and other long-term care services. The manual includes policies and procedures governing agency licensure and certification, participant eligibility and functional assessment, individualized care planning, skilled nursing and rehabilitative therapies, personal care assistance, health monitoring, nutrition and meal services, therapeutic and recreational activities, staff qualifications and training, participant rights and protections, emergency preparedness, infection control, transportation coordination, documentation and billing, incident reporting, and quality assurance. It promotes a person-centered, community-based model of care that maintains health, prevents institutionalization, and supports social engagement and independence. This manual serves as a foundational resource for adult day health providers in Washington, ensuring the delivery of high-quality, compliant services that enhance participants’ health, well-being, and connection to their communities.