Adult Day Care Program Manual

19 CSR 30-90.020 establishes the general licensure and application procedures, fees, and the rights of applicants for licensure of adult day care programs. Reminder: Providers need to review these requirements in their entirety at: https://www.sos.mo.gov/adrules/csr/current/19csr/19csr.asp

Refer to “Opening an Adult Day Care Program” Flow Charts [NEEDS LINK] (pre-inspection, post-inspection, and change of operator - see appendix)

Licensure requirements in this section include the following:

• Who is required to be licensed;
• Application documentation for submission;
• Alzheimer’s special Care unit or program requirements;
• Fee amount required;
• Who is exempt from adult day care licensure;
• DHSS review of application and investigation of applicants;
• Regular license time frame;
• Provisional license – issuance standards;
• Licensure renewals;
• Revocation of license;
• Administrative Hearing Commission request;
• License: non-transferable;
• Application signature and notarization;
• Exceptions granted to regulations.

Reminder: ADC programs receiving Medicaid waiver funding through DHSS or DMH or federal reimbursements are also required to comply with those program requirements.

When the regulation(s) conflict, the provider is required to comply with the more stringent regulation(s).