19 CSR 30-90.050 establishes the minimum requirements for operating an adult day care program; providing care to participants; establishing and preserving certain rights of participants; and requiring adult day care providers to have written program policies. Reminder: Providers will need to review these requirements in their entirety at: https://www.sos.mo.gov/adrules/csr/current/19csr/19csr.asp

Program policies and participant care and rights requirements in this section include:

• Admitting or continuing to care for participants;
• Emergency medical plan standards;
• Medical assessment requirements;
• Individual plan of care requirements;
• Communication with certain individuals;
• Reporting abuse or neglect;
• Offer certain services and requirements – activities of daily living; group activities; food
  service; observation;
• Optional services to offer and their requirements: transportation, counseling services;
  rehabilitation services; medical services;
• Participant rights requirements;
• Advising participants and families of rights and polices requirements;
• Posting of participant rights;
• Written program description.

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).