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North Carolina Division of Aging and Adult Services

Adult Day Services
FUNDING FACT SHEET

The following is a list of possible funding sources for certified programs. This is a general list and all sources may not apply or be available in your area. Automatic funding is not guaranteed.

NORTH CAROLINA HOME AND COMMUNITY CARE BLOCK GRANT

  • Older Americans Act funding and other state and local funds are combined into this block grant to support home and community-based services.
  • Available for participants age 60 and older.
  • Administered through Area Agencies on Aging.
  • Contact the lead agency in your county or your regional Area Agency on Aging.

NORTH CAROLINA STATE ADULT DAY CARE FUND

  • Funds allocated to counties by the North Carolina Division of Aging.
  • Administered through county Departments of Social Services to purchase Adult Day Services for eligible participants.
  • Contact your local Department of Social Services for more information.

CHILD AND ADULT CARE FOOD PROGRAM (CACFP)

  • This program reimburses non-residential adult day programs designed to meet the needs of the frail elderly and functionally impaired adults for nutritious meals and snacks. Facilities can be public or private non-profit organizations. The nutritional plan must follow USDA standards.
  • Program payments are based on individual enrollee income eligibility as determined by USDA guidelines.
  • Administered by the North Carolina Division of Women’s and Children’s Health.
  • Contact the Special Nutrition Programs Unit at the NC Division of Public Health at 919-715-1926 for more information.

PRIVATE PAY / OUT OF POCKET PAYMENTS

  • Set the top fee equal to or greater than the cost of services.
  • Give everyone the opportunity to pay what the service actually costs, allowing for discounts on a case by case basis.

MEDICAID – COMMUNITY ALTERNATIVES PROGRAM (CAP)

  • Certified Adult Day Programs with the Day Health component are possibly eligible for reimbursement under CAP for Disabled Adults (CAP/DA), Mental Retardation/Developmental Disabilities (CAP/MR-DD), or AIDS (CAP/AIDS).
  • Administered by the North Carolina Division of Medical Assistance (DMA). Contact DMA at 919-733-6775 for more information.

VETERANS ADMINISTRATION

  • For Adult Day Health only.
  • Administered through area Veterans Administration Hospitals and/or outpatient clinics.
  • Contracted reimbursement for qualifying veterans.
  • Contact your area VA for more information.

MEDICARE PART B

  • This covers only the services listed below. It does not cover the daily cost of Adult Day Care/Day Health services.
  • Covers out-patient or partial hospitalization mental health services by licensed clinical social workers or psychologists for assessment and psychotherapeutic treatment.
  • Covers out-patient restorative and functional maintenance rehabilitation by licensed physical therapists, occupational therapists, and/or speech therapists or approved personnel.
  • Covers psychiatrist and physician visits.

UNITED WAY

  • Contact the local agency for specific requirement for obtaining funds and/or becoming a member agency.

    TITLE V (SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM, SCSEP)

    • This program is designed to address the income and employment needs of economically disadvantaged individuals age 55 and older.
    • Title V workers can be employed in an adult day service center as long as the adult center is not-for-profit.
    • This program is administered by various agencies. Contact your regional Area Agency on Aging for more information.

    GRANTS AND FOUNDATION FUNDING

    • Start up, operating, capital and special projects funding.
    • For more information, contact The Foundation Center, 79 Fifth Avenue, Dept. MF, New York, NY 10003-3076, (800) 424-9836. This organization publishes the National Guide to Funding in Aging.
    • Check for a local foundation center or library which carry many publications on funding opportunities.

    COMMUNITY DEVELOPMENT BLOCK GRANTS

    • Administered through city governments.
    • The Housing and Community Development Act of 1974 authorizes some funding for the construction and improvement of facilities.
    • Contact the area field office of the US Department of Housing and Urban Development for more information.

    AREA MENTAL HEALTH/ DEVELOPMENTAL DISABILITIES/ SUBSTANCE ABUSE PROGRAMS (MH/DD/SA)
    • Adult day centers can possibly contract with Area MH/DD/SA Programs who reimburse for adult day services for the older and younger MR/DD population.
    • Some Area Programs are especially interested in the health services provided in adult day centers.

    CITY/ COUNTY GENERAL FUNDS

    • Many localities use discretionary money to fund human services agencies. Call your local government office for more information.

    CHURCHES / CIVIC ORGAINZATIONS

    • These organizations may offer sponsorship, space or scholarships for clients.

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County List of
Certified
Adult Day Care
Programs

Standards

Sanitation Rules

Home and
Community
Care Block Grant
Adult Day Care
Service Providers

Adult Day Care
Forms

Adult Day Health Care

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