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Adult Day Health (ADH)

The Adult Day Health (ADH) program is a MassHealth program that provides an organized program of nursing, maintenance and restorative services, assistance with Activities of Daily Living (ADLs), counseling, case management, social and recreation, and nutrition services in a day program setting.  Transportation to and from the ADH program is also included as part of the ADH service package.   Services provided to Adult Day Health members are based on an individual plan of care.

Participant Eligibility

ADH services are provided to adults who require services in a structured ADH setting and who:

  • Are financially eligible for MassHealth (Standard or CommonHealth);
  • Are clinically approved by the MassHealth designated screening agent, an Elder Affairs approved Aging Service Access Point (ASAP);
  • Have a medical or mental dysfunction that involves one or more physiological systems and requires nursing care;
  • Require services in a structured ADH setting;
  • Have a primary care physician;
  • Agree to attend the program a minimum of two (2) six-hour days per week;
  • Require a health assessment, oversight, monitoring, or services provided by a licensed nurse; and
  • Require either skilled care or assistance with ADLs.

Supportive Day Program

This program is an Elder Affairs program that provides support services in a group setting to help participants recover and rehabilitate from an acute illness or injury, or to manage a chronic illness. The services include assessments and care planning, health-related services, social services, therapeutic activities, nutrition, and transportation. These services focus on the participant’s strengths and abilities while maintaining their connection to the community and helping them to retain their daily skills.

Supportive Day Programs serve individuals who are in need of supervision, supportive services, socialization and minimal assistance with assistance with daily living (ADLs). This person may have multiple physical problems, but is stable and does not need nursing observation or intervention while attending the program. There may be some cognitive impairment, but resulting behavior can be handled with redirection and reassurance. The participant must be able to communicate personal needs.

Councils on Aging (COAs)

There are 349 municipal Councils on Aging (COAs) in Massachusetts providing more than 505,000 elders, families and caregivers with direct services annually. Since 1956 the mission of these public agencies has been to sustain and enhance community life by linking elder needs and resources by creating more effective programming, education, opportunities and advocacy for seniors.

While each COA is unique to its community, most Councils offer information and referral, transportation, outreach, meals (congregate and/or home delivered), health screening, and fitness and recreation programs.

A number of COAs also provide health insurance benefits counseling (SHINE), food shopping assistance, telephone reassurance, friendly visiting and other in-home activities, peer support groups, classes and educational opportunities, supportive day care, minor home repair, case management and intergenerational programs among many other activities and services.

Volunteers are critical to the operation of COAs.  There are presently almost 30,000 volunteers at COAs in Massachusetts contributing some 2.7 million hours of service annually. Their annual value - using nationally recognized figures from the Points of Light Foundation - exceeds $40 million.

With more than 300 senior and drop-in centers -- ranging from a part-time volunteer staffed room in town hall or a meal site to extensive multipurpose facilities with state-of-the-art amenities -- senior centers are truly a "home away from home" for the Commonwealth’s 1.1 million elders. They are a safe place for elders to remain active, independent and contributing to community life for as long as possible.