SUBCHAPTER 06T – STATE ADULT DAY CARE FUNDING

SECTION .0100 – RESERVED FOR FUTURE CODIFICATION

SECTION .0200 ‑ STATE ADULT DAY CARE FUND

10A NCAC 06T .0201      NATURE AND PURPOSE OF STATE ADULT DAY CARE FUND

(a)  The State adult day care fund shall be used for adult day care and adult day health services provided through county departments of social services for the purpose of enabling people to remain in or return to their own homes.

(b)  The fund shall be used to increase State financial participation in the costs of this service.

(c)  A county department of social services or a designee of the board of county commissioners may purchase adult day care services for an individual following a preadmission assessment as specified in 10A NCAC 06R .0501. A county department of social services or a designee of the board of county commissioners may purchase adult day health services for an individual following a preadmission health assessment as specified in 10A NCAC 06S .0204(c)(2)(A) and a determination that the individual needs one or more services as set forth in 10A NCAC 06S .0402(a).

(d)  If an adult day care or adult day health provider elects to provide or arrange for transportation services for the individual who attends the program, the county department of social services or a designee of the board of county commissioners may reimburse the adult day care or adult day health provider for transporting the individual to the adult day care or adult day health program.

History Note:        Authority G.S. 143B-153(2a); 143B‑153(6); S.L. 1981, c. 1048; S.L. 2023-65;

Eff. January 1, 1982;

Temporary Amendment Eff. July 27, 1994 for a period of 180 days or until the permanent rule becomes effective, whichever is sooner;

Amended Eff. December 1, 1994; July 1, 1990;

Temporary Amendment Eff. December 8, 1997;

Amended Eff. March 1, 2007; April 1, 2005; April 1, 1999;

Readopted Eff. November 1, 2019;

Amended Eff. February 1, 2024.

10A NCAC 06T .0202      DEFINITION OF SERVICE

The definition of adult day care services is the same as the definition of the service under the Social Services Block Grant (Title XX) codified in 10A NCAC 71Q .0900.

History Note:        Authority G.S. 143B‑153;

Eff. January 1, 1982;

Amended Eff. July 1, 1983; January 1, 1983;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

10A NCAC 06T .0203      ELIGIBILITY

(a)  Eligibility for adult day care services is based on Social Services Block Grant (Title XX) eligibility criteria, codified in 10A NCAC 71Q.

(b)  Application for the service is made to the department of social services in any county providing the service.

(c)  Eligibility for the service is determined by the county department of social services.

History Note:        Authority G.S. 143B‑153;

Eff. January 1, 1982;

Amended Eff. July 1, 1983; January 1, 1983;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

10A NCAC 06T .0204      COST-SHARING

Cost-Sharing Requirements for day care services for adults provided under the state adult day care fund shall be determined in accordance with policies governing service cost-sharing, codified in 10A NCAC 71R, which is incorporated by reference, including subsequent amendments and editions.  Copies of these Rules may be obtained from the Office of Administrative Hearings, Post Office Drawer 27447, Raleigh, NC  27611-7447, (919) 733-2678, at a cost of two dollars and fifty cents ($2.50) for up to ten pages and fifteen cents ($.15) for each additional page at the time of the adoption of this Rule.

History Note:        Authority G.S. 143B‑153;

Eff. January 1, 1982;

Amended Eff. March 1, 1994; July 1, 1983; January 1, 1983;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

10a NCAC 06t .0205      PROGRAM POLICIES AND STANDARDS

The service is provided in accordance with the policies, procedures and standards set out in 10A NCAC 06R and 06P or the service is provided in combination with an adult day health service in accordance with the standards and procedures for combination programs codified in 10A NCAC 06S.

History Note:        Authority G.S. 143B‑153;

Eff. January 1, 1982;

Amended Eff. November 1, 1984;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.

10A NCAC 06T .0206      ALLOCATION

Funds are allocated to county departments of social services in accordance with procedures approved by the Secretary of Human Resources.

History Note:        Authority G.S. 143B‑153;

Eff. January 1, 1982;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. September 6, 2016.