Example Program Design

A Proposed Structured Day

The schedule below illustrates the current planning model. Final hours, activities, clinical services, staffing, meals, and transportation will depend on licensure, facility operations, member care plans, contracts, and program approval.

Illustrative Daily Schedule
7:30 AM
Member arrivals via NEMT — door-to-door wheelchair-accessible transport
8:00 AM
Health check-in — vitals, medication administration, nurse assessment
8:30 AM
Morning snack — CACFP-compliant nutrition
9:00 AM
Morning programming — cognitive activities, group engagement, music therapy
11:30 AM
Lunch — hot CACFP-compliant meal, social dining
12:30 PM
Afternoon programming — recreation, creative arts, outdoor activity
2:00 PM
Afternoon snack — CACFP-compliant nutrition
2:30 PM
Health check-out — nurse review, family communication notes
3:00 PM
Member departures via NEMT — door-to-door return transport
Planning example only. Program hours and services are subject to change. ADHS Provider Type 27 licensure remains pending.
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Planned Health Monitoring

The proposed model includes qualified nursing oversight, medication-related services when authorized and permitted, vital-sign monitoring, health-status observation, required documentation, and appropriate communication with members' authorized care teams. Final clinical services and staffing will follow ADHS requirements, member care plans, scope-of-practice rules, and health-plan contracts.

Qualified Nursing Oversight Authorized Medication Support Vital Sign Monitoring Required Documentation
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Activities of Daily Living (ADL) Assistance

The proposed program includes assistance with permitted activities of daily living based on each member's assessed needs and care plan. Qualified staff would support mobility, personal dignity, safety, and participation within the limits of licensure, training, and authorized services.

Mobility Support Wheelchair & Walker Assistance Qualified Program Staff Licensure-Based Staffing
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Social & Therapeutic Programming

Planned programming includes group activities, cognitive exercises, music, creative arts, recreation, and opportunities for social connection. Activities would be adapted to member needs, abilities, interests, care plans, and applicable program requirements.

Cognitive Activities Group Engagement Music & Creative Arts Person-Centered Activities
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Caregiver Relief & Family Support

The proposed program is intended to provide dependable daytime support, clear communication, and useful connections to community resources while giving caregivers additional options for balancing work and care responsibilities.

Planned Family Communication Language-Access Planning Clear Family Communication Caregiver Support
Planned Transportation Coordination

Proposed Non-Emergency Transportation Support

Illustration of planned wheelchair-accessible transportation support

Transportation can be a major access barrier for seniors and caregivers. LHO is evaluating a coordinated transportation model that may include wheelchair-accessible trips between eligible members' homes and the future facility.

Transportation availability, vendors, service areas, scheduling, authorization, reimbursement, and any member responsibility will depend on completed contracts and the requirements of each member's health plan. LHO does not currently operate transportation services and does not claim an active Veyo or MTM agreement.

Accessibility Goal — evaluate vehicles and transportation partners capable of safely serving members with mobility needs
Service Design — plan reliable transportation coordination appropriate to the future facility and approved service area
Coverage Requirements — subject to eligibility, authorization, covered-benefit rules, contracts, and health-plan terms
Contracting Required — transportation vendors and network participation have not been finalized
Billing Review — coding and reimbursement will be confirmed through applicable contracts and billing guidance before launch
Nutrition Program

Planned Meals & Nutrition Support

LHO plans to include morning and afternoon snacks and a midday meal as part of the proposed program. Final menus, meal periods, nutrition standards, food sourcing, staffing, permits, and reimbursement will be established before services begin.

LHO is building a diversified food-sourcing network that may include food donors, community partners, grants, meal sponsors, and in-kind contributions. Adult Day Health Care meal sourcing and CACFP participation remain subject to separate program requirements, approvals, and agreements.

Morning Snack
Planned service period; components subject to approved menu and program requirements
Lunch
Planned balanced meal; final components subject to approved nutrition standards
Afternoon Snack
Planned service period; components subject to approved menu and program requirements
Illustration of the planned meals and community dining program
Planned Food-Safety & Nutrition Standards

LHO intends to evaluate CACFP participation and design menus around applicable adult meal-pattern and member nutrition requirements.

Food service will not begin until required facility approvals, permits, procedures, trained personnel, vendors, and inspection-readiness measures are in place.

Planned controls include temperature monitoring, product documentation, sanitation procedures, allergy and dietary review, and records required by participating programs.

♦ Community Food Partnerships Planned
♦ CACFP Participation Under Evaluation
Coverage & Authorization

Coverage Depends on Eligibility, Authorization & Plan Terms

LHO intends to seek reimbursement for eligible, authorized, and covered services through AHCCCS/ALTCS managed-care plans. Coverage, rates, service limits, transportation benefits, and any member responsibility will depend on applicable program requirements and completed contracts.

Plan
Coverage Review

Covered services and any member responsibility must be confirmed under the member's current health-plan terms.

Auth
Service Authorization

Adult Day Health Care and transportation may require separate eligibility, authorization, provider-network, and service-area determinations.

Ready
Launch Requirements

No services can begin until licensure, facility approval, staffing, contracting, billing readiness, and individual intake requirements are complete.

Planning for Future Adult Day Health Care Needs?

Contact LHO or review the Referring Partners page for pre-launch information and future referral-planning conversations. Formal intake and placement have not started.

Discuss Future Referrals Who We Serve