{"product_id":"adult-day-care-business-development-and-operations-manual-maryland","title":"DIY Manual Adult Day Care Business Development and Operations Manual - Maryland","description":"\u003ch2 data-start=\"273\" data-end=\"356\"\u003e\u003cstrong data-start=\"276\" data-end=\"354\"\u003e\u003cimg src=\"https:\/\/cdn.shopify.com\/s\/files\/1\/0929\/5881\/8588\/files\/CO_IMAGE_1.png?v=1769618874\" alt=\"\" style=\"display: block; margin-left: auto; margin-right: auto;\"\u003e\u003cbr\u003eAdult Day Care Business Development \u0026amp; Operations Manual - Maryland\u003c\/strong\u003e\u003c\/h2\u003e\n\u003cp data-start=\"357\" data-end=\"457\"\u003e\u003cstrong data-start=\"357\" data-end=\"408\"\u003eBy Direct Care Training \u0026amp; Resource Center, Inc.\u003c\/strong\u003e\u003cbr data-start=\"408\" data-end=\"411\"\u003e\u003cstrong data-start=\"411\" data-end=\"457\"\u003eDelivered as a PDF via Email Upon Purchase\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp data-start=\"459\" data-end=\"696\"\u003eLaunching an \u003cstrong data-start=\"472\" data-end=\"510\"\u003eAdult Day Care Program in Maryland\u003c\/strong\u003e is one of the fastest-growing opportunities in aging services—but success depends on navigating Maryland’s highly specific licensing, facility, Medicaid, and operational requirements.\u003c\/p\u003e\n\u003cp data-start=\"698\" data-end=\"923\"\u003eThis 2026 field-tested manual provides entrepreneurs and operators with a clear, professional roadmap to open or strengthen a compliant Adult Day Care program, whether you plan to offer a medical model, social model, or both.\u003c\/p\u003e\n\u003chr data-start=\"925\" data-end=\"928\"\u003e\n\u003ch3 data-start=\"930\" data-end=\"959\"\u003e\u003cstrong data-start=\"934\" data-end=\"959\"\u003eThis manual includes:\u003c\/strong\u003e\u003c\/h3\u003e\n\u003cp data-start=\"961\" data-end=\"1025\"\u003e✅ \u003cstrong data-start=\"963\" data-end=\"1023\"\u003eMaryland-recognized program types and oversight agencies\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli data-start=\"1028\" data-end=\"1152\"\u003eAdult Medical Day Care (AMDC) licensed through the \u003cstrong data-start=\"1079\" data-end=\"1150\"\u003eOffice of Health Care Quality (OHCQ), Maryland Department of Health\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"1155\" data-end=\"1242\"\u003eSenior Center Plus programs administered through the \u003cstrong data-start=\"1208\" data-end=\"1240\"\u003eMaryland Department of Aging\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp data-start=\"1244\" data-end=\"1314\"\u003e✅ \u003cstrong data-start=\"1246\" data-end=\"1312\"\u003eCOMAR licensing requirements and step-by-step startup sequence\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli data-start=\"1317\" data-end=\"1368\"\u003eHow to submit the required \u003cstrong data-start=\"1344\" data-end=\"1366\"\u003eLetter of Interest\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"1371\" data-end=\"1416\"\u003eCompleting the full AMDC application packet\u003c\/li\u003e\n\u003cli data-start=\"1419\" data-end=\"1491\"\u003ePreparing for pre-licensure and routine surveys under \u003cstrong data-start=\"1473\" data-end=\"1491\"\u003eCOMAR 10.12.04\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp data-start=\"1493\" data-end=\"1575\"\u003e✅ \u003cstrong data-start=\"1495\" data-end=\"1573\"\u003ePhysical plant, space, and inspection standards Maryland surveyors enforce\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli data-start=\"1578\" data-end=\"1664\"\u003eActivity space formula: \u003cstrong data-start=\"1602\" data-end=\"1662\"\u003e100 sq ft for first 5 participants \/ 60 sq ft thereafter\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"1667\" data-end=\"1758\"\u003eBathroom rules: \u003cstrong data-start=\"1683\" data-end=\"1722\"\u003e1 toilet + sink per 10 participants\u003c\/strong\u003e, within 30 feet of activity space\u003c\/li\u003e\n\u003cli data-start=\"1761\" data-end=\"1812\"\u003eFire Marshal expectations and life safety readiness\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp data-start=\"1814\" data-end=\"1860\"\u003e✅ \u003cstrong data-start=\"1816\" data-end=\"1858\"\u003eFood service and sanitation compliance\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli data-start=\"1863\" data-end=\"1902\"\u003eRequirements under \u003cstrong data-start=\"1882\" data-end=\"1900\"\u003eCOMAR 10.15.03\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"1905\" data-end=\"2038\"\u003eOn-site kitchen buildout essentials: hand sinks, 3-compartment wash systems, storage separation, extinguishers, and emergency posting\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp data-start=\"2040\" data-end=\"2102\"\u003e✅ \u003cstrong data-start=\"2042\" data-end=\"2100\"\u003eTransportation requirements and operational safeguards\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli data-start=\"2105\" data-end=\"2146\"\u003eDoor-through-door supervision standards\u003c\/li\u003e\n\u003cli data-start=\"2149\" data-end=\"2216\"\u003eDriver training topics, rest-stop limits, and incident procedures\u003c\/li\u003e\n\u003cli data-start=\"2219\" data-end=\"2267\"\u003eVehicle safety rules surveyors expect documented\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp data-start=\"2269\" data-end=\"2349\"\u003e✅ \u003cstrong data-start=\"2271\" data-end=\"2347\"\u003eMedicaid payer sources, billing structure, and rate planning in Maryland\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli data-start=\"2352\" data-end=\"2432\"\u003eMedical Day Care reimbursement is typically \u003cstrong data-start=\"2396\" data-end=\"2430\"\u003eper diem (not 15-minute units)\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"2435\" data-end=\"2482\"\u003eKey service codes such as \u003cstrong data-start=\"2461\" data-end=\"2480\"\u003eS5102 and S5105\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli data-start=\"2485\" data-end=\"2573\"\u003eAnnual rate updates through Maryland Medical Day Care Transmittals (FY2025 included +3%)\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp data-start=\"2575\" data-end=\"2648\"\u003e✅ \u003cstrong data-start=\"2577\" data-end=\"2646\"\u003eVeterans Affairs contracting opportunities (CCN Region 1 – Optum)\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli data-start=\"2651\" data-end=\"2702\"\u003eHow to explore VA Adult Day Health Care referrals\u003c\/li\u003e\n\u003cli data-start=\"2705\" data-end=\"2776\"\u003eCommunity Care Network onboarding basics and authorization requirements\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp data-start=\"2778\" data-end=\"2840\"\u003e✅ \u003cstrong data-start=\"2780\" data-end=\"2838\"\u003eMarket feasibility and referral development strategies\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli data-start=\"2843\" data-end=\"2922\"\u003eMapping local demand, competition, and waiver case manager referral pipelines\u003c\/li\u003e\n\u003cli data-start=\"2925\" data-end=\"2996\"\u003eFinancial modeling based on realistic Maryland attendance and payer mix\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp data-start=\"2998\" data-end=\"3056\"\u003e✅ \u003cstrong data-start=\"3000\" data-end=\"3054\"\u003eProfessional coaching blueprint (first 60–90 days)\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli data-start=\"3059\" data-end=\"3182\"\u003ePolicies aligned to COMAR: infection control, medication services, emergency planning, transportation, incident reporting\u003c\/li\u003e\n\u003cli data-start=\"3185\" data-end=\"3263\"\u003eMock survey readiness and corrective action templates to prevent costly delays\u003c\/li\u003e\n\u003c\/ul\u003e","brand":"Direct Care Training \u0026 Resource Center Product 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