Adult Day Care Fee Schedule & Fee Reference Guide — United States (2025 Edition)

Publisher: Direct Care Training & Resource Center, Inc.

Format: Digital guide (PDF) with curated links to official state sources

Overview

Adult Day Care National Fee Schedule gives operators and investors a clear, consolidated view of common public reimbursement amounts for adult day care programs across the United States. Whether you operate under a social model (recreation, supervision, socialization) or a medical model (nursing oversight, therapies, health monitoring), this guide helps you understand how funding typically flows—and what to expect in different markets.

What You’ll Find Inside

• State-by-state reference to commonly available public reimbursement amounts (e.g., per-diem, half-day units, billing codes where available).
• Curated links to official Medicaid fee schedules, waiver manuals, and rate-setting documents for fast verification.
• Context on why rates vary by state, waiver program, managed care contracts, and certification levels.
• Guidance to use these figures in planning, pricing, contracting, and market expansion.

Who It’s For

• Entrepreneurs & new operators evaluating market feasibility and startup pro formas.
• Franchisors & franchisees aligning expectations and SOPs across geographies.
• Established providers scanning new markets, renegotiating contracts, or benchmarking rates.

How This Guide Helps

• Plan with confidence: Ground your financial models in real-world, public reimbursement information.
• Price intelligently: Balance private-pay rates with the public reimbursement landscape.
• Move faster: Use direct links to primary sources for confirmations and updates.

Important Notes

Medicaid reimbursement can change multiple times within a fiscal year. Some states post rates only inside provider portals; others route payments through MCOs that negotiate individual provider contracts. In such cases, this guide may reference a publicly available state floor or minimum rate, while your contracted amount will depend on your MCO agreement. Always verify figures via the included links.

Suggested Use

1. Identify your target state(s) and program model (social vs. medical).
2. Review the state summary and any referenced units (per-diem, half-day, code-based).
3. Follow the included links to confirm the latest posted rates and policy updates.
4. Incorporate verified figures into forecasts, pricing, and contract planning.

What This Guide Is Not

• It is not a guarantee of payment or eligibility.
• It is not a substitute for official state/provider guidance or contract terms.
• It is not an exhaustive catalog of every possible rate variation.

Frequently Asked Questions

Is this a subscription?
No. This is a one-time purchase of a digital guide. Rates and policies change—use the included official links to check current figures.

What format is the guide?
PDF, with embedded or listed links to official state documents and pages.

Does this include private-pay rate recommendations?
No. Many providers set private-pay rates alongside public reimbursement; those decisions depend on model, staffing, specialty services, and location.

Can I rely on this for contracting?
Use this as a planning and reference tool, then confirm with your state agency, MCO, or contracting party before finalizing agreements.

Direct Care Training & Resource Center, Inc. prepared this guide to support sound planning and sustainable operations. Adult day care is mission-driven—use reliable information to keep programs viable, staff fairly compensated, and participants well served.