Macon, GA: Understanding Medicaid reimbursement rates for adult day care and adult day health services in Georgia is crucial for providers and beneficiaries alike. This article provides an overview of the current rates, coverage of rehabilitative therapies, attendance policies for residents of personal care homes, and state regulations on marketing adult day care services.
Medicaid Reimbursement Rates…
As of January 2025, the Georgia Department of Community Health (DCH) has established the following reimbursement rates for Adult Day Health (ADH) services under the Elderly and Disabled Waiver Program:
- Level 1 Services:
- Half Day: $50.14 per half day
- Full Day: $82.49 per full day
- Level 2 Services:
- Half Day: $66.22 23 per per half day
- Full Day: $108.full day
These rates were proposed in a public notice by the DCH.


Coverage of Rehabilitative Therapies…
Medicaid in Georgia covers rehabilitative therapies provided within Adult Day Health settings. The reimbursement rates for these therapies are as follows:
- Occupational Therapy: $105.98 per visit
- Physical Therapy: $105.98 per visit
- Speech Therapy: $105.98 per visit
These rates were also outlined in the DCH’s public notice.
Attendance Policies for Personal Care Home Residents…
Residents of personal care homes in Georgia may attend Adult Day Health programs. However, specific policies regarding the frequency of attendance and corresponding reimbursements are not explicitly detailed in the available state regulations. It’s essential for personal care homes and Adult Day Health providers to coordinate and consult with the Georgia Department of Community Health to ensure compliance with current guidelines.
State Restrictions on Adult Day Care Marketing…
The Georgia Department of Community Health regulates the operation of Adult Day Centers, including aspects related to marketing. While specific marketing restrictions are not explicitly detailed in the available regulations, providers are advised to adhere to ethical marketing practices and consult with the DCH for any specific guidelines.
dch.georgia.govDisclaimer: The information provided in this article is current to the best of our knowledge as of January 31, 2025. It is offered by a private organization and is subject to change. For the most current information, please consult the Georgia Department of Community Health or other official state resources.


Another Blog Post by Direct Care Training & Resource Center, Inc. Photos used are designed to complement the written content. They do not imply a relationship with or endorsement by any individual nor entity and may belong to their respective copyright holders.
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