MS HB1186

Defines "adult day care facility" as a public or private organization providing nursing services, meals, transportation, supervised activities, and medication management for 4+ hours per day to establish institutional licensure requirements.

Directs State Board of Health to promulgate rules and standards for adult day care facilities incorporating National Adult Day Services Association (NADSA) guidelines and authorizes implementation of Rap-Back criminal history monitoring system for licensed facility employees.

Establishes three service levels for adult day care: Level I (5 or fewer clients, no license required, no nursing); Level II (licensed, nursing services, 1:7 staff-to-client ratio); Level III (licensed, clients with significant impairments, 1:5 staff-to-client ratio).

Sets Medicaid reimbursement rates at $50/day (Level I), $75/day (Level II), and $125/day (Level III), plus $12.50 one-way or $25 round-trip for transportation services.

Establishes adult day care facility licensure fees of $400 plus $20 per licensed capacity (maximum $500) for initial application and annual renewal.