Face or manual check-in
With documented consent, staff can confirm a face at arrival. Manual check-in remains available for every participant, every day.
New Jersey ADHS software built around the daily record.
New Jersey requires adult medical day care facilities to keep a daily record of attendance for every service day — and an ADHS day means at least five hours of services. Adult Day Genie captures face or manual check-in on an append-only history with arrival and departure times, and prepares participant-by-day exports.
The software organizes records; the Department of Health, DMAHS, and your MCOs determine compliance.
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Audited facilities out of compliance
Why should New Jersey ADHS facilities expect more scrutiny?
In December 2025, the HHS Office of Inspector General reported that every one of the 20 New Jersey ADHS providers it visited failed one or more federal or state requirements — 348 instances of noncompliance in total — and recommended the state strengthen oversight and monitoring. Tighter oversight lands first on the facilities whose records are hardest to produce.
Read the official OIG reportWhat records sit behind a billed ADHS day?
The table summarizes the parts of the New Jersey rules most relevant to daily operations. Regulations and MCO contracts control; verify the current text before relying on it.
| Area | What it means day to day |
|---|---|
| Daily attendance | Medicaid participation rules (N.J.A.C. 10:164-1.3) require the facility to maintain a daily record of participant attendance for each day services are provided. |
| Service day | ADHS are delivered for a minimum of five hours of services per day, excluding transportation time, and not more than five days per week. |
| Plan of care | A written interdisciplinary plan of care must be developed within 30 days of the participant’s first attendance, and daily services should be consistent with it. |
| Licensure and oversight | The New Jersey Department of Health licenses and surveys ADHS facilities under N.J.A.C. 8:43F; Medicaid participation requires meeting those licensure standards. |
How can software support the ADHS record workflow?
The useful role of software is practical: make daily capture easy enough that it actually happens, preserve what happened, and organize records for a request.
Append-only history
Arrival, departure, and correction events stay time-stamped. Corrections add to the record instead of rewriting yesterday.
Participant-by-day exports
Prepare attendance records in CSV or PDF when an MCO, the Department of Health, or an auditor asks for them.
The compliance boundary stays clear.
Adult Day Genie creates and organizes records; it is not a cross-setting clinical EHR. Your facility remains responsible for its program documentation, and the Department of Health, DMAHS, and your MCOs decide whether the evidence meets current requirements.
New Jersey ADHS questions
Direct answers based on the public rule text and the December 2025 OIG report.
Regulatory details change. Verify current requirements with the Department of Health, DMAHS, and each MCO contract.
What are Adult Day Health Services in New Jersey?
ADHS — also called adult medical day care — provides preventive, diagnostic, therapeutic, and rehabilitative services under medical and nursing supervision to functionally impaired adults. In New Jersey the services are covered as clinic services under the Medicaid State plan, with most participants enrolled through NJ FamilyCare managed care organizations.
Who licenses an ADHS facility?
The New Jersey Department of Health licenses and surveys ADHS facilities under the standards at N.J.A.C. 8:43F. Participating in New Jersey Medicaid also requires meeting the program rules at N.J.A.C. 10:164, which include the daily attendance record requirement.
What attendance records must an ADHS facility keep?
N.J.A.C. 10:164-1.3 requires a daily record of participant attendance for each day services are provided. Because an ADHS day means a minimum of five hours of services excluding transportation, records that show arrival and departure times — not just presence — are what let a facility demonstrate the day actually happened as billed.
What did the 2025 federal audit of New Jersey ADHS find?
In December 2025, the HHS Office of Inspector General reported that all 20 New Jersey ADHS providers it reviewed failed one or more federal or state requirements, with 348 total instances of noncompliance, and recommended the state improve oversight and monitoring. Facilities should expect more scrutiny, not less.
Does EVV apply to ADHS facilities?
Federal EVV covers Medicaid personal care and home health services requiring an in-home visit, not center-based programs like ADHS. Adult Day Genie provides EVV-grade attendance verification for the building without claiming a mandate that does not apply.
Does Adult Day Genie guarantee ADHS compliance?
No. Adult Day Genie helps a facility capture and export attendance documentation, but the Department of Health, the Division of Medical Assistance and Health Services, and your MCO contracts determine compliance. Use the current N.J.A.C. text and your contracts as the source of requirements.
See an ADHS attendance workflow in 15 minutes.
Walk through consent-aware face check-in, manual fallback, correction history, and participant-by-day exports.
Related: ADHC software overview, attendance tracking guide, federal EVV explainer, and software cost guide. Also see the attendance product, and the directory of adult day centers in the state.