Face or manual check-in
With documented consent, staff can confirm a face at arrival. Manual check-in remains available for every client, every day.
Pennsylvania adult day software built around the client record.
Pennsylvania licenses older adult daily living centers under 6 Pa. Code Chapter 11, and licensing inspections work directly from client records. Adult Day Genie captures face or manual check-in on an append-only history and keeps attendance, forms, and daily documentation with the client, ready to produce.
The software organizes records; the Department of Aging, DHS, and your MCOs determine compliance.
2 agencies
One client record between them
Why does the client record carry double weight in Pennsylvania?
The Department of Aging licenses the center and inspects its client records; the Department of Human Services and its Community HealthChoices MCOs pay for the services those records support. Two different reviewers, two different questions — and the same daily attendance and client documentation has to answer both.
Department of Aging adult day center FAQsWhat records does a Pennsylvania center answer for?
The table summarizes the parts of Chapter 11 and the payment landscape most relevant to daily operations. The rule text and your contracts control; verify before relying on it.
| Area | What it means day to day |
|---|---|
| Client records | Chapter 11 dedicates a whole run of sections (6 Pa. Code §§ 11.191–11.198) to client records, and licensing representatives review those records during inspections. |
| License threshold | A license is required to operate a center that serves four or more unrelated clients at the same time for part of a 24-hour day — the rules reach small programs, not just large ones. |
| Incidents and discharges | Unusual incidents (§ 11.16) and discharges (§ 11.113) have their own documentation requirements, kept alongside the client record. |
| Payment side | Medicaid participants largely come through Community HealthChoices MCOs (adult daily living services), plus programs like OBRA and LIFE. Each billed day needs attendance documentation the payer can review. |
How can software support the Chapter 11 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.
Client-by-day exports
Prepare attendance records in CSV or PDF when a licensing representative, a CHC-MCO, 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 center remains responsible for its program documentation, and the Department of Aging, DHS, and your MCOs decide whether the evidence meets current requirements.
Pennsylvania adult day questions
Direct answers based on the public Chapter 11 text and Department of Aging materials.
Regulatory details change. Verify current requirements with the Department of Aging, DHS, and each CHC-MCO contract.
What is an Older Adult Daily Living Center in Pennsylvania?
It is Pennsylvania’s licensed adult day center: a program providing supervision, personal care, social, and health-related services to older adults for part of the day. The Pennsylvania Department of Aging licenses and inspects these centers under 6 Pa. Code Chapter 11.
Who licenses adult day centers in Pennsylvania?
The Department of Aging — an unusual arrangement, since most states put adult day licensing under a health department. A license is required when a center serves four or more unrelated clients at once for part of a 24-hour day.
What records must a Pennsylvania adult day center keep?
Chapter 11 sets out client record requirements at 6 Pa. Code §§ 11.191–11.198, along with documentation duties for unusual incidents, discharges, and staff training. During inspections, licensing representatives review client records, interview participants, and observe the program directly.
How does Medicaid pay for adult day services in Pennsylvania?
Mostly through Community HealthChoices — the state’s managed long-term services and supports program — where CHC-MCOs authorize and pay for adult daily living services under their provider contracts. The OBRA waiver and LIFE program also fund day services for specific populations. Billing specifics live in your MCO contracts; each billed day needs attendance documentation behind it.
Does EVV apply to Pennsylvania adult day centers?
Federal EVV covers Medicaid personal care and home health services requiring an in-home visit, not center-based day programs. Adult Day Genie provides EVV-grade attendance verification for the building without claiming a mandate that does not apply.
Does Adult Day Genie guarantee compliance with Chapter 11?
No. Adult Day Genie helps a center capture and export attendance documentation, but the Department of Aging, the Department of Human Services, and your CHC-MCO contracts determine compliance. Use the current Chapter 11 text and your contracts as the source of requirements.
See a Chapter 11-ready attendance workflow in 15 minutes.
Walk through consent-aware face check-in, manual fallback, correction history, and client-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.