Adult Day Health Care (ADHC) - licensed Medi-Cal certified health facilities that treats the health and supportive needs of older adults with multiple, chronic conditions in a safe, homelike day setting. ADHC provides expert, specialized care to individuals who have: Alzheimer's disease or related dementia, post-stroke complications, cardiovascular disease, diabetes with complications, neurological diseases, depression, head or spinal cord injury, developmental disabilities and mental illnesses. The goal of ADHC is to prevent or delay placement into nursing homes or other more expensive care settings. This is done by improving and preserving each individual's physical and mental health, improving their quality of life. Older adults with chronic conditions are able to successfully live in the community while a benefit for the caregiver is regular respite from 24-hour caregiving responsibility.

ADHC provides many health and social services under one roof for one set daily fee. Persons attending ADHC are pre-approved by the Medi-Cal field office (if a Medi-Cal beneficiary). Non Medi-Cal participants pay out-of-pocket. Many centers have sliding fee scales.

Services provided on an individual basis include nursing supervision and assistance, medication monitoring, physical therapy, occupational therapy, speech therapy, and social work. Assistance with daily tasks such as eating and walking are provided by trained program assistants. Group activities provide companionship and social stimulation and are designed with the participants level of ability and interests in mind. A noon meal, transportation to and from the center, caregiver support groups, community outreach and education and other services may also be provided.

Adult Day Program (ADP) - centers licensed by the California Department of Social Services (DSS) - Community Care Licensing Division. These centers provide non-medical care to elderly persons and other adults with physical and/or cognitive impairments who require personal care services, protective supervision or assistance in activities of daily living on less than a 24-hour basis. Services are provided according to an idividual plan of care in a structured, comprehensive program that offers therapeutic activities tailored to the individual's abilities; nutrition services; basic health monitoring; transportation corrdination; and respite and support for families. ADP centers are not reimbursed by MediCal.

Alzheimer's Day Care Resource Centers (ADCRC) provide care for persons with Alzheimer's disease or other dementias, and support and education for caregivers and the community. County Area Agencies administer these programs.

Programs of All Inclusive Care for the Eldery (PACE) provide 24-hour medical and long-term care for frail seniors who need nursing home care but want to remain at home. The Department of Health Services regulates these programs, which maintain clinic, home health and ADHC licenses.