Adult Day Health Care
 
 
 

ELIGIBILITY

Here are the general categories under which a person can be eligible for any of the services provided by Sunrise Adult Day Health Care Center. Please, also see below a more detailed description.

  • Age (18 years of age or older)

  • Medical condition

  • Physical and/or mental impairment

  • Expectations of the future condition

More specifically, you’re eligible if you meet any of following criteria:

  • Are 18 years of age or older.

  • Have a medical condition that requires a treatment or rehabilitative services prescribed by a physician. Medical conditions include but are not limited to Arthritis, Diabetes, Post, Stroke, Alzheimer’s, Dementia, and High Blood Pressure.

  • One or more chronic or post acute medical, cognitive, and/or mental health condition(s) requiring monitoring, treatment, without which participant's condition will likely deteriorate and require emergency department visits and/or hospitalization.

  • A condition resulting in limitations of 2 or more ADL (Activities of Daily Living) and/or IADL's (Instrumental Activities of Daily Living) and a need for assistance or supervision in addition to any non-ADHC support received in the home related to the medical / mental health condition.  

  • The individual's network of non-ADHC support is insufficient to maintain the individual in the community, demonstrated by at least one of the following:

    • Lives alone without family or caregivers available to provide sufficient and needed care or supervision

    • Lives with one ore more related or unrelated individuals, but they are unwilling or  unable to provide sufficient and needed care and supervision to the individual

    • The individual has family or caregivers available, but those individuals require respite in order to continue providing sufficient and necessary care or supervision

  • If a high potential for the deterioration of individuals’ medical, cognitive or mental health condition(s) exists that is likely to result in emergency department visits and/or hospitalization.

  • The individual's condition(s) requires all of the ADHC services proposed on each day of attendance that are individualized and designed to maintain the ability of the individual to remain in the community and avoid emergency department visits and/or hospitalization.

PAYMENT & ENROLMENT

We accept the following insurance plans:

  • Medi-Cal Fee for Service in Special Cases

  • Care 1st Health Plan Medi-Cal HMO

  • Community Health Group Medi-Cal HMO

  • Health Net Medi-Cal HMO

  • Kaiser Permanente Medi-Cal HMO

  • Molina Healthcare Medi-Cal HMO

  • SCAN Health Plan Medi-Cal HMO

  • United Health Care Medi-Cal HMO

  • Aetna Medi-Cal HMO

  • U.S. Department of Veterans Affairs (VA Insurance)

  • Affordable Private Pay

  • Long-Term Care Insurance

For more information about eligibility and payment options please contact our center at  (562) 325-5787

Our dedicated Social Workers will help you get enrolled

by faxing the health record form to your doctor. However, in order to expedite the process, you can ask your doctor to fill out the health record form (Click on the link to the right). For a speedy enrollment, please provide this form to one of our team members!

 

USDA Nondiscrimination Statement

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.

USDA is an equal opportunity provider, employer, and lender

Nondiscrimination Statement & Accessibility Requirements

Discrimination is Against the Law

AmeriCare ADHC complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. AmeriCare ADHC does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

If you need these services, contact Irene Nashtut, Civil Rights Coordinator.

If you believe that AmeriCare ADHC has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Irene Nashtut, Civil Rights Coordinator

inashtut@americareadhc.com

340 Rancheros Drive Suite #196

San Marcos, CA. 92069

Tel: (760) 682-2424 Fax: (760) 471-5104

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Irene Nashtut, Civil Rights Coordinator is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at or by mail or phone at:

U.S. Department of Health and Human Services

200 Independence Avenue, SW

Room 509F, HHH Building

Washington, D.C. 20201

1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html