Abstract
This Report presents the findings of an independent evaluation of the Centers
for Medicare & Medicaid Services’ (CMS) Medical Adult Day Services Demonstration.
The demonstration was conducted by five home health agencies in five states from
August 1, 2006 through July 31, 2009, and examined the effects of allowing Medicare
home-health services to be delivered in medical adult day-care (MADC) facilities (called
"centers" herein) rather than only in a beneficiary’s home, as is required under current
law. Congress mandated the demonstration under Section 703 of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173)