A Typical Day

Structure That Produces Outcomes

LHO operates a 6.5-hour structured program day. Every hour is purposeful. Every activity is designed to support health, function, and connection.

Daily Program Schedule
7:30 AM
Member arrivals via NEMT — door-to-door wheelchair-accessible transport
8:00 AM
Health check-in — vitals, medication administration, nurse assessment
8:30 AM
Morning snack — CACFP-compliant nutrition
9:00 AM
Morning programming — cognitive activities, group engagement, music therapy
11:30 AM
Lunch — hot CACFP-compliant meal, social dining
12:30 PM
Afternoon programming — recreation, creative arts, outdoor activity
2:00 PM
Afternoon snack — CACFP-compliant nutrition
2:30 PM
Health check-out — nurse review, family communication notes
3:00 PM
Member departures via NEMT — door-to-door return transport
Program hours subject to individual member care plans. All times are approximate. ADHS Provider Type 27 licensure pending under Arizona Article 11 standards.
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Licensed Health Monitoring

A licensed nurse is on site every program day. Members receive medication administration, vital sign monitoring, and ongoing health status assessment. Our nurse maintains the Medical Administration Record (MAR) for every member and communicates directly with families and physicians. This daily clinical oversight is what keeps high-risk seniors stable and prevents the minor health changes that escalate into emergency room visits.

Licensed Nurse On-Site Daily Medication Management Vital Sign Monitoring MAR Documentation
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Activities of Daily Living (ADL) Assistance

Certified program aides provide structured assistance with daily living activities throughout the program day. Members who use wheelchairs, walkers, or require mobility support receive attentive, dignified care from trained staff. ADL assistance maintains independence and functional ability — directly reducing the likelihood of premature placement in skilled nursing or long-term care facilities.

Mobility Support Wheelchair & Walker Assistance Certified Program Aides 1:5 Staff Ratio
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Social & Therapeutic Programming

Structured daily programming helps reduce isolation through group activities, cognitive exercises, music, creative arts, and community-building. Members arrive to a place where they are known, expected, and welcomed — supporting emotional health, routine, and meaningful social connection.

Cognitive Activities Group Engagement Music & Creative Arts SDOH Intervention
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Caregiver Relief & Family Support

Adult Day Health Care supports both seniors and the working families who care for them. In the West Valley, many caregivers balance employment, language barriers, transportation challenges, and daily care responsibilities. LHO is designed to provide reliable daytime support so seniors remain safe and families remain stable.

Daily Family Communication Multilingual Support Clear Family Communication Caregiver Workforce Protection
Medical Transportation

Non-Emergency Medical Transportation (NEMT)

LHO staff assisting a senior with wheelchair-accessible transportation outside the Adult Day Health Care center

Transportation is a mandatory ALTCS benefit — and a barrier that prevents many authorized seniors from accessing care at all. Lending Hands Outreach is developing a coordinated NEMT transportation model to deliver door-to-door wheelchair-accessible transportation to and from our facility every program day.

There is no cost to members or families. The full cost of transportation is covered through AHCCCS and ALTCS managed care, processed through our Veyo/MTM sub-provider agreement.

Wheelchair-Accessible Vehicles — ADA-compliant vans with lift, tie-downs, and securement for every member regardless of mobility level
Door-to-Door Service — pickup at member's home and return — no transfer points, no shared-ride complexity
$0 Cost to Members — 100% covered by ALTCS managed care as a mandatory Medicaid benefit
Veyo/MTM Credentialing Pathway — preparing to operate within Arizona's NEMT network
HCPCS Code A0130 — standard wheelchair van transport billing for ADHC facility transport
Nutrition Program

CACFP-Compliant Meals & Nutrition

Food insecurity among seniors is a Social Determinant of Health that directly accelerates chronic disease progression. LHO provides three daily food service periods — morning snack, lunch, and afternoon snack — meeting USDA Child and Adult Care Food Program (CACFP) Adult Meal Pattern requirements.

Our food program is supported by a partnership with St. Mary's Food Bank, providing subsidized food product that enables LHO to serve nutritious, compliant meals at a cost structure that competitors cannot match.

Morning Snack
CACFP-compliant — grain/bread + fruit or milk component
Lunch
Full CACFP meal — protein, grain, two vegetables or fruit, milk
Afternoon Snack
CACFP-compliant — two of four required meal components
Lending Hands Outreach staff serving nutritious meals and snacks to seniors in a warm community dining setting
Food Program Partners & Standards

All meals meet USDA CACFP Adult Meal Pattern requirements, enabling federal food reimbursement that reduces per-member food cost and strengthens LHO's competitive cost structure.

Food safety standards are maintained under dual inspection — ADHS facility licensing and Maricopa County Environmental Health food service permit. All food handling staff hold current ServSafe certification.

Temperature logs, CN labels for packaged proteins, and USDA meal records are maintained daily and available for inspection at any time.

♦ St. Mary's Food Bank Partner
♦ CACFP Adult Meal Pattern Compliant
Cost to Members

No Cost to Eligible Members

LHO services are designed to be fully funded through AHCCCS and ALTCS managed care for eligible members. Members and families pay nothing out of pocket for authorized services.

$0
Member Cost

No copay, no deductible, no cost-share. 100% of service costs are covered through ALTCS managed care for eligible members.

$0
Transportation Cost

NEMT is a mandatory ALTCS benefit. Door-to-door wheelchair-accessible transport costs members and families nothing.

ALTCS
Authorization-Based Access

ALTCS is a managed care entitlement. Placement depends on service authorization, provider availability, service area, and MCO coordination.

Have an Authorized Member Who Needs ADHC Support?

Contact us directly or visit our Referring Partners page to discuss eligibility, launch status, and referral coordination.

Refer a Member Who We Serve