Arrival and departure times captured at the door, plans of care on the 30-day and 90-day schedule, staffing against Rule 9555 ratios, and S5102 and T2003 claims built from the day.
Adult day services are attendance-based, not EVV-based. The daily record with pickup and drop-off times is what DHS names as the evidence for a waiver claim, and Minn. R. 9555.9600 to 9555.9730 set the plan of care, staffing, health, and safety rules a licensor checks.
Trustora's adult day module captures attendance at the door, turns a day of six or more hours into S5102 and shorter days into S5100 units, adds T2003 UC transportation from the trips logged, and keeps the participant plan and staff records the license requires.
Built on the rules
The requirement, where it comes from, and how Trustora handles it. The guides further down explain each rule in detail.
| Requirement | Source | In Trustora |
|---|---|---|
| Daily attendance record with arrival and departure times | DHS waiver billing guidance | Attendance is captured at the door with participant or caregiver signature and becomes the claim's evidence |
| Preliminary plan within 30 days and plan of care within 90 days, reviewed quarterly | Minn. R. 9555.9700 | Participant files hold each plan version with review dates and alerts |
| Staff-to-participant ratios of 1:8, or 1:5 for participants needing more care | Minn. R. 9555.9690 | Daily staffing view shows ratio against attendance |
| 20 hours of orientation and 8 hours of annual in-service training | Minn. R. 9555.9690 | Staff files track orientation and in-service hours with expiration alerts |
| S5102 for six or more hours, S5100 in 15-minute units, T2003 UC for transportation | DHS-3945 code chart | Codes are selected from the recorded times and trips |
What is included
Arrival and departure times with signature capture, so the record exists before the claim.
Intake screening, 30-day preliminary plan, 90-day plan of care, and quarterly reviews on Rule 9555 timelines.
Ratios against attendance, director and staff qualifications, orientation and in-service hours.
Trips to and from the site become T2003 UC lines by date.
S5102 and S5100 lines checked against the service agreement's units and dates before the 837P goes out.
Remittances post to the attendance day, and the audit binder assembles attendance, plans, and staffing for a review.
FAQ
Guides
The adult day services license Minnesota centers need: ch. 245A, Rule 9555 staffing and space rules, licensing, the 2026 to 2028 pause, and waiver enrollment.
Adult day services billing in Minnesota: S5102 vs S5100, T2003 UC transportation, DWRS and Elderly Waiver rates, attendance records, and denials.
The adult day services plan of care under Minn. R. 9555.9700: intake screening, the 30-day preliminary plan, the 90-day plan, quarterly review, and billing.
Adult day services staffing ratios in Minnesota: the 1:8 and 1:5 rule in Minn. R. 9555.9690, the mixed-group formula, who counts as staff, and training hours.
Adult day services in Minnesota explained: the 245A and Rule 9555 definition, center vs family adult day, who attends, waiver funding, and the 2026 pause.
Also for Minnesota agencies