​Requests Related to Licensure

Submit the AMDC Change Form to notify OHCQ of changes in the contact person, business email, business phone number, fax number, website address, and other demographic information.

To report a name change only (not a relocation or change of ownership), submit a Report an AMDC Name Change.

To request an increase in the number of participant slots, submit a Request to Increase the Number of Participant Slots.

To request a waiver of a licensure standard in COMAR 10.12.04, complete the Licensure Standard Waiver Request and submit it using the Submit a Licensure Standards Waiver Request Form.

Reporting Unusual Occurrences

COMAR 10.12.04.25 requires an AMDC center to immediately report an occurrence such as a communicable disease or food-borne outbreak, poisoning, death, fire, use of restraints or other unusual incident that threatens the health or safety of any participant or staff member to OHCQ, the local health officer, the participant, the family, and, if applicable, the guardian.

To report an incident to OHCQ, complete the Incident Report Form and submit it to AMDC Self Reports.

ADCAPS and Associated Archived Documents

• ADCAPS Guidelines
  
• ADCAPS Form (Word)   (PDF)
• Problem List  (Word)   (PDF)
  
• Service Plan - Plan of Care Guidelines  (Word)   (PDF)
• Plan of Care - Personal Goals   (Word)   (PDF)
• Service Plan Signature Record
• Aspiration Pneumonia Risk Assessment
  
• Checklist of Nonverbal Pain Indicators
  
• Fall Risk Assessment
  
• Pain Assessment in Advanced Dementia Scale
  
• Wong Baker Pain Rating Scale
  
  

Resources

COVID-19 

• OHCQ - Daily Care Connection
• MDH Coronavirus Outbreak 
• CDC - Protect Your Home 

Medicaid 

• Medicaid Supports Planning
• Medicaid Waiver Information
• Medicaid Billing Information
• Medicaid Billing - Provider Updates

Other State Agencies

• Nurse Practice Act
• Maryland Board of Nursing
• Office of Controlled Substances Administration
• Maryland Labor Board
• Worker's Compensation
• Maryland Access Point
• Maryland Health Care Commission
• Medicaid Fraud Control Unit
• Ombudsman Program
  

Checklists for Providers to Prepare for Surveys

• AMDC Employee Record Review
• AMDC Licensure Survey Information Request Form
• AMDC Participant Quality of Care Review
• AMDC Staff Training Review
• AMDC Survey Checklist​
  
• AMDC Transportation Administrative Checklist
  

Archived Announcements & Regulatory Reminders

• MAADs Annual Meeting: OHCQ PowerPoint Presentation - Archived​
  

UPDATE: On slide (16) of the OHCQ PowerPoint, the slide was adjusted to state that staff record reviews would be increased from a 10% random review to 50%.  This does not include individual's record reviews.

Upcoming Survey Preparation Tips

​* Coming Soon

Contact Us

Contact the Adult Medical Day Care Team
File an Adult Medical Day Care Complaint

Phone:  (410) 402-8217 / (800) 492-6005 / TTY (800) 735-2258
Fax:  (410) 402-8211

Temitope Okpebho, Deputy Director of State Programs​