Resources & Forms
Everything you need to begin adult medical day care services, verify Medicaid assistance, and access enrollment paperwork.
Intake Application Form
Complete our online intake questionnaire to provide participant medical history, dietary preferences, and primary emergency contacts.
General Contact & Emergency Details
Primary Physician & Medication Overview
Daily Assistance Needs & Transportation Route
Maryland Health Connection
Verify or apply for Maryland Medical Assistance / Medicaid coverage for adult medical day care services.
Free Service Qualifier:
Adult Medical Day Care is covered 100% under Maryland Medicaid Waiver programs for eligible seniors and disabled adults.
Need assistance? Call Active Life at 410-754-4349
Common Questions About Adult Daycare
Is transportation included?
Yes! We provide door-to-door wheelchair-accessible van pickup and drop-off throughout Essex, Middle River, Dundalk, and Baltimore County.
What meals are served?
We serve a hot, dietitian-approved lunch and morning/afternoon snacks catered to individual dietary restrictions (e.g. low-sodium, diabetic-friendly).
Are nurses on staff?
Yes, licensed nurses are on-site daily to monitor vital signs, administer medications, coordinate physician orders, and assist with personal care.
How do I verify free Medicaid coverage?
Our intake coordinator will verify your Medical Assistance number or help guide you through the Maryland Medical Day Care Waiver process.