{"data":{"id":"us/38-cfr-51.411","jurisdiction":"us","citation":"38 CFR 51.411","heading":"Program practices.","body":"(a) Equal access to quality care. The State home must establish and maintain identical policies and practices regarding transfer and discharge under § 51.410 and the provision of services for all participants regardless of the source of payment.\n(b) Admission policy. The State home must not require a third-party guarantee of payment as a condition of admission or expedited admission, or continued admission in the program of care. However, the State home may require a participant or an individual who has legal access to a participant's income or resources to pay for the care from the participant's income or resources, when available.\n(c) Hours of operation. Each adult day health care program must provide at least 8 hours of operation 5 days a week. The hours of operation must be flexible and responsive to caregiver needs.","path":["Title 38—Pensions, Bonuses, and Veterans' Relief","CHAPTER I—DEPARTMENT OF VETERANS AFFAIRS","PART 51—PER DIEM FOR NURSING HOME, DOMICILIARY, OR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES","Subpart F—Standards Applicable to the Payment of per Diem for Adult Day Health Care"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-38.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:25:50Z","sha256":"231ad9be92c60362b7bf0be605ed240640a7886b23826b99e57226a52381bfa1","source_id":"us-cfr","stale":true,"prev":"us/38-cfr-51.410","next":"us/38-cfr-51.415"},"notice":"GroundRules: Original legal text. Not legal advice."}