---
kind: "section"
citation: "38 C.F.R. § 51.411"
title: "38"
number: "51.411"
heading: "Program practices."
url: "https://uscodex.org/cfr/38/51.411"
---

# §51.411. Program practices.

- (a) **Equal access to quality care.** The State home must establish and maintain identical policies and practices regarding transfer and discharge under [§ 51.410](/cfr/38/51.410.md) and the provision of services for all participants regardless of the source of payment.
- (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.
- (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.

## Notes

### Source

Source: 83 FR 61280, Nov. 28, 2018, unless otherwise noted.

### Authority

Authority: 38 U.S.C. 101, 501, 1710, 1720, 1741-1743, 1745, and as follows. Section 51.20 and 51.30 also issued under 38 U.S.C. 511, 1742, 7104 and 7105. Section 51.42 also issued under 38 U.S.C. 510, 1744, and Pub. L. 116-315 section 3007. Section 51.43 also issued under 38 U.S.C. 1712. Section 51.51 also issued under Pub. L. 116-315 section 3007. Section 51.310 also issued under 38 U.S.C. 1720(f).

### Source

Source: 65 FR 968, Jan. 6, 2000, unless otherwise noted.