As the need for community care increases, complete and up-to-date information about organizational structure is crucial to making appropriate decisions about the expansion of adult day services. The absence of uniform national policies results in states and communities being relegated to balancing limited funds with the demand for adult day services, and in many areas, the lack of adult day care centers altogether. This study provides an overview of the types of state reimbursement, the availability of different funding sources, and the utilization of the sources in various states.