A day of service is covered by the Program when the participant attends for at least 4 hours, not including transportation to and from the center. Senior Center Plus services include a program of structured group recreational activities, supervised care, assistance with activities of daily living and instrumental activities of daily living, and enhanced socialization provided in an out-of-home, outpatient setting. Social and recreational activities designed for elderly, disabled individuals, as well as one nutritious meal shall be available at the center. This program is designed to promote the participants' optimal functioning and to have a positive impact on the participants' orientation and cognitive ability. A provider may choose to provide transportation to and from the site of the Senior Center Plus services. These transportation services may: Not be included in the provider's daily rate negotiated with the Maryland Department of Aging; and Be reimbursed through some other funding source for transportation services. This service does not cover: Transportation; Direct health care; or A full regimen of three meals per day.