Definition. “Unit of service” means a day of attendance by a participant 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 socialization provided in an out-of-home, outpatient setting. Social and recreational activities designed for elderly and disabled individuals, and one nutritious meal shall be provided by the center. This program is designed to promote the participants' optimal functioning and to improve their 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 Shall be reimbursed through some other funding source for transportation services. Senior Center Plus does not cover: Transportation; Direct health care; or A full regimen of three meals per day.