-There has not been an increase in the reimbursement rate of Adult day centers for at least 5 years or more.  We have operated at a deficit for a long time.  As the minimum wage rate is now being increased the reimbursement rate needs to be increased as well.  The Government currently pays a minimum of $100 per day for adult day services. Without an increase in the rate, and a continual increase every year until $15/hr, will indeed be detrimental.  Our service we provide to many families is a Godsend.

 -Patient pays should only be recouped from one entity.  A client typically pays their patient pay at the beginning of the month to 1 agency, and that is where the patient pay should be re-couped. The changed and more recent practice of DMAS recouping these payments from any provider they deem leaves agencies at a loss, and/or trying to recoup monies from another agency, or the client.