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Board renews long-term care service contracts including Reiki program, Easterseals day services and hospice agreement
Summary
Commissioners approved renewal and new service agreements for therapeutic services, adult medical day services and hospice; staff described monitoring, qualifying criteria and financial controls for nonpharmacological services.
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Rockingham County commissioners approved several long-term care service agreements at their July 3 meeting, including renewal of a contract for on-site Reiki services, approval of an adult medical day request for an individual to use Easterseals at the county rate, and a yearlong hospice services agreement.
The board approved a one-year renewal of the Reiki services client-facility agreement covering July 3, 2025, through June 30, 2026, and authorized staff to sign the necessary documents. Long-term care staff told the board the contract mirrors prior years, includes qualification and supervision criteria, and is tracked on a per-use basis to limit expenditure: staff said they negotiated a lower per-hour rate on volume grounds and monitor utilization to ensure clinical benefit and regulatory compliance that nonpharmacological measures are tried before medication changes.
Separately the board approved an adult medical day request dated June 27, 2025, to fund two days per week of services for a named client at the standard Easterseals rate. Staff said the client’s need was to support in‑home care and delay institutionalization; commissioners confirmed the board’s existing standard daily rate is being used.
The board also approved a one-year hospice services agreement with a vendor identified in the packet and authorized automatic one-year renewals consistent with the presented contract. Staff stated the hospice agreement had been reviewed by long-term care and pediatric care leaders and that negotiated contract changes had been accepted by the vendor.
No amendments to county policy were proposed; commissioners asked staff to continue monitoring utilization and monthly fiscal impacts for these services.

