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Commissioners Reject Easterseals Adult Day 'Pay-for-Spot' Fee Change
Summary
Rockingham County commissioners voted against a motion to change Easterseals' adult day program from a fee-for-service model to a fee-for-spot model, after several commissioners raised concerns about fairness and county support for day programs.
Rockingham County commissioners voted on June 12 against a proposal to change Easterseals' adult day program from fee-for-service to a fee-for-spot billing model that would require payment for scheduled days regardless of attendance.
The proposal, presented during the board meeting by a representative identified as Sue from Easterseals, would have taken effect May 12 and required payment for reserved spots even if a participant did not attend. “We changed our rate structure from fee for service to fee for spot,” Sue told the board, adding that the provider had a 16–20% absentee rate and that staff and facility costs do not disappear when participants are absent.
The change was described by Sue as intended…
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