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Generations Ashe reports damage, approves home-and-community-care revisions and early quarterly payment

5707279 · September 2, 2025
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Summary

Generations Ashe told the Board of Commissioners it shifted $1,110 within its FY24–25 Home and Community Care Block Grant, won an $8,083 increase for FY25–26 and asked the county to pay its second-quarter allocation about one month early; the board approved the grant revisions, the FY25–26 budget and the early payment.

Patricia, a representative of Generations Ashe, told the Ashe County Board of Commissioners on Sept. 2 that the agency revised its FY24–25 Home and Community Care Block Grant (HCCBG) budget, secured an increase for FY25–26 and experienced storm- and lightning-related damage to agency property.

In a formal request the board approved, Generations shifted $1,110 between programs in its FY24–25 HCCBG revision and reported it drew down all HCCBG funds for the year. The board then approved Generations’ FY25–26 HCCBG budget, which includes an increase of $8,083 from the prior year. During the meeting the board also voted to pay Generations’ second-quarter allocation about one month early; the agency asked for the payment to be made Sept. 1 and the commission approved that request.

Patricia said a lightning strike on June 28 caused roughly $17,000 in damage across two buildings and that because the two buildings are insured separately the agency faced a $10,000 deductible per occurrence. She said the resulting insurance shortfall left the agency covering repair costs until insurance applied and required temporary 24-hour fire watches while fire-panel work was completed.

The Generations representative also described ongoing workforce pressures and funding uncertainty. The agency’s adult day services and in‑home aid programs face staffing shortages, and Patricia said the county’s Social Services block grant reimbursement rate used for some adult-day placements is about $33 per day. She warned that sources are reporting proposed Medicaid funding cuts of between 3% and 10% and said Generations is negotiating rates and planning for reduced revenues.

On cash flow and payments, Patricia told the board Generations receives significant Medicaid reimbursements and sometimes experiences delays in those reimbursements; to avoid a cash‑flow shortfall the agency requested the early second‑quarter payment. When asked about the precise annual allocation amount, Patricia said the exact figure was not specified at the meeting.

The board approved the HCCBG revision for FY24–25, the FY25–26 HCCBG budget and the early second‑quarter payment in motions recorded during the meeting.

Members of the board asked follow-up questions about the lightning damage, the agency’s staffing and the potential effects of state funding changes. Commissioners and staff were briefed that Generations has engaged in strategic planning and is adjusting program operations and rostering to manage workforce shortages and funding uncertainty.