Flagler County Health & Human Services Director Joe Haggadis gave commissioners a budget‑focused update on the county adult day care (GrAMA) program, describing program scale, staffing and options to reduce net county cost.

Haggadis said the licensed Medicaid‑eligible facility serves roughly 45–50 adults annually, provides an average of about 12,000 hours of service a year and currently operates with tight staffing (three on‑site staff and a vacant clinical supervisory position). He reported an approximate current total program cost of about $330,000 with projected net county cost near $200,000 assuming $125,000 in revenue and estimated a per‑participant annual net cost of about $4,400.

He presented a menu of cost‑management options: increase private pay from $10 to $15 per hour over time, raise a minimum weekly attendance threshold, use ADI grant funding that reimburses at higher rates (about $17/hr for certain clients), shorten hours during low‑attend‑times and increase outreach to grow enrollment. He also noted state Medicaid and VA referral channels but said staffing and training requirements (including RN supervision for higher‑acuity models) limit some near‑term options.

Commissioners expressed appreciation for the service but raised sustainability concerns amid statewide property‑tax proposals that could sharply reduce county ad valorem revenue; several members said non‑statutory, low‑utilization programs would be difficult to sustain. After extended discussion and public comment, the board recorded a consensus to continue funding through the end of the current fiscal year and directed staff to prepare an exit/transition plan for clients, referrals to alternative providers and staffing adjustments.

"We aim to increase outreach, enrollment, and attendance," Haggadis said, but commissioners emphasized contingency planning if public finance changes reduce the county's ability to subsidize non‑core services.

What’s next: staff will develop a time‑bound transition plan for affected clients, explore referrals and alternative providers, and return with specifics on staffing, timelines and any assistance the county can offer while the program winds down at fiscal‑year end unless the board later authorizes continued funding.