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Board hears warning of regional disenrollment, possible $15,000–$20,000 monthly revenue shortfall

Littleton Council on Aging board · June 8, 2026
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Summary

Board members reported large regional disenrollment from Senior Care Options and concerns about Chapter 257 reimbursement delays; Minute Man estimates a $15,000–$20,000 monthly revenue loss, and members said roughly 6,000 individuals were dropped statewide, prompting the COA to increase outreach monitoring.

Board members at the June 8 Littleton Council on Aging meeting described recent regional shifts in senior‑service enrollment and funding that could affect local home‑care services.

A board member summarized Minute Man’s reports that Senior Care Options (SCO) programs have seen a wide disenrollment since Jan. 1 tied to Medicare/clinical eligibility changes, and that Minute Man anticipates an approximate $15,000–$20,000 monthly revenue shortfall. "Their financial impact is approximately 15 to 20k per month revenue," the board member said. Another attendee reported about 6,000 individuals statewide were dropped from programs.

Members also raised concerns about Chapter 257 reimbursements for home‑care wages that have not yet been received and the complexity of eligibility rules for dually eligible Medicaid/Medicare programs. Board members noted federal 3C funds are being used to support COA dining sites and that volunteer capacity is critical to delivering services such as Meals on Wheels.

Director Liz said she has not heard of local residents losing service but asked staff to track outreach and calls for help with high‑need activities of daily living (bathing, dressing, medication management). The board agreed to monitor enrollment and outreach numbers and to raise the issue at future regional meetings as needed.

The discussion included a broader regional context presented by members serving on Minute Man and the regional council; no immediate policy or funding decision was made by the Littleton board at the meeting.