Adult day care attendance tracking that keeps the whole history.

Adult day care attendance tracking records who received service, when they arrived and left, and how the entry was captured. Adult Day Genie connects face or manual check-in to an append-only record so corrections remain visible.

Face confirmation requires consent. Manual check-in is always available.

Attendance history

Illustrative center data

History retained
  1. Arrival recorded

    Face confirmed with consent · Jamie M.

  2. Attendance recorded

    Full-day service · wellness program

  3. Correction appended

    Original event remains in the history.

Updates and deletions are blocked at the database layer.

$672,147

Documented attendance gap

What did the 2026 New York SADC audit find?

The New York State Comptroller reported that 7,964 of 92,969 encounter claims reviewed at three SADCs — about 9%, totaling exactly $672,147 — were not supported by a sign-in log.

Read the official Comptroller audit

What does a reviewer need to connect?

Attendance documentation supports the link between a participant, a service date, recorded time, and the resulting claim. Exact requirements remain state- and payer-specific.

  1. 1

    Was the participant present on the billed service date?

  2. 2

    Do the recorded start and end times support the billed units?

  3. 3

    Can the center show how the entry and any correction were recorded?

New York example

MLTC Policy 25.05 says plans must collect and review sign-in/out records showing at least the member name, date, and start and end times. Plans must retain the reviewed records for surveillance and audit purposes.

Read MLTC Policy 25.05

How does an append-only attendance record work?

The design keeps collection simple for staff while retaining the chain of events a reviewer may need to inspect later.

This is how the Adult Day Genie attendance product records the day; the attendance sheet template shows the same fields on paper.

Capture the event when it happens

Staff use face confirmation with consent or record the arrival manually. Both paths produce a time-stamped attendance event.

Keep the original history

Entries cannot be updated or deleted at the database layer. A correction is a new event linked to what came before.

Export the requested evidence

Teams can prepare day-by-day attendance documentation in CSV or PDF when a payer or reviewer asks.

Attendance tracking questions

Clear answers for operators evaluating electronic records.

This guide is operational information, not legal advice. Confirm requirements with your state Medicaid agency and payer contracts.

What should an adult day care attendance record include?

Requirements vary by state, program, and payer. A useful operational record identifies the participant and service date, captures arrival and departure times, identifies how the entry was recorded, and preserves the correction history. New York MLTC Policy 25.05 specifically tells plans to collect and review sign-in/out records showing at least the member name, date, and start and end times.

Why do attendance records become a Medicaid audit issue?

A paid claim needs documentation that supports the billed service. Missing logs, mismatched dates or times, and records reconstructed after the fact make that support harder to demonstrate. In a February 2026 New York Comptroller audit, 7,964 of 92,969 encounter claims reviewed at three SADCs — about 9%, totaling exactly $672,147 — were not supported by a sign-in log.

What is an append-only attendance log?

It is a record in which an arrival, departure, or correction is added as a new time-stamped event. Adult Day Genie blocks updates and deletions at the database layer, so staff corrections append to the history instead of silently replacing the original entry. See the attendance product page for how check-in, corrections, and exports work in practice.

Does Adult Day Genie require face check-in?

No. Centers can use face confirmation with participant or guardian consent, and manual staff check-in is always available. Refusing face confirmation never blocks a participant from receiving service.

How long should adult day attendance records be kept?

Retention periods are set by state rules and payer contracts, not by the software. As one concrete example, New York MLTC Policy 25.05 requires plans to retain SADC records and supporting documentation for at least six years for audit and surveillance purposes. Confirm the period that applies to your program before setting a retention policy.

Does attendance software guarantee an audit result?

No. Adult Day Genie produces organized attendance evidence and exports; payers, regulators, and auditors decide whether documentation satisfies their requirements. Centers should confirm current rules with their state agency and payer contracts.

See the daily record from check-in to export.

A 15-minute walkthrough shows face and manual check-in, correction history, and attendance exports using illustrative center data.

Book a walkthrough

Continue with the New York SADC guide, EVV explainer, or software cost guide.