Why attendance evidence decides SADC audits
MLTC plans pay social adult day programs per attended day, which makes the attendance record the entire billing story. When a plan or the state reviews an SADC, the question is simple: can the program prove each billed participant actually attended on each billed date? Programs that rely on paper sign-in sheets end up defending handwriting and memory. Programs with timestamped, tamper-proof check-in records end reviews quickly.
The oversight picture, briefly
New York SADCs sit under NYSOFA program standards, with additional registration and oversight for programs serving New York City participants, and contract-level requirements from each MLTC plan. The common thread across all three layers is documentation: enrollment records, care/service plans, and daily attendance. Regulations and registration requirements change — treat NYSOFA and NYC Aging as the source of truth, and your MLTC contracts as the operational floor.
What software should do for an SADC
Purpose-built software replaces the sign-in binder with a check-in kiosk: participants check in on arrival (with optional face-assisted verification), staff see a live daily board, and every event lands in an append-only log with a timestamp and the recording device. Corrections are new events, never overwrites. When a plan requests records, the program exports the participant-by-day evidence in minutes. AdultDayGenie was built around exactly this model.
Frequently asked questions
What is a Social Adult Day Care (SADC) program in New York?
A structured, community-based day program providing socialization, supervision, and assistance with activities of daily living for functionally impaired adults. In New York, SADC programs operate under regulations administered by the New York State Office for the Aging (NYSOFA), and most are paid through Managed Long-Term Care (MLTC) plans or private pay rather than direct Medicaid fee-for-service.
Do New York SADC programs have to register?
SADCs that serve New York City participants and contract with MLTC plans are subject to registration and oversight requirements (New York City maintains an SADC registration process, and the state maintains SADC program standards through NYSOFA). Requirements change — always verify current registration obligations with NYSOFA and NYC Aging directly.
What attendance records do SADC programs need to keep?
MLTC plans pay SADCs per attended day, and plan audits compare paid days against the program's attendance documentation. A defensible record shows, for each billed day: who attended, arrival and departure times, who recorded it, and that the record was created at the time of service — not reconstructed later. Sign-in sheets satisfy the minimum but are the weakest form of evidence in a dispute.
Does AdultDayGenie work for New York SADC programs?
Yes. AdultDayGenie provides face-assisted check-in, an append-only attendance evidence log with timestamps, participant management, schedules, and per-day attendance exports (CSV/PDF) that map directly to how MLTC plans audit SADC billing. Book a demo to see it with SADC workflows.
Related: attendance tracking & audit defense guide, does EVV apply to adult day care?, software cost guide. Regulatory details change — verify current requirements with NYSOFA, NYC Aging, and your MLTC contracts.