Adult Day Quarterly Reports

Quarterly reports must be submitted to EOHHS within two weeks following the end of each reporting period, and should include data as of the last day of the reporting quarter.

Mailing address for lead contact

Reporting Period

Workforce Report

Direct Care Workers (including Nursing Assistants)

Ethnicity of employees

Race of employees

Licensed Health Professionals (excluding Nursing Assistants)

Ethnicity of Employees

Race of employees

Expenditure Report Summary

Total Program Funds Spent Since November 1st, 2021 (Provider Data)

Ratio of Program Expenditures Since November 2021

* Pediatric Skilled Nursing agencies are exempted from the 60% direct care worker - 25% licensed health professional spending ratio requirement; these agencies shall instead spend at least 85% of enhanced rate funds received from skilled nursing services on new additional compensation (e.g., hiring and retention bonuses or increased wage rates) for nurses and other licensed health professionals, and 85% of enhanced rate funds received from CNA/homecare services on new additional compensation for direct care workers such as nursing assistants and homemakers.  These agencies shall spend at most 15% of enhanced rate funds from each type of service on increased payroll costs directly related to the increase in new additional compensation for these workers.
 

Funding may be used for wage increases, benefits, incentives, bonuses, and/or other earnings that are paid to frontline workers to improve recruitment, retention, and staffing levels.  Specific examples of permitted uses of this enhanced payment rate dollars include, but are not limited to:

  • Wage increase:  increase to the hourly or annual wage the Provider Agency paid an employee prior to the start of these Program Activities.

  • Benefits:  enhanced benefits that Provider Agency makes available to employees.  Examples may include, but are not limited to, enhanced or new health or dental insurance coverage.

  • Overtime Incentives above and beyond agency standard policy.

  • Shift differential payments, or Differential payments for hard-to-fill locations over and above agency standard policy.

  • Retention bonus: incentive payment(s) as compensation that is over and above an hourly rate of pay, and are not part of an employee’s standard wages.

  • Hiring bonus: incentive payment(s) as compensation that is over and above an hourly rate of pay, and are not part of an employee’s standard wages.

  • "Wraparound benefits” defined as employer provided benefits to help the workforce remain employed - over and above agency standard policy.  Examples may include, but are not limited to, transportation support/reimbursements, meal vouchers, or childcare assistance or car maintenance support.

  • Training support for wages for time spent in training, testing or certification materials, including but not limited to continuing education credits (CEUs), or exam fees above and beyond previous agency HR policy.

Expenditure Report: Additional Compensation Spending

Direct care workers (including Nursing Assistants)

Licensed Health Profressionals (excluding Nursing Assistants)

Note highlight successed, challenges, and lessons learned

Attestation

I hereby attest that, to the best of my knowledge and belief, that the above information is accurate and complete. 

My agency has maintained personnel records to support this attestation and acknolwedges that such personnel records may be subject to audit by EOHHS. In the event that EOHHS determines that Program funds have been used for ineligible expenses, my agency may be required to repay such funds to EOHHS. My agency shall return to EOHHS any program funds not expended by the Program end date of Mar 31, 2023.

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