# Adult day care center software where attendance, authorization and care plan sit in one record

> An adult day care center is a community setting that provides supervised care, health services and social activity to adults during daytime hours so they can continue living at home. Federal long term care survey work counted about 4,200 adult day services centers serving roughly 251,100 participants, most of it funded through Medicaid home and community based services. Neurobird records attendance as billable units at the door and tracks every authorization against it.

- URL: https://neurobird.com/adultdaycare/
- Product: Neurobird Adult Day Care Center Coverage Platform
- Niche: adult day care center
- Buyer: adult day services operators
- Status: in development, open for early access
- Updated: 2026-08-21

## What Neurobird Adult Day Care Center does

- Record arrival and departure as billable units at the door, not from a sign in sheet later
- Watch every authorization and warn before units run out rather than after
- Keep care plans, reviews and incident notes against the participant and their payer requirements
- Build transportation manifests from the same attendance record the billing uses

## How it works

1. **Record attendance as units** Arrival and departure become billable units in the payer's own definition, with the signature captured at the time.
2. **Track authorizations forward** Units remaining, expiry dates and payer limits are visible daily, so a shortfall is a warning rather than a denial.
3. **Keep the record survey ready** Care plans, reviews, incident notes and manifests hang off the participant, so a state licensing visit is a read rather than a scramble.

## From the source material

> Adult Day Care is a supervised program in a community group setting offered during the day to individuals with cognitive and/or physical impairments to promote social, physical and emotional well-being.

Source: ncdhhs.gov, https://www.ncdhhs.gov/divisions/aging/adult-day-services

## Industry context

- **4,200** Adult day services centers counted in federal post acute and long term care survey work, alongside 15,600 nursing homes and 11,500 home health agencies. (source: CDC National Center for Health Statistics, long term care providers, https://www.cdc.gov/nchs/data/series/sr_03/sr03-047.pdf)
- **251,100** Estimated participants currently enrolled in adult day services centers at the time of the national survey. (source: CDC National Center for Health Statistics, https://www.cdc.gov/nchs/npals/index.htm)
- **1915(c)** The Medicaid waiver authority under which many states purchase adult day services as a home and community based service. (source: Medicaid.gov, home and community based services, https://www.medicaid.gov/medicaid/home-community-based-services/index.html)
- **1965** The year the Older Americans Act created the network of area agencies that still contracts for a share of adult day and caregiver support. (source: Eldercare Locator, Administration for Community Living, https://eldercare.acl.gov/Public/Index.aspx)

## Pricing

- Single center: $130 per center, per month
- Licensed operator: $260 per center, per month
- Multi center: $470 per center, per month

## Questions

### What is an adult day care center?

An adult day care center, also called an adult day services center, is a community setting that provides supervised care, health services and social activity to adults during daytime hours so they can keep living at home. Federal survey work counted about 4,200 such centers serving roughly 251,100 participants.

### How is adult day care usually paid for?

Largely through Medicaid home and community based services, often under a waiver, alongside private pay, Veterans programs and area agency contracts. Each payer has its own unit definition, authorization limits and documentation demands, which is why one attendance record rarely satisfies all of them.

### Why do centers lose revenue on attendance?

Because units are billed from paper. A sign in sheet with a missing signature, a participant who left 90 minutes early, or an authorization that ran out on the 12th all become denied claims discovered 6 weeks later.

### Does this replace our electronic health record?

No. Clinical documentation can stay where it is. Attendance capture, authorization tracking, transportation manifests and the billing month are what we are building.

## Sources

- [Medicaid home and community based services](https://www.medicaid.gov/medicaid/home-community-based-services/index.html)
- [CDC NCHS, long term care providers report](https://www.cdc.gov/nchs/data/series/sr_03/sr03-047.pdf)
- [CDC National Post-acute and Long-term Care Study](https://www.cdc.gov/nchs/npals/index.htm)
- [Eldercare Locator, Administration for Community Living](https://eldercare.acl.gov/Public/Index.aspx)

## Contact

- office@neurobird.com
- https://neurobird.com/