Introduction: The Scrutiny of Adult Day Care Centers in New York
Adult Day Health Care (ADHC) services play a critical role in New York’s healthcare ecosystem. These centers provide essential services to elderly and disabled populations who need daytime supervision, medical oversight, and social support while allowing them to remain in their communities. However, with the rise of Medicaid billing and increasing government expenditures, Adult Day Care Centers have come under growing scrutiny from law enforcement authorities—particularly the New York State Attorney General (NYS AG). In recent years, the NYS AG’s Medicaid Fraud Control Unit (MFCU) has launched aggressive investigations targeting adult day care centers suspected of fraud, waste, and abuse. These investigations often center on alleged false billing, kickback arrangements, unnecessary services, and licensing violations. Providers operating in Brooklyn, Queens, the Bronx, and other parts of New York City are especially vulnerable to these audits and investigations, given the high concentr...