The facilities collectively generated more than $100 million in annual billing, representing approximately 14% of New York’s spending on social adult day care services. Bao Kang Adult Day Care was associated with approximately $32 million in billing and 43,900 patients during the same period. The plan must also identify why social adult day care is appropriate for that individual. Managed long-term care plans reported approximately $2.4 billion in social adult day care payments from January 2019 through October 2024. Court records showed that Prime Life billed Medicaid approximately $3.2 million for services recipients never received after paying them cash to enroll.