Many states have been tightening Medicaid payouts and one adult day care in Northern Virginia said anticipated continued cuts could result in it closing its doors.

Bright Center in Manassas serves adults with disabilities, providing care for those with autism and intellectual and developmental disabilities while their caregivers are at work. President Sidikie Kamara started the program with his late wife and said the Medicaid reimbursement rate per participant has dropped from $75 to $65 per day since 2023.

“Just the overall cost of taking care of one individual — $65 is really just not enough,” Kamara said.

He said the drop wasn’t sudden. The rate went from $75 to $70, and then to $65 over the course of about a year.

Kamara said he’s had to cut staff and has spent over $200,000 of hi

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