Representative Town Meeting Budget Hearing and Special Meeting Day 1 (linked)

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Visiting Nurse Association of Southeastern CT DBA Yale New Haven Health- Health at Home- Southeast
BUDGET NARRATIVEs—TOWN OF WATERFORD
July 1, 2025- June 30, 2026
We annually estimate the expenditure for services for those residents who are uninsured and cannot afford to pay for care with
their own fund. This year we will discontinue offering Nurse Managed Clinics, Blood pressure and Foot clinics due to a return
to our core business of Home Health.
The budget for Yale New Haven Health- Health at Home- Southeast (YNHH-HAH- Southeast) service will include the home
health skilled visit charge of $180 per nursing visit.
YNHH-HAH Southeast is committed to providing healthcare services to the town at an appropriate level.
The agency is a state-licensed, Medicare-certified, home care organization. YNHH- HAH Southeast underwent a
reporting structure change. YNHH-HAH- Southeast reports to Yale New Haven Health System rather than Lawrence
and Memorial Corporation.
Indigent Care/Health Promotion
Home visits to residents at risk for handicapping conditions or hospitalizations are made under consultation with
the family physician. A plan is established to assist the resident to remain safely at home,
Home healthcare services including nursing, therapies, home health aide and social workers are provided under a plan of care
when the resident is uninsured or underinsured and meets the financial criteria for free or subsidized care.
There is a continued need for assistance with care for those who are struggling to stay independent at home. The need for free
care has reduced in the past few years due to the greater use of CT expanded Medicaid. At this time it is unknown whether the
expansion will continue.
VISITING NURSE ASSOCIATION OF SOUTHEASTERN CONNECTICUT, INC.
July 1, 2025- June 30, 2026

Program Units Per Year Rate Service Estimated
Cost/Year
Homecare Visits for the Indigent | As needed not to exceed | $180/Visit Skilled RN Home $21,600.00
Budget (estimated at 10 Health Visits
home visits/month)
Total $21,6000.00

Kimberly Allen
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From: Desantis, Karen <Karen.Desantis@YNHH.ORG>
Sent: Thursday, March 13, 2025 10:22 AM
To: Rebecca Hall
Cc: Kimberly Allen
Subject: RE: Scheduling for Town of Waterford Budget Hearing
Thank you Rebecca. For the future my cell phone is 203-313-0026. You may always contact me on that number as that is
my personal cell.
1. Inthe Wellness programs we see approx. 52 patients per month. Most of these are people who come back month
after month.
Over the course of the year there were 621 visits to the clinics.
In the indigent care program we see between 6-10 patients per month. Usually these are the same people as we
maintain them outside of the hospital with monthly visits to help them remain in their homes.
2. Sunsetting these programs will allow the VNA to focus our time, talent and resources on our core business of
caring for patients in their homes.
Thank you for your continued partnership,
Karen
From: Rebecca Hall <rhall@waterfordct.org>
Sent: Thursday, March 13, 2025 9:09 AM
To: Desantis, Karen <Karen.Desantis@YNHH.ORG>
Cc: Kimberly Allen <kallen@waterfordct.org>
Subject: RE: Scheduling for Town of Waterford Budget Hearing
Good morning Karen,
I will begin with my sincerest apologies for last night’s meeting arrangement. The Board of
Finance held the regular board meeting at the scheduled time (7:00pm) and finished
extraordinarily early (7:31pm). The Budget Hearing meeting began early and the Board did not
have after-hours contact information for you. Had we known you would have access to your
work email, we would have resorted to that means of communication. I apologize for your
commute to Town Hall and no one being present to meet to you after soliciting you to attend the
meeting.
All of that being said, the Board of Finance has approved your budget of $21,600.

The Board posed two (2) questions for you and if you can kindly respond via email, it will be
appreciated.
1. What is the number of Waterford residents that the VNA has serviced in the past year?
2. What effects has the change of Yale New Haven cutting funding/programs had on the
VNA?
Thank you,
Becky Hall
Finance Administrative Assistant
Town of Waterford
Phone: (860) 444-5842 ext. 2562
Address: 15 Rope Ferry Road, Waterford, CT 06385
From: Desantis, Karen <Karen.Desantis@YNHH.ORG>
Sent: Wednesday, March 12, 2025 8:49 PM
To: Rebecca Hall <rhall@waterfordct.org>
Cc: Kimberly Allen <kallen@waterfordct.org>
Toon of
Waterford
CONNECTICUT
Subject: Re: Scheduling for Town of Waterford Budget Hearing
I was here at 9 o’clock, but I guess the meeting ended early. Please let me know if there’s anything you’d like
me to do.
Karen
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From: Rebecca Hall <rhall@waterfordct.org>
Sent: Thursday, March 6, 2025 8:54:11 AM
To: Desantis, Karen <Karen.Desantis@YNHH.ORG>
Cc: Kimberly Allen <kallen@waterfordct.org>
Subject: Scheduling for Town of Waterford Budget Hearing
Good morning Karen,
The Board of Finance would like to review your budget request for FY26 on Wednesday, March 12, 2025 at 9pm (this
Budget Hearing immediately follows the BOF Regular Meeting that begins at 7pm).
Please confirm that you are able to present your budget on that date.
Thank you,

Becky Hall
Finance Administrative Assistant
Town of Waterford
Phone: (860) 444-5842 ext. 2562
Address: 15 Rope Ferry Road, Waterford, CT 06385
@ Waterford
CONNECTICUT