CAADS - California Association for Adult Day Services

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OCT 25 | CAADS WEBINAR: New History & Physical Form Training

2:30 PM - 4:00 PM | CAADS MEMBER: No Charge, please register on Members Only page
NON-MEMBER Webinar Details: $99 before OCT 19; $149 after OCT 19
NON-MEMBER Registration Form: Fill-in :: Write-on

NOV 6-8 -- CAADS Fall Conference & Annual Membership Meeting in Anaheim
Health, Hope and Healing: The Promise of Adult Day Services

BROCHURE | REGISTRATION FORM Fill-in :: Write-on | CE ORDER FORM Fill-in :: Write-on

Adult Day Health Care: An Unbelievable Cost Containment Resource that Is Underfunded and Underutilized

For those who think Adult Day Health Care (ADHC) is just day care…think again! Read Russell D. Foster's featured article in MAZARS USA HEALTHCARE TRENDS,Sept 2017.

The Effect of Adult Day Program Attendance on Emergency Room Registrations, Hospital Admission and Days in Hospital: A Propensity-Matching Study

Research by Ronald Kelly, PhD finds a decreased reliance on costly health care services by seniors who attend adult day programs. Abstract and Full Article | JUN 2017 | The Gerontologist, Volume 57, Issue 3, Pgs 552–562.

What's New . . . OCTOBER 18, 2018

New Public Charge Resources for Older Adults

OCT 17, 2018 | Justice in Aging

The Trump Administration’s proposed “public charge” rule would make it harder for families to stay together and for the older adults in our families and communities to receive the care they need because it would put immigration status at risk if an immigrant accesses or is likely to access programs that support health, nutrition, and economic stability.

The rule targets low-income immigrant seniors by greatly expanding the types of benefits that would lead to someone being classified as a “public charge.” Under the rule, seniors who ever used, sought help from, or were likely to seek help from such programs as Medicaid, the Medicare Part D Low-Income Subsidy (“Extra Help”) or the Supplemental Nutrition Assistance Program (SNAP) would be considered likely “public charges” and could be denied a visa or permanent residency. Confusion about the changes may lead to older adults forgoing needed services out of fear of potential immigration consequences.

The rule is published on the Federal Register and open for public comment until December 10, 2018. Justice in Aging has created a number of materials to help advocates fight back, counsel their older adult clients, and comment on the rule.

Our Public Charge webpage houses all of our public charge resources. You can:

  • sign up for our [NOV 14] webinar on public charge
  • get tools to comment on the rule
  • read our fact sheets
  • on social media, use the hashtag #ProtectFamilies and our social media graphics available on our Public Charge webpage

We have until December 10 to fight back! Learn more and take action now!


New History & Physical Form Training -- Register NOW for the OCT 25 CAADS Webinar!

2:30 PM - 4:00 PM | HOST: CAADS
CAADS MEMBER: No Charge, please register on Members Only page
NON-MEMBER Webinar Details: $99 before OCT 19; $149 after OCT 19
NON-MEMBER Registration Form: Fill-in :: Write-on

The revised and improved ADHC/CBAS History and Physical Form (H&P) and instructions will be shared for the first time to registrants of this CAADS webinar. Be the first to learn what changes have been made to the H&P form and how to use it as a best practice.

The CA Department of Aging (CDA) delegated the task of revising the standardized H&P Form to a work group headed up by CAADS leaders and comprised of CAADS Members; CDA staff; Managed Care personnel and CAADS and ALE staff. The H&P is a component of the CDA Quality Assurance and Improvement Strategy and closely aligns with the new Individual Plan of Care (IPC) that will be implemented early in 2019.

Start using the new H&P Form now in plenty of time to incorporate the new IPC into your initial enrollment process for 2019. CDA strongly encourages the use of this H&P as a best practice and Department surveyors will be looking for its implementation when they conduct on-site surveys. There is no firm deadline for adoption, but CAADS and CDA advise Centers adopt it in advance of the expected launch of the new IPC, which will be no earlier than March 1, 2019.

Daisy Absalon, RN, Executive Director/Program Director, Eskaton Adult Day Health Center
Dawn Myers Purkey, MSW, Program Director, Yolo Adult Day Health Center
Jill Sparrow, Chief, CBAS Branch, California Department of Aging


CAADS Fall Conference 'Regular Rates' Now in Effect
Register Now!

OCT 5, 2018 | CAADS

Regular Rate registration for the November 6-8, 2018 CAADS Fall Conference and Annual Membership Meeting is available until 5 PM October 25, so register NOW! After Regular Rate Registration ends, you will need to register at the Conference at the On-Site Rate.

Join us at the Sheraton at the Park in Anaheim, where Hotel Reservations for the CAADS event are just $129 Single/Double Occupancy.


Another Win on the Improper Billing Front

SEPT 11, 2018 | Justice in Aging

After extensive advocacy from Justice in Aging, CMS is now providing more information to Medicare beneficiaries and providers about which beneficiaries are protected from improper billing. New changes to the Medicare Summary Notices (MSNs) that Qualified Medicare Beneficiaries (QMBs) receive now show they should owe $0 in copayments. The Remittance Advice (RA) that Medicare sends to providers shows the same information. By spelling out billing protections, the new documents provide clarity and help prevent improper billing of low-income duals. You can learn more on this change and see what the new MSNs look like. Justice in Aging's Improper Billing Toolkit now incorporates references to the MSNs in its model letters that advocates can use to advocate for clients who have been improperly billed for Medicare-covered services.


Protecting Older Adults from Telemarketers and Scammers

AUG 31, 2018 | National Center on Law & Elder Rights (NCLER)

The telephone is a favorite tool of telemarketers and scammers seeking to convince older consumers to part with their money. The Telephone Consumer Protection Act (TCPA) is a federal law that helps consumers challenge abusive solicitation methods. This Practice Tip takes a closer look at the TCPA, and the law's restrictions against robocalls and robotexts. The Practice Tip also includes information on recent TCPA litigation and evolving hot topics, reviewed in a recent National Consumer Law Center article. Read the Practice Tip for more information.


Cal Duals Coordinated Care Initiative
Monthly Update: August 2018

AUG 27, 2018 | Cal Duals

The Cal Duals Coordinated Care Initiative Monthly Update: August 2018 is now available.


Millions of seniors pushed into povertyWe Stand with Seniors logo

JUN 28, 2018 | Capitol Weekly | Shelley Lyford and Bruce A. Chernof | Article

It is no secret that Californians are living longer, but not necessarily better.

By 2030, the state’s senior population will increase by 4 million people, yet the state is woefully unprepared to care for this growing and financially unstable demographic. The lack of any strategy or organized master plan has pushed millions of seniors into poverty, unable to access high-quality, affordable healthcare, dental care, housing and supportive services.

Our lawmakers and next governor need to set aside partisan differences and collaborate on the creation of a state master plan for aging that recognizes three important pillars: the ability to age with independence; a healthcare system that responds to the individual not an institution; and affordable housing. MORE


Your Donations Help!

Three (3) great opportunities to further support Adult Day Services:


Learn more and DONATE today -- thank you!


California Association for Adult Day Services, a 501 (c) 6 non-profit grassroots-driven organization, advocates for the growth and development of adult day services in California and nationally. Centers in membership with CAADS provide innovative day programs that support individuals with physical or mental disabilities and older adults with Alzheimer's disease and their families.
Learn more about CAADS


ALE logoThe Alliance for Leadership and Education (A.L.E.) is a non-profit 501(c)(3) public benefit arm of CAADS. Its mission is to advance innovation and quality in Adult Day Service through research and analysis, education and training, and leadership for the benefit of consumers and their caregivers.



CAADS is a proud member of the National Adult Day Services Association.

Three representatives from California currently serve on the NADSA Board of Directors:

Corinne Jan, RN, PHN (NADSA Treasurer)
CEO, Family Bridges / Hong Fook Centers

Lydia Missaelides, MHA
Executive Director, CAADS

Amanda Sillars, MSW, LCSW
CEO, Total ADHC Solutions, Inc.


For help, call the VA Caregiver Support Line (toll-free):


Mon - Fri 8 AM - 11 PM (EST) || Sat 10:30 AM - 6 PM (EST)


Call DHCS Medi-Cal Fraud Hotline:


The call is free and you can remain anonymous.


Use the California Department of Public Health's Cal Health Find website
call, write, fax the Center for Health Care Quality,
Licensing and Certification District Office nearest you.


The California Senior Medicare Patrol offers free fraud prevention education throughout the state.
To schedule a presentation, call 855-613-7080

See the SMP/Medicare fraud section at, for more information on ways to protect yourself from healthcare fraud and how to detect it.

If you come across any suspicious activity,




California Association for Adult Day Services
1107 9th Street, Suite 701 || Sacramento, CA 95814–3610
T: (916) 552-7400 || F: (866) 725-3123

We Stand With Seniors logo

CAADS Stands With Seniors
Join the campaign!

Videos / Podcasts

Human Kindness--it just flows around here
[Download Real Player]

Click to view the clip from CAADS 25th anniversary video
Honoring Adult Day Services pioneers and those they serve.

Seniors and Children Find Inspiration Together at a Day Care With a Heartwarming New Approach
FEB 2, 2018
Time Magazine
Megan McCluskey
Featuring ONEgeneration

What is an Adult Day Health Care Center? One of San Diego's Best Kept Secrets...
APR 18, 2017
Featuring Kathryn Holt, Owner, Poway Adult Day Health Care Center, and her mother Lois Knowlton, the Center's Administrator

MORE Videos / Podcasts


Media Coverage

California’s senior population is growing faster than any other age group. How the next governor responds is crucial
Los Angeles Times
Melanie Mason | OCT 7, 2018

This is What Life Without Retirement Savings Looks Like
The Atlantic
Alana Semuels | FEB 2018


Media Coverage

As Billions In Tax Dollars Flow To Private Medicaid Plans, Who's Minding the Store?
OCT 18, 2018
California Healthline
Chad Terhune
Medicaid | low-income Americans | managed care | Centene | Affordable Care Act | patient care | managed care plans | Centers for Medicare & Medicaid Services

California’s senior population is growing faster than any other age group. How the next governor responds is crucial
OCT 7, 2018
Los Angeles Times
Melanie Mason
getting old | Seniors | healthcare | long-term services and supports | low-income seniors | Medi-Cal | poverty | safety-net programs for the elderly | Department of Health Care Services | Department of Social Services | Department of Aging | Department of Veterans Affairs | Alzheimer’s disease | supporting caregivers | long-term care insurance | Medicare

Denti-Cal 'Remains a Seriously Troubled Program,' Commission Report Finds
OCT 2, 2018 | Updated OCT 3
Capital Public Radio - Sacramento
Sammy Caiola
low-income | cost and accessibility | Denti-Cal | Medi-Cal | patient health | caregivers | Department of Health Care Services | adult dental benefits | provider reimbursement rates

The remedy for surprise medical bills may lie in stitching up federal law
SEP 11, 2018
Fierce Healthcare
Michelle Andrews, Kaiser Health News, Julie Appleby, Kaiser Health News
balance bill | ERISA | Employee Retirement Income Security Act | protect patients from balance bills | appropriate reimbursement levels | Affordable Care Act | cost-sharing

For Alzheimer's caregivers, self-care comes first
SEP 10, 2018
The San Diego Union-Tribune
Bradley J. Fikes
Alzheimer's San Diego | caregivers of dementia patients | memory problem

California Gov. signs into law new insurance merger protections
SEP 10, 2018
Modern Healthcare
Virgil Dickson
health insurance plans | Assembly Bill 595 | California's Department of Managed Health Care | Health Access California | Centene Corp. | Health Net Inc. | Blue Shield of California | Care1st Health | California Association of Health Plans

Courtesy of AARP: Long-Term Care Data at Your Finger Tips
SEPT 3, 2018
Herb Weiss
Across the States 2018: Profiles of Long-Term Services and Supports :: California Data | AARP | long-term services and supports (LTSS) | aging | Medicaid | caregivers | home- and community-based services (HCBS)

MORE Media Coverage
Please Direct Questions and Comments to


Photo of Lydia Missaelides

Lydia Missaelides, MHA
Executive Director

Christin Hemann

Christin Hemann
Associate Director

Photo of Kathryn Atkinson

Kathryn Atkinson
Membership & Communications Director

Pam Amundsen

Pam Amundsen
Education & Events Manager

Photo of Coni Segretto-Ricci

Coni Segretto-Ricci
Office Assistant

(not pictured)

Phyliss Regino
Office Assistant

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