CAADS - California Association for Adult Day Services

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**CDA CBAS Branch Main Phone Line Down Temporarily**

The California Dept of Aging CBAS Branch is having technical difficulties with their main phone line: 916-419-7545. Until resolved, please use 916-419-7546 or email cbascda@aging.ca.gov.


Coordinated Care Initiative (CCI)

AUG 18, 2014 | CCI Outreach Weekly Update | CalDuals Enrollment Data Online | CalDuals


New Report Documents Impact on Family Caregivers Providing Complex Chronic Care to People with Cognitive and Behavioral Health Conditions

AUG 19, 2014

The United Hospital Fund and AARP Public Policy Institute issued a report with compelling new evidence that family caregivers who provide complex chronic care to people who also have cognitive and behavioral health conditions face particularly demanding challenges, including high levels of self-reported depression. Read more. . .


CAADS Invites Support for 2014 Annual Meeting and Fall Conference
Adult Day Services: In the Center of Change

NOV 17-19, 2014 | Westin Hotel | Long Beach

You're Invited to Support the CAADS Fall Conference. Here's how:

  • Reserve Exhibit Space by 10/8 and save $100!
  • Sponsor the Keynote Session, Conference Keepsake or Meal Function!
  • Donate a Gift Basket / Special Item for ALE's Live Auction Fundraiser!
  • Register to attend! (Available soon -- event schedule, course descriptions and registration form. Watch for event brochure to be posted here.)

Westin Hotel Reservation Deadline: OCT 17, 2014 | 5 PM
Mention "CAADS" for Group Rate: $149 single/double occupancy; offered NOV 12-21, 2014
Room Reservations by Phone: (562) 436-3000 or (800) 937-8461
Room Reservations Online: Westin Group Room Reservations

For more information, contact Pam Amundsen: (916) 552-7400 | Pam@caads.org


Medicare Part D Open Enrollment Fast Approaching!

AUG 18, 2014

Open enrollment is an opportunity for beneficiaries to review and update their Part D prescription drug coverage. New healthcare plans become available each year that may offer better coverage or save money, so it’s important for participants to take the time to carefully review their options. This year, open enrollment starts on Wednesday, October 15 and closes on Sunday, December 7.

Download Part D Open Enrollment Toolkit -- Share this tool kit with patients, constituents and stakeholders. With a wide variety of prescription drug plans to choose from, Medicare Part D has a plan that will fit any patients’ needs.

Medicare Part D saves and improves patient lives at a low cost, expanding access to treatment for patients in a dramatic way. With an 86 percent patient satisfaction rate according to a recently released survey and total costs coming in at $349 billion, 45 percent less than 10-year projections, it’s an American success story.

To learn more about the prescription drug plans that are available in your area, check out the Medicare Plan Finder at www.medicare.gov/find-a-plan. You can also call Medicare at 1-800-MEDICARE (1-800-633-4227) or visit www.medicare.gov to enroll.


2014 POLST Form Available for Download; Goes into Effect on OCT 1

AUG 18, 2014 | Polst California | Coalition for Compassionate Care of California
Previous versions of POLST will still be honored after the 2014 form goes into effect.

The new 2014 POLST form is online and available to download for educational purposes, but does not go into effect until on October 1, 2014, and should not be used before this date.

Visit capolst.org/2014polst to:

  • Download the 2014 POLST form
  • Download all 12 POLST translations
  • Learn how to request a copy of the 2014 form in braille
  • Read and download a FAQ detailing the changes to the form
  • See a timeline about the roll-out of the new form, including educational opportunities

Educational Opportunities

  • AUG 20 | 8 AM - 9 AM (PDT) | Free Webinar: Introduction to the 2014 POLST Form
  • SEPT 10 | 12 PM - 1 PM (PDT) | Free Webinar: Introduction to the 2014 POLST Form
  • SEPT 18 | 8:30 AM - 4:30 PM (PDT) | Workshop: POLST: Re-energizing the conversation workshop | Irvine, CA
  • SEPT 25 | 8:30 AM - 4:30 PM (PDT) | Workshop: POLST: Re-energizing the conversation workshop | Larkspur, CA
  • SEPT 26 | 1 PM - 2 PM (PDT) | Webinar: 2014 POLST Form Revisions: What Nursing Homes Need to Know | CAHF Members: $29.95 | Non-CAHF Members: $59.90
  • OCT 7-8 | Workshop: POLST: It Starts With A Conversation, Train-The-Trainer workshop | San Diego, CA

Get more information about POLST by contacting your local POLST Coalition, or contact the Coalition for Compassionate Care of California at (916) 489-2222 or info@caPOLST.org.


Balance Billing Dual Eligibles Violates Federal and State Law

AUG 8, 2014 | NSCLC

Advocates continue to report attempts by providers, particularly physicians, to ”balance bill” dual eligible beneficiaries (those who qualify for both Medicare and Medi-Cal) for charges not covered by Medicare or Medi-Cal. Balance billing violates both federal and state law. Providers may not balance bill any Medi-Cal patient who presents a Medi-Cal card. In other words, a provider must accept as payment in full whatever amount the provider receives from Medicare, other insurance (if any), and Medi-Cal.

The balance billing protection remains even if Medi-Cal pays nothing to the provider. The only exception is that providers may bill Medi-Cal beneficiaries who have a monthly share of cost obligation, but only until that obligation is met for the applicable month. If a provider bills a patient in error, the provider must stop immediately upon proof of Medi-Cal enrollment and must call off any collection efforts that have begun. Upon receiving proof of Medi-Cal eligibility, debt collection agencies and/or providers also must correct any erroneous information sent to credit reporting agencies.

Providers also are prohibited from asking a beneficiary to enter into a private pay agreement or otherwise waive balance billing protection. Advocates who encounter balance billing issues may find that, in some cases, providers are genuinely confused about their obligations and unaware of procedures for processing crossover Medicare claims through Medi-Cal.

Resources

The following resources can be helpful in addressing these situations:

  • Physician’s Toolkit
    A new resource prepared by the California Department of Health Care Services particularly around the Coordinated Care Initiative but containing explanations that apply to providers and advocates in non-CCI counties as well. Look especially at “Physician services and payment under the CCI” and “FFS Medicare and the CCI”, both of which explain the prohibition and assist providers in understanding how they can properly process claims with Medi-Cal.
  • Crossover Only Provider Authorization Information
    Advocates can direct providers to this page on the DHCS website where they can complete an abbreviated form in order to submit crossover claims to Medi-Cal without enrolling as full Medi-Cal providers.

If you are seeing balance billing issues for your clients, please let NSCLC know. Contact Georgia Burke, gburke@nsclc.org.


Physician Participation in Medi-Cal: Ready for the Enrollment Boom?

AUG 5, 2014 | Report | InfoGraphic | CHCF

By the end of 2015, the Affordable Care Act will add more than two million enrollees to Medi-Cal, the nation's largest state Medicaid program. This estimate has heightened concerns about whether there are enough doctors to care for them all. Californians are likely to have difficulty accessing health care through Medi-Cal unless the number of participating physicians grows or California finds other ways to deliver services. The percentage of physicians treating any Medi-Cal patients increased between 2011 and 2013 from 64% to 69%, according to a new report prepared by researchers at the University of California, San Francisco. Yet their findings suggest that Medi-Cal enrollees face significant challenges due to statewide variations in physician availability. Read more. . .


CCI Enrollment Timeline Change for Alameda and Orange Counties

AUG 1, 2014 | DHCS Revised Enrollment Chart | DHCS

The Department of Health Care Services (DHCS) has announced a change to its Coordinated Care Initiative (CCI) enrollment timeline for Alameda and Orange Counties. The timeline for these two counties is being adjusted to July 2015 to allow more time to achieve plan readiness. This change reflects the department's commitment to continuing forward with the CCI in a way that best serves beneficiaries.


Updated HIPAA Manual Available From CAADS
Is your ADHC in compliance with the "HIPAA Omnibus Rule?"

New Requirements! || Order Form

Don’t forget, as of September 23, 2013, all ADHCs need to be in compliance with the “HIPAA Omnibus Rule” which implements changes required by the HITECH Act of 2009. Failure to have internal guidelines in place that comply with the new Rule can lead to fines and other sanctions. CAADS worked with Allan Jergesen of Hanson, Bridgett to produce a HIPAA Compliance Kit to help you quickly come into compliance with new HIPAA rules.


CAADS

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. CAADS was the first state association formed in the United States for the purpose of advancing adult day services. CAADS member-centers provide innovative day programs that support individuals with physical or mental disabilities and older adults with Alzheimer's disease and their families.

A nationally recognized leader in the field of aging, the Association is governed by the CAADS Board of Directors and provides advocacy, timely information, analysis, technical assistance, education, and networking opportunities for member organizations. CAADS members agree to abide by the Association's Bylaws and Code of Ethics. For more information on CAADS Membership click here!

CAADS Members Only page features Adult Day Services specific information:

  • State Budget Proposals
  • Medi-Cal Issues
  • Medicare and Medi-Cal Dual Beneficiaries News
  • Medi-Cal Managed Care Health Plans
  • Coordinated Care Initiative (CCI) and CalDuals Updates
  • CA Dept of Managed Health Care Updates
  • CA Dept of Public Health ADHC Licensing & Regulations
  • CA Dept of Social Services ADP Licensing & Regulations
  • Legislative Alerts and Advocacy
  • Funding Sources
  • Technical Assistance
  • Education / Training Materials / Webinar Recordings
  • CAADS Membership Roster

CAADS

The Alliance for Leadership and Education (A.L.E.) is a non-profit 501(c)(3) public benefit arm of CAADS. The A.L.E. 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. The organization is governed by the 7-member A.L.E. Board of Directors.

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California Association for Adult Day Services
1107 9th Street, Suite 701
Sacramento, California 95814-3610
TEL: (916) 552-7400 || FAX: (866) 725-3123
EMAIL:  caads@caads.org


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.


NSCLC Video Features
Adult Day Health Care

View Video
ADHC starts at 4:10 mark



MEDIA CORNER

Quick Links . . .
Videos/YouTube   ||  
Media Archives

Recent Coverage

California Healthline
AUG 18, 2014
Cascade of Bills Out of Appropriations; Many Due for Floor Votes This Week
Capitol Desk
David Gorn
Key Words
AB 1552 | Community Based Adult Services program | CBAS | adult day health care services

Camarillo Acorn
AUG 8, 2014
Health care district building strong foundation
Key Words
Adult Day Center Building Hope Renovation Project | Camarillo Health Care District

California Healthline
JUL 7, 2014
Lawsuit Slams the State's Duals Project
Capitol Desk
David Gorn
Key Words
Cal MediConnect | dual eligibles demonstration project | Coordinated Care Initiative

California Healthline
JUL 7, 2014
Lawsuit Slams the State's Duals Project
Capitol Desk
David Gorn
Key Words
Cal MediConnect | dual eligibles demonstration project | Coordinated Care Initiative

Quick Link . . .
Coverage Archives

 

Videos / YouTube

Your Money, Your Life
APR 14 & 15, 2014
What are Adult Day Services
Elder Law Attorney Ramsey A. Bahrawy interviews Amanda Sillars of Total ADHC Solutions
Part I
What Are Adult Day Services

Part II
Adult Day Services - a win, win, win opportunity
Part III
Resistance and Dementia
Part IV
Adult Day Services vs. Home Care: "It's about value"

PBS NewsHour
MAR 20, 2014
Innovating technology for the needs and health of elders
Featuring theInstitute on Aging

Marin Adult Day Health Care
JAN 29, 2014
"A Day in the Life":
LifeLong Medical Care's Marin Adult Day Health Care Center

SBSS AGEnts for Change
2014 Video Series
In Home Supportive Services: This Is Important

Safe and Secure Housing: We Can Do Better

The Falling Monologues
MAR 7, 2012
Full Length
Falling Monologues
37:18)
Segments
Introduction
(2:53)
The Ladder
(7:28)
The Bus
(7:31)
The Sidewalk
(6:28)
Scatter Rug
(5:15)
Don't Ask
(7:45)

Quick Link . . .
Coverage Archives

 

caads.org
Please Direct Questions and Comments to
caads@caads.org




Caring for a Veteran?

For help call

VA CAREGIVER SUPPORT LINE (toll-free):

1-855-260-3274

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

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To report fraud and abuse call

DHCS MEDI-CAL
FRAUD HOTLINE:

1-800-822-6222


The call is free and you can
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THE CAADS STAFF

 

Photo of Lydia Missaelides

Lydia Missaelides, MHA
Executive Director


Photo of Pamela Amundsen

Pamela Amundsen
Education & Events Manager


Photo of Kathryn Atkinson

Kathryn Atkinson
Membership & Communications Director


Photo of Coni Segretto-Ricci

Coni Segretto-Ricci
Office Assistant


Phyliss Regino
Office Assistant
(not pictured)


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