CAADS - California Association for Adult Day Services

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CalOptima Is Top-Ranked Medi-Cal Plan in California

SEPT 18, 2014 | CalOptima

CalOptima is California’s top-ranked Medi-Cal health plan, according to the NCQA’s Medicaid Health Insurance Plan Rankings 2014–2015, released September 18. Serving more than 600,000 low-income residents in Orange County, CalOptima is 1st in the state and 29th nationwide among the 136 Medicaid plans that were ranked. The NCQA rankings are based on standardized, third-party-audited data regarding health care quality and customer satisfaction, as well as NCQA accreditation scores.

To view the NCQA Medicaid plan rankings, click here and select “Medicaid” at the top of the page.

DHCS Director Douglas to Step Down by Year End

SEPT 12, 2014 | Announcement letter from HHS Secretary Dooley

Toby Douglas will step down as Director of the Department of Health Care Services by the end of the year, ending a four-year term during which he led the state's Medi-Cal program through unprecedented change and growth as California embarked the Affordable Care Act and expanded coverage for millions of uninsured residents.

Coordinated Care Initiative (CCI)

SEPT 8, 2014 | CCI Outreach Weekly Update | CalDuals Enrollment Data Online | CalDuals
SEPT 16, 2014 | 1:00 PM - 2:00 PM (PDT) | CCI Stakeholder Update Webinar

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

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

Be a part of the CAADS Fall Conference -- here's how:

Attention Nurses! Register for this specialized training from 4 to 6 PM on November 17:
Medication Reconcilation: Ensuring effective responses through standardized medication reviews

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 |

Data Briefs Released for 2012 National Study of Long Term Care Providers

SEPT 2014 | National Study of Long Term Care Providers (NSLTCP)

The Long-Term Care Statistics Branch released adult day services-specific state web tables, using data from the first wave of the National Study of Long-Term Care Providers (NSLTCP) conducted in 2012. NSLTCP is a new initiative by the National Center for Health Statistics (NCHS) to provide reliable, accurate, relevant and timely statistical information to support and inform long-term care services policy, research, and practice. Read more. . .

AB 1552 (Lowenthal) CBAS Preservation Bill Passes Legislature Unanimously
Next, Governor Brown Needs to Hear from Community Members!

AB 1552 is sponsored by CAADS and is intended to assure that CBAS exists as a Medi-Cal managed care benefit within the state’s 1115 “Bridge to Reform” Waiver as well as in the absence of the waiver, should it ever expire or not be renewed.

AB 1552 passed the Legislature on August 22, after passing through five committees and both houses, all with unanimous support. Thank you to all our friends for standing up for CBAS as a Medi-Cal benefit. However, the bill is opposed by the Department of Health Care Services, which has called it “unnecessary.”

We need overwhelming communication from all CBAS supporters to Governor Brown that AB 1552 is important and should be signed into law. Please send your own brief letter of support to the Governor via FAX to: (916) 558-3160. The Governor has until September 26, 2014 to act on AB 1552. To view CAADS’ letter of support to the Governor, click here.

Can Reality Match Rhetoric? Person Centered Service Planning in Managed Long-Term Services and Supports

AUG 2014 | National Senior Citizens Law Center (NSCLC)

Person-centered planning is critical to the well-being of consumers of long-term services and supports. It works by identifying the strengths preferences, needs, and desired outcomes of the individual. In order for person-centeredness to be more than an empty slogan, it must be accompanied by substantive standards set forth in managed care organization (MCO) contract language. Some states have begun to include person-centered planning requirements in their contracts, but more work is needed before all states have a full framework. Read more. . .

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. . .

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 You can also call Medicare at 1-800-MEDICARE (1-800-633-4227) or visit 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 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

  • 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

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.


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,

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.


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


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.


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

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


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Videos/YouTube   ||  
Media Archives

Recent Coverage

Sonoma County Gazette
SEPT 15, 2014
Palm Drive Health Care District Community Listening Results
Daymon Doss
Key Words:
Adult day health | Adult day center

Whittier Daily News
SEPT 10, 2014
PIH Health to close adult day care center in La Mirada
Mike Sprague
Key Words:
A Day Away Adult Health Center | PIH | adult day health care center

SEPT 2, 2014
GRAY MATTERS: Redwood Coast PACE opens its doors
Program focuses on keeping frail elders living at home
By Carol Harrison
Key Words:
PACE | Humboldt Senior Resource Center | Program of All-inclusive Care for the Elderly

Broadway World /
AUG 20, 2014
The Pacific Symphony to Collaborate on New Projects with Age Well Senior Services, Orange County Rescue Mission and The Center for Autism and Neurodevelopmental Disorders
Key Words:
Age Well Senior Services | Adult Day Health Care |

California Healthline
AUG 18, 2014
Capitol Desk
Cascade of Bills Out of Appropriations; Many Due for Floor Votes This Week
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

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
The Ladder
The Bus
The Sidewalk
Scatter Rug
Don't Ask

Quick Link . . .
Coverage Archives
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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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