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Action Planning | Registration information coming soon!
Past webinar recordings / handouts order form: Write-on :: Fill-in

Transforming the Continuum of Care | DoubleTree Anaheim—Orange County
Invitation to Exhibit & Contract | Sponsorship Opportunities
Registration information coming soon!

The HELP II Loan Program, administered by the California Health Facilities Financing Authority (CHFFA) within the State Treasurer’s Office, offers low cost loans to assist eligible health facilities wanting to expand and improve services to their clients and the greater community. Learn more at www.treasurer.ca.gov/chffa/programs/help.

Fact Sheet: California
Changing Medicaid to a Block Grant or Per Capita Cap Could Hurt Californians
AARP Public Policy Institute | Fact Sheet 404 | Brendan Flinn | MAR 2017

What's New . . . JULY 21, 2017

Take Action to Stop the Repeal Effort Dead in its Tracks

JUL 21, 2017 | Justice in Aging

SENATE REVIVES ACA REPEAL EFFORT & PLANS VOTE FOR TUESDAY

Given the high degree of uncertainty about what would happen during the amendment process once a bill is introduced, we need to stop that process from beginning. Today is a National Call-In Day to protect our care and save Medicaid. Ask your Senators to publicly commit to voting “no” on the motion to proceed and to start a new, bipartisan process to improve care for seniors.

1. Call your Senators TODAY at 202-224-3121.


2. Urge your Governor to publicly oppose any bill that strips coverage & cuts Medicaid. Find their numbers here.


3. Tweet & post state-specific facts about how these bills harm older adults using our toolkit. Tag your lawmakers and local media. Use #VoteNo, #SaveMedicaid, #NoCutsNoCaps, #ProtectOurCare, #KilltheBill

These state-specific fact sheets for all 50 states will help you make your case. All of our analyses and resources on the possible changes to Medicaid and the ACA are available here.

CBO scores new repeal-and-delay bill, says it would increase uninsured by 32M

JUL 19, 2017 | Fierce Healthcare | Article by Leslie Small

Republicans’ latest iteration of a healthcare bill—now dubbed the Obamacare Repeal Reconciliation Act of 2017—would increase the number of uninsured individuals by 32 million and double individual market premiums by 2026, according to the Congressional Budget Office.

The just-released bill (PDF) is an updated version of the 2015 “repeal-and-delay” bill that congressional Republicans passed—and President Barack Obama vetoed. It emerged under a new name on Wednesday, followed in short order by a CBO score that closely mirrors the agency’s projections about the original bill.

Like its predecessor, the new GOP bill would be a partial repeal of the Affordable Care Act, rolling back some of its core provisions—including Medicaid expansion, subsidies for individual marketplace plans and several of the law’s taxes—effective in 2020. That delay is meant to give Republicans time to come up with an ACA replacement.

Justice in Aging's Statement on Senate ACA Repeal Efforts

JUL 18, 2017 | Justice in Aging

Senate leadership has announced that they will no longer move forward with the Better Care Reconciliation Act (BCRA) of 2017. Instead, they seek to proceed to a vote to immediately repeal the Affordable Care Act, and delay replacement to a later date.

While we are relieved that the BCRA, and its unprecedented cuts to Medicaid, is off the table, repealing the ACA remains a terrible idea that would harm older adults—especially in the absence of a meaningful replacement bill.

Analysis of past ACA repeal bills showed over 30 million Americans losing health coverage over the next ten years, including 19 million currently covered through Medicaid expansion and 4.5 million adults age 55-64. Premiums would skyrocket as the tax credits that help seniors and people with disabilities purchase insurance would end.

Seniors would also face unaffordable costs. Should Congress or the Administration refuse to fund the cost-sharing reductions that lower deductibles and copayments for nearly 70% of marketplace consumers ages 50-64, their out-of-pocket costs alone could rise by up to $4,500.

Under repeal, critical ACA funding that helps adults age 65 and older and people with disabilities stay in their homes would end. Repealing the Community First Choice program would result in $19 billion in cuts to Medicaid in-home care.

Further, repealing the ACA would decrease Medicare revenues and shorten the life of the Medicare Trust Fund, putting health care for generations of older adults in jeopardy.

It’s time for lawmakers to stop trying to take health care away from people and instead work together in a bipartisan way to lower costs and improve care for everyone, as promised.

Major Threat: How the Better Care Reconciliation Act Jeopardizes Medicaid Home- and Community-Based Services

JUL 14, 2017 | AARP Public Policy Health Care Update | Insight on the Issues

The Better Care Reconciliation Act (BCRA) puts Medicaid home- and community-based services (HCBS) on the chopping block. The proposed demonstration program for Medicaid HCBS, included in the revised version of the Senate Bill on July 13, does not change the big picture. According to new analysis from the AARP Public Policy Institute, states may cut Medicaid HCBS by as much as $46 billion in 2026 to stay within their allotted per capita caps-- a 22 percent cut. Read the new Insight on the Issues to learn more and find out the potential impact on your state.

CAADS FALL CONFERENCE & ANNUAL MEMBERSHIP MEETING
Transforming the Continuum of Care
NOV 6-8, 2017

DoubleTree Anaheim—Orange County

Invitation to Exhibit & Contract  ||  Sponsorship Opportunities || Event Brochure Coming Soon!

  • Potential Changes to Medicare and Medi-Cal Financing
  • Operationalizing the New IPC with CDA Guidance
  • Implementation of Person Centered Care
  • A Deeper Dive into Best Practices for CBAS and ADP Providers
  • New Research Affecting Brain Health

New Issue Brief: Proposed Medicaid Cuts Threaten Medicare Savings Programs

JUL 10, 2017 | Justice in Aging Health Network Alert | Issue Brief

For low-income older adults who are eligible for Medicare but can’t afford the premiums, co-pays, and deductibles, Medicare Savings Programs (MSPs) have been a lifeline--making it possible for millions to get Medicare-covered care. However, the huge cuts to Medicaid that both the House and Senate ACA-repeal plans propose could cause states to limit participation in the program, causing many to be priced out and lose access to care. MSPs currently reach over 7 million people with Medicare. Many are too poor to afford Medicare but do not qualify for other Medicaid programs. This issue brief discusses how the program is structured and administered and outlines how cuts in Medicaid could force cuts to the program.

Understanding the Senate’s Better Care Reconciliation Act of 2017 (BCRA): Key Implications for Medicaid

JUN 28, 2017 | Jocelyn Guyer, April Grady, and Kevin McAvey, Manatt Health
Analysis | BCRA State-by-State Chartbook Cover Memo

Senate leadership has released a proposed substitute for the House-passed American Health Care Act (AHCA) known as the Better Care Reconciliation Act of 2017 (BCRA) that eliminates enhanced funding for Medicaid expansion after a three-year phase out, establishes a cap on federal Medicaid funding for nearly all beneficiaries and services, and makes a number of other changes to Medicaid. Using the Manatt Medicaid Financing Model, this analysis estimates the state-by-state impact of the cap on Medicaid and elimination of enhanced funding for expansion, taking into account that states may respond to the proposed law in a number of different ways. Manatt has also provided a cover memo to explain the data and assumptions.

Donations for National Level Advocacy Needed Now!

JUN 30, 2017 | Lisa Peters-Beumer, Chair | National Adult Day Services Association/NADSA

With the White House and Congressional members working on reversing 50 years of health policy and safety net programs, it is more important than ever that we work together to protect and advance the mission of Adult Day Services (ADS). The U.S. House has already voted to cut Medicaid funding by 33% over the next decade by forcing states to pick up more of the cost of Medicaid services. The Senate is working on its version of “repeal and replace” the Affordable Care Act and Medicaid is a target.

Deep funding threats to Medicaid and other entitlement programs for our most vulnerable populations are real and deeply concerning.

That is why NADSA has launched an Advocacy/Public Policy Initiative to raise funds needed to increase our visibility in Congress and the Executive Branch, strengthen our voice on national policy issues, and support Adult Day Services providers in serving clients and families. The most important thing we can do together is to support advocacy that none of us can do alone.

NADSA’s Advocacy/Public Policy initiative has five main objectives:

• Support NADSA’s legislative presence with Congress and the Executive Branch to fight deep Medicaid funding cuts and advance the expansion of Adult Day Services as a Medicare benefit;
• Ensure that NADSA has strong visibility on the national stage with organizations that impact ADS and participants and families;
• Help NADSA work with state associations to strengthen ADS advocacy in communities across the United States;
• Support the creation and dissemination of ADS advocacy materials and tools for NADSA members and to strengthen ongoing communications on policy issues; and
• Strengthen and enhance NADSA’s annual Policy Event in Washington D.C.

While it is an uncertain time for health-related issues, there are also opportunities to make a difference. Nearly 50 advocates joined us for our annual Public Policy Event in Washington D.C. this May and were well-received by members of Congress. Our work on gaining support for Veteran’s services is realizing success. We have momentum in our favor but the threat of deep funding cuts are all too real.

There has never been a greater need for NADSA to invest in building its public policy and advocacy capacity.

To do this, we need your financial support. We need resources beyond what dues provide to ensure that current Medicaid funding is protected from deep cuts, and, also to achieve our goal of ADS as a Medicare benefit.

Now is the time to act. Any donation amount is appreciated.

Please go on-line to http://www.nadsa.org/donate/ and contribute. We will acknowledge your contribution on the NADSA website and continue to keep you apprised of our work protecting and championing ADS.

NEW Registration Link - CCI Stakholder Call: July 20, 2017

JUN 28, 2017 | Health Care Delivery Systems, CA Department of Health Care Services

On June 21, the Department of Health Care Services announced the next Coordinated Care Initiative Stakeholder Call. The format of the call has changed to a webinar and we have updated the registration link.

If you previously registered for the call, you must re-register using the link provided below in order to participate. We apologize for any inconvenience this may have caused.

Date: Thursday, July 20, 2017
Time: 10 a.m. - 11 a.m.
Register: Updated Registration Link

Please send questions and comments to info@calduals.org. As always, thank you for your interest and engagement as we work on this initiative.

Cal Duals Coordinated Care Initiative Monthly Update
JUNE 2017

PDF | Word

Cuts to SSI in Trump Budget Push Older Adults into Poverty

JUN 21, 2017 | Justice in Aging Income Network Alert | Issue Brief

Trump’s Fiscal Year 2018 budget aims to cut nearly $1 billion per year from SSI recipients’ benefits by creating a sliding scale for multi-recipient SSI families.

This is terrible policy. Our new issue brief Cuts to Multi-Recipient Households Push Older Adults & Their Families Deeper into Poverty outlines who’s most affected and discusses how these cuts would discourage families with older adults and people with disabilities from helping one another out by sharing their homes. The cuts would push already poor families deeper into poverty, force people onto the streets or into institutions, and result in costly administrative burdens for the Social Security Administration (SSA).

Governor and lawmakers reach final deal on new state budget

JUN 13, 2017 | Los Angeles Times | Melanie Mason and John Myers

With a deadline looming, there's a deal between Gov. Jerry Brown and lawmakers on a new state budget

Your Donations Help!

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

• CAADS STATE ADVOCACY FUND
• CAADS MANAGED CARE CONSULTING FUND
• ALE NINA M. NOLCOX SCHOLARSHIP FUND

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. CAADS was the first state association formed in the United States for the purpose of advancing adult day services. 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.

A nationally recognized leader in the field of aging, the Association is governed by the CAADS Board of Directors and provides timely information, analysis, advocacy, technical assistance, education, and networking opportunities for its members. CAADS members agree to abide by the Association's Bylaws, Code of Ethics, and Anti-trust Policy.

VIEW:
CAADS Board of Directors: 2017
CAADS Annual Report: 2016 | 2015
Bylaws | Code of Ethics | Anti-trust Policy

The CAADS Members Only page features information and technical assistance specific to Adult Day Services, as highlighted below. For membership information, click here.

• State Budget Proposals, Legislative Alerts & Advocacy
• CBAS Waiver
• Medi-Cal Issues
• Medicare and Medi-Cal Dual Beneficiaries News & CCI / CalDuals Updates
• Managed Care Health Plans & CA Dept of Managed Health Care Updates
• ADHC / CBAS Licensing & Regulations (DPH, DHCS, CDA)
• Adult Day Program (ADP) Licensing & Regulations (DSS, CCLD)
• Funding Sources
• Education & Training Materials / Webinar Recordings
• Membership Roster

The 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.

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NATIONAL ADULT DAY SERVICES ASSOCIATION (NADSA)

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.

CARING FOR A VETERAN?

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

1-855-260-3274

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

TO REPORT FRAUD AND ABUSE

Call DHCS Medi-Cal Fraud Hotline:

1-800-822-6222

The call is free and you can remain anonymous.

FREE FRAUD PREVENTION EDUCATION

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 www.cahealthadvocates.org, for more information on ways to protect yourself from healthcare fraud and how to detect it.

If you come across any suspicious activity,

PLEASE REPORT IT AT

855-613-7080

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CAADS STAFF

Lydia Missaelides, MHA
Executive Director

Kathryn Atkinson
Membership & Communications Director

Sherice Dean
Education & Events Manager

Coni Segretto-Ricci
Office Assistant