CAADS - California Association for Adult Day Services

Quick Links. . .

  •   CBAS   •   CCI / Cal MediConnect   •   Legal
  •   Member Associates (Vendors, Consultants, Health Plans, Networks)

Top-of-Mind . . .

Meeting Site/Lodging: Anaheim Marriott Suites | Garden Grove
Room Rate: $115, plus taxes | Room Reservations Deadline: 10/25/16

CAADS FALL CONFERENCE -- The Quality Imperative
NOV 16-18 | BROCHURE | REGISTRATION FORM (Fill-in / Write-on)
CE Order Form (Fill-in / Write-on) | Gift Basket Raffle Donor Form
Meeting Site/Lodging: Anaheim Marriott Suites | Garden Grove
Room Rate: $115, plus taxes | Room Reservations Deadline: 10/25/16

The CA Department of Aging (CDA) requires a pre-screening process for prospective applicants interested in being certified to provide Community Based Adult Services (CBAS). To learn more, click on What Are Adult Day Services on the navigation bar above, then scroll to the Community Based Adult Services (CBAS) section. To learn about CAADS membership, click here.

HELP II LOAN PROGRAM -- Affordable Capital
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

What's New . . . October 21, 2016

Social Security Administration Announces Cost of Living Adjustment (COLA) for 2017

OCT 21, 2016 | Justice in Aging | Income Network Alert | Fact Sheet

Social Security beneficiaries and SSI recipients will get a small raise at the beginning of the year, but it won’t be enough to increase their economic security.

On Tuesday, October 18, 2016, the Social Security Administration (SSA) announced that the cost of living adjustment (COLA) for 2017 will be a 0.3 percent increase for Social Security and Supplemental Security Income (SSI) benefits. As a result, the SSI federal benefit rate in 2017 will increase by $2 to $735 per month for an individual, and by $3 to $1,103 per month for an eligible couple. The estimated average monthly Social Security benefit payment will increase by $5 to $1,360 for retired workers, and by $4 to $1,300 for surviving spouses. Under the Social Security Act, the annual COLA is linked to the Consumer Price Index for wage earners (CPI-W). The CPI-W is calculated by the Department of Labor’s Bureau of Labor Statistics.

This marks the first COLA in two years, as there was no adjustment in 2016. The lack of a COLA in 2016 and the small COLA for 2017 reflect the low CPI-W inflation rates. These low rates are largely due to the ongoing slump in oil prices, which has resulted in little inflation in certain consumer expenses. The CPI-W gives more weight to transportation costs, and less weight to the health care and housing costs that typically account for a larger share of older Americans’ monthly expenses. Many organizations advocate for Congress to change the law to link the annual COLA for Social Security and SSI benefits to the experimental CPI-E, or Consumer Price Index for the elderly. Using the CPI-E instead of the CPI-W would take into account the actual expenses of older adults.

Final Medicare premiums for 2017 won’t be announced until next month; however, it is expected that all of the 0.3 percent increase to monthly Social Security benefits will go to pay for increases to Medicare Part B premiums, effectively preventing seniors from using those few dollars to cover the rising costs of any other goods or services they might need.

For more information from SSA on the COLA for 2017, visit:


CA Department of Public Health Announces Centralized Processing of Licensing Applications and Report of Change Requests

OCT 20, 2016 | Karen L. Smith, MD, MPH, Director and State Public Health Officer | California Health and Human Services Agency, California Department of Public Health

All Facilities Letter (AFL) 16-15

The California Department of Public Health Licensing and Certification Program (L&C) is consolidating the processing of licensing applications and report of change request to the Centralized Applications Unit (CAU) in Sacramento. On July 1, 2015, the California Department of Public Health Licensing and Certification Program’s (L&C) began centralizing the processing of licensing applications and report of change requests to CAU in Sacramento. CAU is centralizing one district office per month with complete centralization by February 1, 2017.

As of October 20, 2016, CAU has assumed the application and report of change request workload for the following district offices:

  • Los Angeles (four offices)
  • San Francisco
  • Chico
  • San Jose
  • Fresno
  • Riverside
  • Santa Rosa
  • San Bernardino
  • East Bay
  • Bakersfield

CAU will assume the remaining application and report of change request workload as follows:

          District Office and Start Date
          Ventura:   November 1, 2016
          Orange:   December 1, 2016
          San Diego North & South:   January 1, 2017
          Sacramento:   February 1, 2017

CAU will review and process the following for all facility types:

  • Initial/Renewal Applications
  • Change of Administrator or Designee
  • Change of Ownership (CHOW)
  • Indirect Changes in Ownership
  • Change of Location
  • Change of Stock
  • Change of Mailing Address
  • Change of Officers
  • Change of Name
  • Change of Beds
  • Adding/Deleting Services
  • Change of Director of Patient Care

Services (DPCS) Designee

CAU will review applications, assist facilities through the application approval process, and complete application approvals. Once CAU approves the licensing application and receives notification of the facility’s successful completion of the licensing survey (if applicable), CAU will issue the license to the facility. CAU will also forward the original application and a copy of the facility license to the appropriate L&C district office for final processing. L&C district offices will continue to perform any required licensing and certification surveys.

Please refer to application checklists for assistance in completing application packages. Checklists and required forms are available on L&C’s website:

Once CAU assumes the application and report of change workload for your designated L&C district office, please submit all requests to the following address:

California Department of Public Health
Licensing and Certification Program
Centralized Applications Unit
P.O. Box 997377, MS 3207
Sacramento, CA 95899-7377

For additional questions regarding the application approval process, contact CAU by phone at (916) 552-8632 or by email at


DEA Urging Consumers To Drop Off Their Unwanted Prescriptions

National Take Back Day

To find the nearest collection site, call 800-882-9529 or go to and click on the “Got Drugs?” icon to search by zip code.


Back and Knee Brace Scam -- New Medicare Fraud Alert Available in English, Spanish, Korean, Vietnamese, Russian, Chinese and Farsi

OCT 11, 2016 | Karen Fletcher | Senior Medicare Patrol

We’re getting several reports of beneficiaries receiving urgently marked post cards about their pending eligibility for Medicare-covered back and knee braces. We urge beneficiaries NOT to respond to these mailers and instead talk to their doctor if they need a brace.

Medicare only covers such equipment with a doctor's prescription if it is medically necessary, but scammers hope people don't know that. They just want beneficiaries' Medicare numbers to bill for services or equipment they never receive, or for much more expensive equipment than they receive. This has negative consequences both for Medicare's program integrity and for beneficiaries' access to entitled care and services.

Please share this fraud alert, also translated into Spanish, Chinese, Korean, Vietnamese, Russian and Farsi, with your colleagues and communities of elders. All will soon be posted on our website at:


CBAS Updates October 2016

OCT 7, 2016 | California Department of Aging CBAS Branch

Upcoming Training Opportunities!

  • Mark your calendars for the California Association for Adult Day Services (CAADS) Fall Conference, The Quality Imperative, November 16-18, 2016, at the Anaheim Marriott Suites in Garden Grove, CA.
  • Participate in the Pre-Conference Intensive, The New CBAS Individual Plan of Care (IPC), November 15, 2016, presented by the California Department of Aging (CDA) CBAS Branch in collaboration with CAADS providers.
  • Access the CAADS website for registration, conference, pre-conference and hotel reservation information. Contact CAADS if you have any questions (916) 552-7400 or Please Note: The hotel reservation deadline is October 25th.

The CAADS Fall Conference provides an important opportunity to learn about best practices, network with colleagues, hear presentations from the State about program requirements, and much more. CDA encourages all current and prospective CBAS providers to attend.

CDA will participate throughout the conference—during the general membership meeting; in breakout sessions on CBAS documentation, quality improvement, and the certification process for new centers; and in a plenary session focused on CBAS program and policy updates. Additional workshops will address substance use screening and treatment, person-centered care, quality through marketing, motivational interviewing, the care of persons with Down Syndrome and Alzheimer’s Disease, the PACE program, mindfulness in improving the quality of life of persons with dementia, and Medicare fraud and abuse.

Pre-Conference November 15th – “The New CBAS Individual Plan of Care (IPC)”

CDA has partnered with CAADS to provide this one-day intensive course pre-conference on November 15th to “roll out” the new ADHC/CBAS IPC and the new Standardized Participation Agreement slated for implementation statewide in early 2017. A year-long public participation process - made necessary by federal requirements under the State’s 1115 Waiver and new federal Home and Community Based Regulations - created the need for a renewed emphasis within the IPC on person-centered care planning and outcomes. While many elements in the new IPC will look familiar, fundamental changes in how the IPC is developed to incorporate person centered care principles will be critical in meeting state and federal requirements. Join us on the 15th for this in-depth and timely conversation.

We Hope To See You In November!


New Version of Advocates Guide to California's Coordinated Care Initiative

OCT 6, 2016 | Justice in Aging

The Coordinated Care Initiative (CCI)—including California's dual eligible demonstration project Cal MediConnect—is well underway in all seven CCI counties including Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara. There have been significant changes to the CCI since the release of Version Four of Justice in Aging's Advocates Guide to California's Coordinated Care Initiative in June 2015.

Version Five of the Guide includes:

  • A description of new and updated CCI policies
  • Additional advocacy tips
  • Evaluation results and new resources

If you have saved or printed Version Four, please replace it with Version Five, because the former now contains outdated information. To view the October 6, 2016 webinar video, Coordinated Care Initiative: Enrollment, Evaluation, and Updates, click here.


"Medicare Fraud Is a Crime Against Seniors and the Disabled"

OCT 3, 2016 | Karen Fletcher and Micki Nozaki | Senior Medicare Patrol

SMP blog-1 Open Enrollment
Medicare Annual Enrollment is just around the corner, beginning October 15th and ending December 7th. You will be bombarded with ads soliciting for your Medicare benefits.

Free Fraud Prevention Education
The California Senior Medicare Patrol offers free fraud prevention education throughout the state. Call 855-613-7080 to schedule a presentation.

See the SMP/Medicare fraud section of our website,, 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.


Two Californians -- Denise Peach and Amber Carey-Navarrete -- Receive National Award for Contributions to Adult Day Services

SEPT 22, 2016 | Indianapolis, IN

Chief, Community Based Adult Services Branch
California Department of Aging

Denise Peach receives NADSA award

The National Adult Day Services Association's 2016 John Heinz Memorial Award is named in honor of the late Senator John Heinz III in tribute to his efforts on behalf of Adult Day Services. The award recognizes a public official making an outstanding contribution to the field of Adult Day Services but not directly or indirectly responsible for the operation of an Adult Day Services program.

The 2016 recipient of the Senator John Heinz Memorial Award is Denise Peach, who has devoted 25 years to improving policy and regulatory oversight for the adult day health care program in California. She has provided exemplary leadership through many transitions and upheavals that the program has undergone, never wavering in her passion for and visions of the promise and deliverables that ADHC offers for low income seniors and younger adults with complex chronic conditions. Instead of “no” she says “let’s find a way."

Most notably, she was instrumental during the elimination of the entire ADHC program as a Medicaid benefit in 2011, to become the guiding force and leader to facilitate the transition of Community Based Adult Services program providers and beneficiaries into the newly minted into Medicaid managed care benefit beginning 2012 and continuing to this day. Denise represents all the best that could we wish for from a “public servant."

Program Director
Easter Seals Bellflower Adult Day Service

Amber Carey-Navarette receives NADSA award

The National Adult Day Services Association's 2016 Innovator Award recognizes an individual or an adult day center that introduces innovative practices, strengthening the adult day services business and moving adult day services forward in the 21st century. Amber Carey-Navarrete, program director with Easter Seals Bellflower Adult Day Service, in California, and My Second Home JEWEL Program in Mt. Kisco, New York, were both named for the 2016 Innovator Award.

Amber has been a shining star in her exemplary implementation of Person-Centered care at her center and within the Easter Seals team. The impact of her demonstration of outstanding person-centered skills has provided a transformation to the care rendered to the participants at the Easter Seals Bellflower Adult Day Center and beyond.

A myriad of positive results and outcomes have been accomplished, most notably people having more voice, input and control of their day service experience, increased attendance, increased independence, decreased incidents and ultimately greater satisfaction.

Amber’s impact on her team members has precipitated an increase in mutual respect and recognition of the person, their interests, preferences, and what they desire and require to have the highest quality life experience.


Next CCI Stakeholder Call Set for October 20

Please join the Department of Health Care Services (DHCS) for the next Coordinated Care Initiative (CCI) Stakeholder Update Call on October 20th. Originally scheduled for September, the call was rescheduled to provide a more robust update on the comprehensive strategy. During the call, we will review the latest Cal MediConnect enrollment information, report on the progress of the comprehensive strategy, and discuss other timely topics. We also would like to hear your feedback and answer your questions.

Date: Thursday, October 20, 2016
Time: 9:30 am - 10:30 am
Registration Link: Click here to register

Our ongoing dialogue with stakeholders is critical to the success of the CCI and we look forward to continuing our work together to improve health care for Californians.


Cal Duals Update -- SEPTEMBER 2016

SEPT 30, 2016 (PDF) (Word) |


New Blog on Senior Poverty

SEPT 28, 2016 | Source: Justice in Aging

The U.S. Census Bureau has released the official poverty statistics for 2015. Although the trends are positive and the poverty rate for seniors has decreased, the official statistics don’t tell the full story on senior poverty in the United States, especially as it relates to women and communities of color.

Digging deeper into the data reveals that the number of seniors living in poverty is still significant. In fact, the Supplemental Poverty Measure estimates that over 13% of adults over 65—approximately 6.5 million seniors—live in poverty. With numbers like this we cannot step away from our responsibility to ensure that seniors have the economic security they need to live with dignity. We must continue to talk about the problem of senior poverty and come up with solutions to address it.

Read the full post by our Directing Attorney of Economic Security Tracey Gronniger on our blog.


Proposed Settlement against Social Security for Basing Disability Decisions on Disqualified Doctor’s Reports

SEPT 26, 2016 | Source: Justice in Aging

Read about Justice in Aging’s work in the San Francisco Chronicle. The Chronicle article discusses a settlement that has been reached on behalf of approximately 6,500 California residents in the San Francisco Bay Area and Central Coast. If approved by the court, it will be the first-ever settlement against the Social Security Administration (SSA) to provide a large group of people with a remedy for SSA’s reliance on medical reports from a disqualified physician.

The class action lawsuit charged that the exam reports were unprofessional, and often incomplete and inaccurate. SSA continued to use this doctor’s reports to deny disability benefits for years, even after he was disqualified for failure to comply with notices of corrective action. The settlement agreement would give many who were examined by the now-disqualified doctor the option to have Social Security re-determine their disability claim—without using that doctor’s report.

The article reports the story of lead plaintiff Kevin Hart, and highlights the devastating personal impact when a government agency does not meet its obligations to the people it serves.

Plaintiffs are represented by Morrison & Foerster LLP, Justice in Aging, and the Legal Aid Society of San Mateo County.

Read more about the case in the press release.


Cal MediConnect: A Long Way to Go

SEPT 20, 2016 | Source: Justice in Aging

California’s dual eligible demonstration, Cal MediConnect, has been underway for over two years. Evaluation and enrollment data released to date identify both promising aspects and a number of areas where improvements are needed.

In this blog post, Cal MediConnect: A Long Way to Go, Justice in Aging summarizes key evaluation findings and enrollment trends that require focused attention from the Centers for Medicare and Medicaid Services (CMS) and California’s Department of Health Care Services (DHCS).

If Cal MediConnect is to fulfill its goal to deliver improved person-centered and integrated care, we must work collaboratively and directly to address the program’s current deficiencies while also systematizing best practices.


Advocacy Fund

Urgent help is needed to reach our fundraising goal of $45,000 to support efforts to restore Medi-Cal Funds! DONATE NOW to the California Adult Day Services State Advocacy Fund. (Contributions are NOT tax deductible). 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.

Board of Directors List | Bylaws | Code of Ethics | Anti-trust Policy | 2015 Annual Report

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


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.



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

Media Coverage

6/20/16 California Healthline
California Budget: Small Health Gains, Advocates Look To Nov. Ballot For Big-Ticket Items

4/12/16 California Healthline
State Junks $179 Million Medi-Cal IT System, Will Start From Scratch

Media Coverage

Alzheimer's Project wins $1 million federal grant
OCT 19, 2016
San Diego Union-Tribune
Paul Sisson
Alzheimer's disease | social workers | Alzheimer's Project | Administration on Aging | U.S. Department of Health and Human Services | case management | Alzheimer's San Diego

New California Law Will More Finely Parse Health Data on Asians
OCT 19, 2016
California Healthline
Pauline Bartolone
California Department of Public Health | Chinese, Japanese, Filipino, Korean, Vietnamese, Asian Indian, Laotian, Cambodian, Hawaiian, Guamanian and Samoan people | Bangladeshi, Hmong, Indonesian, Malaysian, Pakistani, Sri Lankan, Taiwanese or Thai | Pacific Islands of Fiji or Tonga

Report: States Increase Cost Controls To Manage Medicaid Growth
OCT 13, 2016
California Healthline
Phil Galewitz and Pauline Bartolone
Medicaid | managed care companies | shifting long-term services | Affordable Care Act | Medi-Cal

The Doctor Isn't In: Medi-Cal Patients Struggle To Find Primary Care
OCT 6, 2016
Sacramento Bee
Sammy Caiola
Medi-Cal Managed Care | Department of Health Care Services | Medi-Cal fee-for-service | Affordable Care Act | Health Access | 10 percent cut made to Medi-Cal reimbursement | Health Net

When The Blues Won't Let You Be
OCT 3, 2016
California Healthline
Anna Gorman
older adults | Patient-Centered Outcomes Research Institute | UCLA

Garden Grove nurses' house calls program helps seniors prolong independence
SEPT 6, 2016
Orange County Register
Lauren M. Whaley / Center for Health Reporting
Nurse navigator | Acacia Adult Day Services center | Medicare and Medicaid | Community Based Health Home | California Association for Adult Day Services | Medi-Cal | Alliance for Leadership and Education | SCAN Health Plan Community Giving | Health Homes for Patients with Complex Needs | Department of Health Care Services

Prior Coverage

Videos / Podcasts

Bayview Senior Services
David Baker Architects
HOME: The Dr. George W. Davis Senior Center and Residence [2:59 min]
If you like this video, please VOTE for HOME for the People's Choice Award!


South County Adult Day Services (SCADS)
KSBR 88.5 Podcast
Collage: South County Adult Day Services
[30:12 min]
South County Adult Day Services (SCADS) strives to enchance the lives of seniors and disabled adults. KSBR News Director Dawn Kamber wlcomes SCADS Program Director Glen Goldsmith and Executive Director Mallory Vega.


Institute on Aging
We believe the future should be something to look forward to, at every age.

[1:36 min]

If you like this video, please share and/or give it a thumbs up. To subscribe to IOA's YouTube channel, just click the "subscribe" button next to the logo below the video.


Insight Memory Care Center
Caregiver Cruise
Caregiver Cruise Video
Caregiver Cruise Blog


Easter Seals Supports Employment of Veterans
PSA Video Series
What to Wear
Morning Routine
The Bank


Abraham Verghese
A doctor’s touch
Physician and writer Abraham Verghese describes our strange new world where patients are merely data points, and calls for a return to the traditional one-on-one physical exam.


“Forget About Living Paycheck to Paycheck. Let’s talk about Day to Day”
1 in 5 senior women lives in poverty. Dollie, Myrtle, Sandy, and Lidia share stories about what life is like for low-income older women.


San Ysidro Health Center, Inc.
Caring for Our Greatest Generations
Celebrating SYHC’s 45th Anniversary


Your Money, Your Life
What are Adult Day Services
Elder Law Attorney Ramsey A. Bahrawy interviews Amanda Sillars of Total ADHC Solutions

What Are Adult Day Services

Adult Day Services - a win, win, win opportunity

Resistance and Dementia

Adult Day Services vs. Home Care: “It's about value”


PBS NewsHour
Innovating technology for the needs and health of elders
Featuring Institute on Aging


Marin Adult Day Health Care
“A Day in the Life”: LifeLong Medical Care’s Marin Adult Day Health Care Center


The Falling Monologues

Full Length
The Falling Monologues

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


Photo of Lydia Missaelides

Lydia Missaelides, MHA
Executive Director

Photo of Kathryn Atkinson

Kathryn Atkinson
Membership & Communications Director

Photo of Sherice Dean

Sherice Dean
Education & Events Manager

Photo of Coni Segretto-Ricci

Coni Segretto-Ricci
Office Assistant

Phyliss Regino
Office Assistant
(not pictured)
Please Direct Questions and Comments to

Home || About CAADS || What are Adult Day Services || Find A Center || Join Now
Advocacy || Meetings || Members Only || About ALE || JobLine || Publications || Links
Conference Brochure