Click HERE to visit CAADS COVID-19 RESOURCES
PLEASE NOTE: As the situation evolves, CAADS will continue to gather and add trusted resources to this page.
- ALL Meetings/Webinars will continue to be announced on our MEETINGS page
- ALL State Dept. updates will continue to be posted below in the "What's New" section
- PLEASE CHECK OFTEN FOR UPDATED INFORMATION IN THESE 3 LOCATIONS
Thank you! Stay healthy and safe! ~ CAADS Staff
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COVID-19 OPERATIONAL GUIDANCE FOR CAADS MEMBERS
MAR 23, 2020 | CAADS & A.L.E. | GUIDANCE
Steps for centers to take during the week of March 23, if planning for alternative services
PLEASE READ THE ENTIRE GUIDANCE document HERE
MAR 30 | 10 - 11:30 AM PDT | CAADS WEBINAR:
Coronavirus (COVID-19) Emergency Update Webinar Series
This is a webinar series that will be offered for the next 4 Mondays
Beginning Monday, March 30, 2020
(Part 1 – March 30 | Part 2 – April 6 | Part 3 – April 13 | Part 4 – April 20)
All webinars will begin at 10:00 AM and are scheduled for 90 minutes to allow time for Q&A
CAADS Members: No Charge for the entire series
Non-member: March 30 is FREE, $25 per registrant/email address, per remaining date(s)
VIEW the WEBINAR ANNOUNCEMENT for details on accesing the call
Registration Questions: Contact Pamela Amundsen, Manager of Education & Events email@example.com
APR 2, 2020 | CAADS WEBINAR: Infection Control
Additional details available soon!
April 15-17 | CAADS SPRING CONFERENCE
CAADS has made the difficult decision to postpone the 2020 Spring Conference, originally scheduled for April 15 - 17, 2020, at the Hilton Hotel in Concord, CA. More details on future plans will be shared as they become available.
What's New . . . March 30, 2020
Guidance for Community-Based Adult Services (CBAS) In Response to COVID-19 Public Health Emergency
MAR 28, 2020 | Ca. Dept. for Aging - CBAS | ACL 20-06
This All Center Letter (ACL) provides policy guidance for the temporary provision of CBAS services telephonically, in participants’ homes, and individually in centers, in lieu of congregate services provided at CBAS centers. This guidance is provided in context to the public health stay at home orders in response to the COVID-19 outbreak. This ACL outlines mechanisms for providing services to CBAS participants now remaining at home. It outlines service options that may be delivered by CBAS providers in lieu of traditional CBAS services during the period of this current public health emergency. Finally, the ACL addresses approval and reporting requirements under consideration for reimbursement of these temporary services.
Our goal is to continue to partner with CBAS providers, enabling you to redesign service delivery to those at greatest risk, in the safest possible manner during this time of COVID-19 outbreak.
PLEASE READ THE ENTIRE ACL-20-06 HERE
Regulatory Update for Social Worker Definition and Services
MAR 26, 2020 | Ca. Dept. of Public health (CDPH) | AFL 20-29
This AFL informs ADHCs, ICFs, ICF/DDs, HHAs, and referral agencies of updated regulations, effective April 1, 2020. The updated regulations define "social worker," including the "services" a social worker can provide.
NOTE OF CAUTION FROM LYDIA MISSAELIDES:
This AFL does not change ADHC social work definition. It restates what is in statute H&S code 1570. 7 (p) and reiterates that unlicensed people have to stay within their scope of practice.
Temporary Suspension of Monthly Statistical Summary Report (MSSR) Reporting
MMAR 26, 2020 | Ca. Department of Aging (CDA) CBAS Branch | ACL 20-05
This All Center Letter (ACL) is to notify CBAS providers of the temporary suspension of MSSR reporting.
CBAS providers are required to submit the MSSR by the 10th of each month, for the previous month’s data, to the CDA CBAS Branch. The current COVID-19 pandemic has had a significant effect on CBAS provider operations, resulting in the temporary halt or redesign of service delivery to participants.
What Does This Mean for CBAS Providers?
Due to these unprecedented circumstances statewide, CDA is suspending the monthly MSSR reporting requirement for 60 days. This suspension is in effect for the reporting periods of March and April. CDA will provide further guidance should this suspension need to be extended.
Please contact the CBAS branch if you have any questions: (916) 419-7545; firstname.lastname@example.org
Guidance for Limiting the Transmission of Coronavirus Disease 2019 (COVID-19) in Adult Day Health Centers (This AFL supersedes AFL 20-27)
MAR 23, 2020 | Ca. Dept. of Public Health (CDPH) | AFL 20-27.1
This AFL provides guidance for adult day health centers (ADHCs) to mitigate and prevent the transmission of COVID-19.
- This AFL supersedes AFL 20-27 to update gathering and visitation guidance.
PLEASE READ THE ENTIRE AFL-20-27.1 HERE
REVISED: Temporary Community-Based Adult Services (CBAS) In Response to COVID-19 Public Health Emergency – Guidance Forthcoming, PENDING CMS Approval
MAR 23, 2020 | Ca. Dept. for Aging - CBAS | ACL 20-04, Revised
This All Center Letter (ACL) is to notify you that CDA will be issuing policy guidance in the form of an ACL, pending CMS approval for the temporary provision of CBAS services, including telephonic and in-home, in lieu of congregate services. Guidance for Provision of CBAS Services Pending CMS Approval
PLEASE READ THE ENTIRE ACL-20-04, Revised HERE
GOVERNOR'S LETTER TO PRESIDENT TRUMP - March 22, 2020
MAR 23, 2020 | CALIFORNIA DISABILITY-SENIOR COMMUNITY ACTION NETWORK (CDCAN) | LETTER
Requesting Presidential Major Disaster Declaration for California
CCLD has released a new Provider Information Notice: PIN 20-07-CCLD SUSPENSION OF ALL ANNUAL INSPECTIONS TO ALLOW TECHNICAL ASSISTANCE FOR LICENSEES REGARDING THE CORONAVIRUS 2019 DISEASE (COVID-19)
MAR 21, 2020 | Ca. Dept. of Social Services - CCLD | PIN 20-07-CCLD
ALL COMMUNITY CARE LICENSED PROVIDERS
PIN 20-07-CCLD announces the suspension of all community care licensing annual inspections to allow the Community Care Licensing Division (CCLD) focus its resources on containing and mitigating COVID-19 impacts. This PIN also announces that a Licensing Program Analyst (LPA) and a registered nurse from the California Department of Public Health (CDPH) will jointly make scheduled visits to every Residential Care Facility for the Elderly and Adult Residential Facility to provide technical assistance.
If you have any questions regarding this PIN, please contact your local Regional Office.
Department of Health Care Services (DHCS) sent a request for approval for additional Section 1135 Waiver flexibilities
MAR 19, 2020 | Ca. Dept. of Health Care Services (DHCS) | Letter
A brief note from CAADS Executive Director, Christin Hemann, MAG:
We know that over the past two weeks, in response to COVID-19 Adult Day Centers have had to quickly evaluate their evolving situation and figure out what to do. Those decisions have not come easily, especially as centers continue to have to adapt to meet their evolving needs during this time. CAADS has been in close communication with all of our state partners, and they have been working very hard to provide assistance and guidance to centers and share the same commitment to continue to provide services for our state’s most at risk population.
On Thursday, March 19th the Department of Health Care Services (DHCS) sent a request for approval for additional Section 1135 Waiver flexibilities related to COVID-19 to the Centers for Medicare and Medicaid Services (CMS). These flexibilities are in addition to the request submitted from DHCS on March 16, 2020. Because circumstances surrounding the COVID-19 emergency remain quite fluid, DHCS may subsequently request approval for additional flexibilities as the needs arise.
Please note that on page two of the waiver request, DHCS requests flexibility for the Community-Based Adult Services (CBAS) Benefit and Individual Plan of Care. And, page three requests approval for payments to network providers where telehealth/telephonic service is medically appropriate and feasible. It’s important to note that CMS approval is pending, and DHCS would need approval of the 1135 Waiver before they can issue any guidance.
Events are moving at a rapid pace, and CAADS will continue to provide our members with the most up to date COVID-19 information and guidance as we receive it.
STATEWIDE WAIVERS FOR LICENSING REQUIREMENTS DUE TO CORONAVIRUS DISEASE 2019 (COVID-19)
MAR 18, 2020 | Ca. Dept. of Social Services (CDSS) | PIN 20-08-ASC
SUMMARY: PIN 20-08-ASC provides guidance to Adult and Senior Care (ASC) licensees regarding
the implementation of updated or additional statewide waivers for certain licensing statutes and regulations.
The situation surrounding the Coronavirus Disease 2019 (COVID-19) continues to rapidly change. This PIN provides updated or additional statewide waivers for certain licensing requirements applicable to ASC settings without the need for providers to make an individual request, and subject to the waiver terms and conditions set forth in this PIN.
Read the entire PIN 20-08-ASC HERE
DEPARTMENT DIRECTIVE ON REQUIREMENTS WAIVED DUE TO COVID-19 AND ADDITIONAL GUIDANCE
MAR 18, 2020 | Health & Human Services Agency - DDS | LETTER
Primary Audience: REGIONAL CENTER EXECUTIVE DIRECTORS
This supersedes the March 18, 2020, correspondence on this subject.
Pursuant to Governor Gavin Newsom’s Proclamation of a State of Emergency dated March 4, 2020, and Governor Newsom’s Executive Order N-25-20 issued on March 12, 2020, the Director of the Department of Developmental Services (Department) issues this Directive to regional centers waiving certain requirements of the Lanterman Developmental Disabilities Services Act (Lanterman Act) and/or certain provisions of Title 17, Division 2 of the California Code of Regulations (Title 17). The Department recognizes that to ensure the health, welfare and safety of regional center consumers and the general population, there may be instances where consumers, regional centers, and service providers will need flexibility to receive and provide services and supports.
The intent of this Directive is to provide regional centers and service providers the greatest flexibility to support consumers and their families. Services to individuals are a priority and regional centers and service providers are working with their consumers and community to identify alternative approaches to support those in greatest need during this unprecedented time.
Read the ENTIRE Letter HERE
CCLD has released PIN 20-06-CCLD CANCELLATION OF COMMUNITY CARE LICENSING MEETINGS
MAR 18, 2020 | Ca. Dept. of Social Services - CCLD | PIN 20-06-CCLD
- ALL COMMUNITY CARE PROVIDERS
- ALL CCLD STAFF
PIN 20-06-CCLD provides information to all Community Care Licensing Division (CCLD) program staff regarding cancellations of all public meetings due to the spread of COVID-19.
If you have any questions regarding this PIN, please contact your local Regional Office.
The Master Plan for Aging Update
MAR 18, 2020 | Ca. Dept of Aging - Master Plan for Aging
In light of the COVID19 developments, the California Department of Aging (CDA) is temporarily pausing its Master Plan for Aging (MPA) activities through the remainder of the month of March. This will allow for efforts and resources to focus on protecting California’s older adults, people with disabilities, families, caregivers, and providers from COVID19. CDA will provide further updates on the MPA process in due course. Please note that the following upcoming activities are postponed (future dates TBD):
- March 19 Research Subcommittee Meeting
- March 18 & March 25 Webinar Wednesdays (Topics: Civic & Social Engagement and Geriatric Medicine Workforce)
- Submission of the final Long-Term Services and Supports Stakeholder Report to the Administration
We are grateful for your understanding and continued engagement in the MPA. Please keep yourselves and your community safe and healthy by following the COVID19 guidance issued by the California Department of Public Health. You may also visit CDA’s homepage for regularly updated links for information specific to those most at risk, including those with access and functional needs, older adults, and people with disabilities.
For additional information, please contact MPA Project Director Amanda Lawrence, Amanda.email@example.com
The MPA Team
Frequently Asked Questions - #2
Guidance for the Multipurpose Senior Services Program (MSSP) for Coronavirus Disease 2019 (COVID-19)
MAR 17, 2020 | Ca. Dept. for Aging - MSSP | MSSP FAQ #2
PLEASE READ THE ENTIRE Frequently Asked Questions - #2 HERE
REQUEST FOR SECTION 1135 WAIVER FLEXIBILITIES RELATED TO NOVEL CORONAVIRUS DISEASE (COVID-19) NATIONAL EMERGENCY/PUBLIC HEALTH EMERGENCY
MAR 16, 2020 | Dept. of Health Care Services (DHCS) | Letter to CMS
The Department of Health Care Services (DHCS) writes to request approval for the below detailed flexibilities under Section 1135 of the Social Security Act (42 U.S.C. § 1320b-5) as related to the Novel Coronavirus Disease (COVID-19). As you know, the COVID-19 outbreak was declared a national emergency on March 13, 2020, and was
previously declared a nationwide public health emergency on January 31, 2020 (retroactive to January 27, 2020).
Read the ENTIRE LETTER HERE
1135 Waiver At A Glance
And in related news, as of MAR 17, 2020: CMS Approves First State Request for 1135 Medicaid Waiver in Florida
PREVENTION, CONTAINMENT, MITIGATION MEASURES, AND STATEWIDE WAIVER FOR CORONAVIRUS DISEASE 2019 (COVID19)
MAR 13, 2020 | Ca. Dept. of Social Services (CDSS) | PIN 20-07-ASC
While the situation surrounding the Coronavirus Disease 2019 (COVID-19) continues
to rapidly change, this PIN provides general recommendations for prevention,
containment, and mitigation of COVID-19 for ASC facilities and guidance regarding a
statewide waiver for certain licensing requirements.
Note: At the time of this PIN’s release, the State of California is implementing
mitigation measures. Please see Scenario Three (3) below.
Always follow any guidance or instructions from health care providers, the Federal
Centers for Disease Control and Prevention (CDC), the Centers for Medicare and Medicaid Services (CMS), the California Department of Public Health (CDPH), and local health departments.
Read the entire PIN 20-07-ASC HERE
California Employment Development Department Issues New Coronavirus Guidance
MAR 13, 2020 | JDSupra | FULL ARTICLE with Links
Topics covered include:
- Sick or Quarantined
- Reduced Work Hours
- Workplace Health and Safety
- Reduced Work Hours
- Potential Closure or Layoffs
- Tax Assistance
COMMUNITY CARE LICENSING DIVISION E-MAIL ADDRESS FOR CORONAVIRUS DISEASE 2019 (COVID-19)-RELATED QUESTIONS
MAR 11, 2020 | Ca. Dept. of Health and Human Services (CHHS-CCLD)
CCLD has released a new Provider Information Notice: PIN 20-05-CCLD (COMMUNITY CARE LICENSING DIVISION E-MAIL ADDRESS FOR CORONAVIRUS DISEASE 2019 (COVID-19)-RELATED QUESTIONS).
ALL COMMUNITY CARE FACILITY PROVIDERS AND LICENSEES
PIN 20-05-CCLD announces a dedicated Community Care Licensing Division (CCLD) Coronavirus Disease 2019 (COVID-19) e-mail address available to all licensees, providers, and the public to use in asking questions related to COVID-19.
An electronic copy of PIN 20-05-CCLD (COMMUNITY CARE LICENSING DIVISION E-MAIL ADDRESS FOR CORONAVIRUS DISEASE 2019 (COVID-19)-RELATED QUESTIONS) is available for viewing/downloading by clicking on the following link:
PIN 20-05-CCLD (COMMUNITY CARE LICENSING DIVISION E-MAIL ADDRESS FOR CORONAVIRUS DISEASE 2019 (COVID-19)-RELATED QUESTIONS)
Previous PINs are available at the CCLD website
If you have any questions regarding this PIN, please contact your local Regional Office.
GOVERNOR'S PROCLAMATION OF A STATE OF EMERGENCY TO ADDRESS NOVEL CORONAVIRUS DISEASE 2019 (COVID-19)
MAR 6, 2020 | Ca. Dept. of Health and Human Services (CHHS-CCLD)
On March 4, 2020, Governor Newsom issued a Proclamation of a State of Emergency (“Proclamation”) for California in response to a rising number of cases of COVID-19 in California. The Proclamation permits the California Department of Social Services (CDSS) to address the needs of community care facilities, child day care facilities, and residential care facilities for the elderly, within its jurisdiction, allowing for waivers
of any provisions of the Health and Safety Code or Welfare and Institutions Code, accompanying regulations, interim licensing standards, or other written policies or procedures with respect to the use, licensing, or approval of licensed facilities.
For purposes of the emergency waiver authority, licensed or approved facilities include: child day care facilities, children’s residential facilities, residential care facilities for the elderly, residential care facilities for the chronically ill, adult care facilities, the administrator certification training program, home care services, and the trustline program.
Waivers requested pursuant to the Proclamation will be considered on a case-bycase basis, and if granted, will be posted on the Department's website.
CDSS may permit waivers related to COVID-19 as it deems necessary. For example,
waivers may pertain to:
- late payment of fees;
- Rebuilding and grounds requirements;
- personnel requirements;
- restricting visitors;
- limitations on the license, including limiting admission or capacity during a time
period following virus exposure;
- administrator certification training vendor requirements;
- alternate programs, services, procedures, equipment or space; and
- provisions necessary to ensure the ability to continue providing services with a
conditional or provisional license.
A request for a waiver should be in writing and include sufficient information to support your request. The request should explain how the health and safety of persons in care will be maintained with the requested waiver. If you would like to request a waiver pursuant to the Proclamation of a State of Emergency, please contact your local Regional Office or other designated CDSS program contact:
PLEASE READ THE ENTIRE PIN 20-04-CCLD FOR ALL OF THE DETAILS
CAADS Alert: Coronavirus
MAR 6, 2020 | California Association for Adult Day Services
Member Alert now available
GUIDANCE ON 2019 NOVEL CORONAVIRUS OR COVID-19
MAR 5, 2020 | Ca. Dept. of Social Services (CDSS) | PIN 20-04-ASC
COVID-19 is a respiratory illness caused by a novel virus that has been spreading worldwide. Community-acquired cases have now been confirmed in California. We are gaining more understanding of COVID-19’s epidemiology, clinical course, immunogenicity, and other factors as time progresses, and the situation is changing daily. The CDPH is in the process of monitoring COVID-19, conducting testing with local and federal partners, and providing guidance and resources to prevent, detect and respond to the occurrence of COVID-19 cases in California.
At this time, community transmission of COVID-19 has occurred in California. Facilities should prepare for possible impacts of COVID-19 and take precautions to prevent the spread of COVID-19 as well as other infectious diseases, including influenza and gastroenteritis.
This PIN includes the following topics:
- Illness Severity
- Reporting an Outbreak
- Prevent the introduction of respiratory germs INTO your facility
- Prevent the spread of respiratory germs WITHIN your facility
- Steps to take with a suspect or possible case of COVID-19 in your facility
- Additional Resources
PLEASE READ THE ENTIRE PIN 20-04-ASC FOR ALL OF THE DETAILS
COVID-19 Screening and Testing
MAR 5, 2020 | California Insurance Commissioner | BULLETIN
As the State of California responds to COVID-19, the California Department of Insurance (CDI) wants to ensure that cost does not create a barrier for consumers receiving medically necessary screening and testing for COVID-19.
Waiver of Cost-Sharing Amounts
The Department directs all insurers providing commercial health insurance coverage to do the following: CLICK HERE TO REVIEW THE ENTIRE BULLETIN
APL-20-006 COVID-19 Screening and Testing
MAR 5, 2020 | Ca. Dept. of Managed Health Care | APL-20-006
TO: All Full-Service Commercial and Medi-Cal Health Care Service Plans
As the State of California responds to COVID-19, the Department of Managed Health Care (DMHC) is taking action to ensure that cost does not inhibit enrollees’ access to medically necessary screening and testing for COVID-19.
This APL covers the following topics:
- Waiver of Cost-Sharing Amounts
- Ensuring Enrollees Have Timely Access to Care
- Proactive Steps
PLEASE READ THE ENTIRE APL-20-006 FOR ALL OF THE DETAILS
Update on Master Plan for Aging Public Comments/Recommendations
MAR 5, 2020 | Ca. Dept. of Aging (CDA)
Together We EngAGE is grateful to have received so many thoughtful comments and recommendations on how the Master Plan for Aging (MPA) should be designed and executed. Your voices are critical to this process and your ideas are helping to build a more equitable, age-friendly, and disability-friendly California for all.
The MPA’s Stakeholder Advisory Committee (SAC) is currently working on their recommendations for MPA Goal Areas 2 (Livable Communities & Purpose), 3 (Health & Well-Being), and 4 (Economic Security & Safety). These recommendations will be formally presented in May. To ensure that your input is heard during this important phase of the MPA planning process, we strongly encourage you to submit your comments and policy recommendations by March 19 through the Together We EngAGE website.
The state will continue to welcome public and stakeholder comments and recommendations after March 19 through the website and the SAC meetings (either in-person or via phone). All of the MPA meetings are public, so please view the EngageCA calendar for more information. You are also invited to join us for our Webinar Wednesday events and submit your comments in the webinar’s chat box. We will continue to host a webinar on a new topic every Wednesday from 9:30 am – 11:00 am through April 22.
Thank you for your interest and participation in this exciting process. We couldn’t do it without you! Please save the date of June 17 for the Together We Engage capstone event that will be live streamed from Sacramento. Details on how you can participate are forthcoming.
Guidance for Healthcare Facilities on Preparing for Coronavirus
Disease 2019 (COVID-19)
MAR 3, 2020 | Ca. Dept. of Public Health (CDPH) | AFL 20-17
CDC Guidance for Healthcare Facilities Community transmission has been confirmed in California, although the extent of transmission remains unknown. California healthcare facilities should follow the CDC’s Interim Guidance for Healthcare Facilities: Preparing for Community Transmission of COVID-19 in the United States
Click HERE to read the complete AFL 20-17
Your Donations Help!
Three (3) great opportunities to further support Adult Day Services:
- CAADS | State Advocacy 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. 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
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.
Lydia Missaelides, MHA
Executive Director of the Alliance for Leadership and Education
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NATIONAL ADULT DAY SERVICES ASSOCIATION (NADSA)
CAADS is a proud member of the National Adult Day Services Association.
California representatives currently serving on the NADSA Board of Directors:
Corinne Jan, RN, PHN (NADSA Chair)
CEO, Family Bridges
Kathleen Kolenda (NADSA Treasurer)
Vice President, Adult Day Services Easterseals Southern California
Amanda Sillars, MSW, LCSW
CEO, Total ADHC Solutions, Inc.
CARING FOR A VETERAN?
For help, call the VA Caregiver Support Line (toll-free):
For more Information and Resources visit their WEBSITE
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:
The call is free and you can remain anonymous.
TO FILE A COMPLAINT AGAINST A HEALTH CARE FACILITY LICENSED BY THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
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.
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
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California Association for Adult Day Services
1107 9th Street, Suite 701 || Sacramento, CA 95814–3610
T: (916) 552-7400 || F: (866) 725-3123