CAADS - California Association for Adult Day Services

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CAADS Best Practice Series - Webinar #1 -- March 16

Communication Skill-Building: How Plain Talk and Teach-Back Support Person Centered Care
Details to come. . .

CAADS Spring Conference & Membership Meeting -- April 25-27

Conference artworkTransforming the Continuum of Care
Save-the-Dates! | DoubleTree Berkeley Marina Hotel | Sponsorship Opportunities | Exhibitor Invitation & Contract

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

Block Grants

Medicaid Funding Caps Would Harm Older Americans
Justice in Aging | Fact Sheet (2/17/2017) | Issue Brief (2/3/2017)

Everything You Need To Know About Block Grants - The Heart of GOP's Medicaid Plans
California Healthline | Shefali Luthra | JAN 25, 2017

What's New . . . FEBRUARY 23, 2017

Cal Duals Update

FEB 2017 Update (PDF) (Word) | Source: (2/23/2017)

Medicaid Funding Caps Would Harm Older Adults in California

FEB 23, 2017 | Justice in Aging Health Network Alert

Last week, Republicans released their latest proposal outlining their ideas to repeal and replace the Affordable Care Act. This proposal radically changes the Medicaid program by capping the amount states will receive in federal funding to deliver healthcare to low-income individuals. These cap proposals, either block grants or per-capita allotments, aim to catastrophically cut Medicaid and eliminate important consumer protections currently in place.

Cuts like these will force California to make difficult choices regarding what services to deliver and what populations to serve, placing increased pressure on the state budget. Crucial programs that allow seniors to age at home rather than receiving care in institutional settings are at risk. Justice in Aging has developed a new fact sheet showing how cuts to Medi-Cal through capped funding would hurt older Californians.

For more detailed information on how capped funding would impact older adults, see our Issue Brief.

CBAS Updates

FEB 17, 2017 | California Department of Aging CBAS Branch

Key CBAS Program Accomplishments and Priority CBAS Activities for 2017

The beginning of a new year is a time to reflect on what we’ve accomplished and what lies ahead.

As a result of extensive stakeholder processes initiated by the California Department of Aging (CDA) and Department of Health Care Services (DHCS), the CBAS Branch in collaboration with stakeholders developed the following documents that will guide CBAS program activities in 2017:

  • CBAS Home and Community-Based (HCB) Settings Transition Plan (November 23, 2016)
  • CBAS Quality Assurance and Improvement Strategy (October 2016)
  • Revised CBAS Individual Plan of Care (IPC)
  • New standardized ADHC/CBAS Participation Agreement

CDA and DHCS developed these documents in response to directives by the Centers for Medicare & Medicaid Services (CMS) in the CBAS provisions of the 1115 Demonstration Waiver. Refer to Special Terms and Conditions/STC 44(c) and 45(c) which requires CBAS settings to meet federal Home and Community-Based (HCB) Settings regulations, 42 CFR 441.301(4), and Person-Centered Planning requirements, 42 CFR 441.301(c)(1)(2)(3). To meet the directive in STC 45(c) the CBAS program needed to revise the IPC and develop a standardized Participation Agreement. Refer to STC 49 which requires the State to develop a CBAS Quality Assurance and Improvement Strategy to assure the health and safety of Medi-Cal beneficiaries receiving CBAS. This newsletter provides a status report on each of these documents. M O R E

Cal MediConnect HRA Workgroup: Summary of Recommendations

FEB 16, 2017 | DHCS Health Care Delivery Systems | Summary of Recommendations

In 2016, the Department of Health Care Services (DHCS) announced it would be pursuing a comprehensive strategy to strengthen the Coordinated Care Initiative and Cal MediConnect (CMC). One of the key areas DHCS focused on was improving referrals to Long-Term Services and Supports (LTSS). The effort included creating standardized LTSS referral questions for all CMC and Managed Long Term Services and Supports (MLTSS) plans to use in their Health Risk Assessments (HRAs). To accomplish this, DHCS convened a workgroup of 20 participants from a variety of stakeholder groups, including: advocates, LTSS providers, health plans, medical groups, and state agencies.

DHCS is pleased to announce the release of the Cal MediConnect HRA Workgroup: Summary of Recommendations. This report is the final product of that workgroup and provides a set of standardized LTSS referral questions and guidance for plans on how to use them to identify members who may qualify for and benefit from LTSS.

For more information, and to read the final report, click here. Any questions or comments can be sent to

Applications Now Being Accepted For Nina M. Nolcox Scholarship

FEB 13, 2017 | Alliance for Leadership and Education
Scholarship Flyer | Application (Fill-in / Write-on)

The Alliance for Leadership and Education (A.L.E.) is pleased to announce the opening of scholarship application for the Nina M. Nolcox Nursing Scholarship for Continuing Education. This scholarship is designated to a qualified nurse employed by a CAADS member and consists of an award to cover registration fees for the 2017 CAADS Spring Conference as well as travelling expenses.

Nina Nolcox was a visionary in public health nursing and devoted her passion and skills to serving low income adults with chronic health conditions. The scholarship was created to honor the legacy of Nina M. Nolcox, RN, PHN, by recognizing an individual in the nursing field who exemplifies nursing leadership, displays a passion for service, and demonstrates a commitment to enhancing quality care for participants.

All applications must be received by March 15th to be considered.

Medicaid Caps Under Discussion as Part of FY 2017 Budget Reconciliation

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

Both the timeframes for an ACA repeal through the budget reconciliation process and what will be proposed during this process continue to change. Current thought is that the GOP in Congress could include caps on Medicaid funding as part of the FY 2017 budget reconciliation bill, along with ACA repeal, as early as March. GOP leadership has discussed both block grants and per capita caps, both of which would result in dramatic cuts in funding to the states and the loss of federal protections. For more on how Medicaid funding caps would affect older Americans, see our issue brief. Additionally, two bills, HR 829 and HR 181, were also advanced in the House Energy and Commerce Subcommittee on Health this week. Both bills would alter Medicaid eligibility rules with regard to assets.

New Fact Sheet: Medicare Part D - 2017 Transition Rights

FEB 8, 2017 | Justice in Aging Health Network Alert | Fact Sheet

The Centers for Medicare and Medicaid Services (CMS) requires that sponsors of Medicare Part D prescription drug plans provide beneficiaries with access to transition supplies of needed medications to protect them from disruption and give adequate time to move over to a drug that is on a plan’s formulary (medication list), file a formulary exception request or, particularly for Low Income Subsidy (LIS) recipients, enroll in a different plan.

Transition rules apply to stand-alone Medicare Prescription Drug Plans (PDPs), Medicare Advantage Plans with Prescription Drug Coverage (MA-PDs), and Medicare-Medicaid Managed Care Plans participating in the Dual Eligible Financial Alignment Demonstrations.

Transition rules are particularly important for low-income beneficiaries who were automatically reassigned to new plans, which may or may not cover their medications.

In addition, all plans change their formularies each year, so even people who remain in the same plan may find that their plan no longer covers their medications or has newly imposed utilization management requirements.

To assist advocates with transition issues, this fact sheet sets out the CMS minimum requirements for all plans.

For further information, contact Georgia Burke,

HHS Releases Federal Poverty Levels for 2017

FEB 1, 2017 | Justice in Aging

The Department of Health and Human Services has released the 2017 federal poverty guidelines, usually referred to as the Federal Poverty Level (FPL). The new poverty guidelines are used for determining financial eligibility for many federal and state programs. The new guidelines are effective as of January 31, 2017.

The guidelines set the 100% poverty level for a single individual in the 48 contiguous states at $12,060 (up from $11,880 in 2016) and for a couple at $16,240 (up from $16,020 in 2016).

New Fact Sheets: How ACA Repeal Would Hurt Seniors

JAN 31, 2017 | Justice in Aging Health Network Alert

Older adults rely on Medicaid, Medicare, and programs under the Affordable Care Act (ACA) to get the health care they need. As Congress begins work to repeal the ACA, it's important to understand how changes to the ACA will dramatically alter these programs, jeopardizing the care seniors rely on to stay healthy.

Because of the ACA, more older adults can remain in their homes, save money on prescription drugs, and get health insurance coverage. We’ve put together a short fact sheet that shows just how an ACA repeal would harm older adults across the country, and a separate fact sheet that shows how California seniors would be impacted. Please use them in your advocacy and share them broadly.

NADSA 2017 Public Policy Conference and Capitol Hill Day
May 8-10, 2017 | Alexandria, Virginia

Details | Register | NADSA Room Block: Embassy Suites by Hilton Alexandria Old Town, 1900 Diagonal Road, Alexandria, Virginia 22314

Registration is now open for the NADSA Public Policy Conference & Capitol Hill Day. Our collective support can make the difference!

Special features of the May 8-10, 2017 Public Policy Conference and Capitol Hill Day include:

  • Monday Evening Dinner and Reception with NADSA Board featuring briefings on ADS legislation.
  • Pre-arranged visits with Hill representatives.
  • New Optional workshops on Tuesday afternoon and Wednesday morning

Maggie "Dee" Dowling, Longtime Disability and Senior Rights Advocate, Passes Away

JAN 22, 2017 | California Disability-Senior Community Action Network (CDCAN) and California Person Centered Advocacy Partnership

Maggie “Dee” Dowling, a widely respected longtime disability and senior rights advocate, with a distinctive strong and uncompromising gravelly voice, passed away Saturday morning, January 21, 2017, at age 77 years. Advocates across the State who learned of her passing – from San Diego to Los Angeles, the Bay Area and Sacramento – expressed deep sadness at her passing.

Known to her friends, fellow advocates and policymakers at the State Capitol as "Maggie Dee," she was a constant presence at stakeholder meetings. She was successful in her fight against major reductions to SSI/SSP (Supplemental Security Income/State Supplemental Payment) grants and Medi-Cal in the early 1990’s, in federal class action lawsuits filed on her behalf by longtime friend and disability advocate attorney Lynn Carman. With others, she was a party to other federal lawsuits that stopped major cuts to Medi-Cal and In-Home Supportive Services (IHSS) in recent years.

Dowling was facing significant health issues over the past several years, including difficulty in breathing, that limited her ability to participate in disability and senior stakeholder meetings and budget hearings at the State Capitol.

What to do if you're wrongfully billed for Medicare costs
Know your rights as a Qualified Medicare Beneficiary

JAN 18, 2017 | Stacy Canan and Tim Engelhardt

A just-released consumer advisory from the Consumer Financial Protection Board and the Medicare-Medicaid Coordination Office will help advocates assist Medicare/Medicaid qualified beneficiaries resolve improper billing practices. A downloadable two-page flyer gives consumers three simple instructions on what to do if a Medicare provider improperly bills them for Medicare charges.

Letter from National Groups to President-Elect Donald J. Trump:
Protect and Improve Programs for Older Adults

JAN 10, 2017 | Leadership Council of Aging Organizations (LCAO)

Dozens of national groups have called for the incoming Administration and Congress to protect and improve programs for older Americans. A letter from the Leadership Council of Aging Organizations (LCAO) to President-Elect Donald J. Trump outlines priorities in the areas of health care, community services, and retirement security.

The National Adult Day Services Association is a member of the LCAO. For a complete list of LCAO member organizations, click here.

Your Donations Help!

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


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.

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


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.


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

If you come across any suspicious activity,





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

Everything You Need To Know About Block Grants - The Heart of GOP's Medicaid Plans
California Healthline
Shefali Luthra | 1/25/17

Media Coverage

Advocacy groups warn of 'disastrous' effects of proposed Medicaid cuts
FEB 22, 2017
Fierce Healthcare
Leslie Small
Medicaid funding | vulnerable populations | National Council on Aging | Affordable Care Act | block grants | per capita caps | services to the elderly | people with disabilities | National Association of Councils on Developmental Disabilities

ER Visits Linked To Falls Spike Among California Seniors
FEB 15, 2017
California Healthline
Anna Gorman
California seniors | fall-related ER visits | elderly adults | risk of falling

GOP may boost Medicaid spending in order to slash the program
FEB 15, 2017
Jennifer Haberkorn and Rachana Pradhan
Medicaid | low-income people | Centers for Medicare & Medicaid Services

Hatch Promotes Stronger Care for Veterans with New Bill
FEB 10, 2017 television
Matt Whitlock
Adult Day Health Care Improvement Act of 2017 | adult day health care | S. 324 ''State Veterans Home Adult Day Health Care Improvement Act of 2017'' | adult-day medical model care

New Federal Rules Will Require Home Health Agencies To Do Much More For Patients
FEB 9, 2017
California Healthline
Judith Graham
Medicare | Medicaid | patients’ rights | Patient-Centered Care | care plans | Caregiver Involvement

Protecting Medicaid’s Promise
FEB 6, 2017 / Updated FEB 8
Huffington Post
THE BLOG by Nancy LeaMond
Medicaid | health care and long-term services and support | low-income seniors and people of all ages who have disabilities | “block grant” the Medicaid program | access to care | Alzheimer’s | home and community-based services | adult day-care

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

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