CAADS - California Association for Adult Day Services

Quick Links. . .

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

Top-of-Mind . . .

Next CAADS Webinar | JUNE 15

Save-the-Date and watch for topic to be announced!

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

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

Medicaid Funding Caps Would Harm Older Americans
Justice in Aging | Fact Sheet (2/17/2017) | Issue Brief | FEB 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 . . . MAY 24, 2017

CBO Analysis Reaffirms AHCA is a Disaster for Older Adults

MAY 24, 2017 | Justice in Aging

Below is a statement from Justice in Aging Executive Director Kevin Prindiville:

“This new Congressional Budget Office (CBO) report shows that by 2026, 23 million Americans who previously had coverage will be uninsured. A disproportionately large number of the newly uninsured will be people between 50 and 64, whose premiums will skyrocket. For example, a single 64-year old with an income of $26,500 would have to pay a staggering $13,600 a year in premiums, more than half of what he has available to live on. That, compared to $1,700 a year under the Affordable Care Act, is an increase of more than 800%. Additionally, in states that waive consumer protections, older adults and others will see out-of-pockets costs rise sharply as plans provide skimpy coverage and can impose annual and lifetime limits.”

“Most troubling, the CBO report confirms that AHCA will cut funding to Medicaid by $834 billion over the next decade. The AHCA ends the Medicaid program as we know it by imposing per capita caps and block grants. Over six million older adults rely on Medicaid, and two-thirds of all Medicaid spending for older adults goes to essential long-term care services in nursing homes and at home and in the community. With such drastic cuts and caps to the Medicaid program, the AHCA threatens the care of all of these seniors and the peace of mind of their families.”

“In total, the cuts to Medicaid will mean 14 million fewer individuals will be enrolled in Medicaid by 2026. The plunder of Medicaid is used to provide an enormous tax break for corporations and to the most wealthy Americans.”

“Further, AHCA tax cuts for the wealthiest Americans will decrease Medicare revenues and shorten the life of the Medicare Trust Fund, putting health care for generations of older adults in jeopardy.”

“This CBO score, like the one before, confirms that the American Health Care Act is a devastating bill for our nation’s older adults.”

What Adult Day Services Providers Need to Know to be in Compliance

CAADS May 18 Webinar Recording & Handouts Now Available


Cal Duals Update

APR 2017 Update PDF :: Word | Source: (4/26/2017)

Two of OC’s most prominent senior care organizations join forces to provide more support for the county’s at-risk seniors

Irvine, Calif., April 13, 2017- Alzheimer’s Orange County (“AOC”) and Acacia Adult Day Services (“Acacia”) announced the merger of the two organizations. The merger, currently in process, will bring Acacia under AOC’s programs, combining both organizations’ resources and allowing them to serve more individuals and families in need. Following a strategic split from a national association in 2015 that freed AOC from previous service restrictions, AOC embarked on a plan to provide more in-person care to families by expanding into the adult day services and respite care territory. AOC took over operations of South County Adult Day Services last year, moving it into a new 11,000-square-foot building in Laguna Woods, revamping the program’s standards, and increasing program census by 28 percent in 13 months. M O R E

CAADS Best Practices Webinar Series Recordings / Handouts Available

CAADS Best Practices Webinar Series recordings / handouts are now available to CAADS members via the Members Only page using the link to "Event / Webinar Handouts and Recordings." Others may order the following webinar recordings / handouts using this form:

  • MAR 16 Webinar
    How Health Literacy, Plain Language and Teach-Back Support Person Centered Care
  • APR 13 Webinar
    Abuse Reporting Changes Under AB 40

CAADS Sets Advocacy Fund Raising Goal of $100,000 by May 30

APR 10, 2017 | CAADS | Letter | Donate/Pledge Form [Fill-in :: Write-on]

In a letter to adult day services providers and colleagues, CAADS President Corinne Jan, CEO of Family Bridges, announced a $100,000 fund raising campaign to sustain a major advocacy effort to protect adult day services beneficiaries and programs from new threats, while looking for opportunities to strengthen our position at the state and national levels.

Ms. Jan kicked off the campaign with a generous donation of $8,000 from Family Bridges.

The President and Republican majority in Congress continue negotiations to “repeal and replace” the Affordable Care Act. Legislative proposals to drastically reduce the federal share of Medicaid (Medi-Cal) funding under a new “per person” block grant formula threaten funding for continuation of CBAS as a Medi-Cal benefit! Changes to the Coordinated Care Initiative (CCI) continue to be negotiated through the state budget process. Low provider rates continue to threaten access to services.

SSA Recently Finalized Two New Sets of Regulations

MAR 27, 2017 | Justice in Aging | Income Network Alert

In the waning days of the Obama Administration, the Social Security Administration (SSA) finalized two new sets of regulations that will have significant impacts on the disability determination process for those applying for Social Security Disability Insurance benefits and those applying for Supplemental Security Income benefits on the basis of disability.

The first set of regulations, Ensuring Program Uniformity at the Hearing and Appeals Council Levels of the Administrative Review Process, was finalized on December 16, 2016 and published at 81 Federal Register 90987. Although the notice says that the rule goes into effect on January 17, 2017, it also states that “compliance is not required until May 1, 2017.”

The second set of regulations, Revisions to Rules Regarding the Evaluation of Medical Evidence, was published on January 18, 2017 at 82 Federal Register 5844. These regulations become effective on March 27, 2017, although many aspects will only apply to claims filed on or after that date. M O R E

Medicare Card Fraud Alert

MAR 15, 2017 | California Health Advocates

Due to Congress' passage of the Medicare Access and CHIP Reauthorization Act (MACRA) in 2015, the Centers for Medicare and Medicaid Services is required to remove Social Security numbers from all Medicare cards, and will do so starting in April 2018. This change is to prevent fraud and protect people's identity. Yet with any new change, scammers take advantage of potential confusion.

We've received several reports of beneficiaries getting calls from such scammers claiming to be from Medicare and asking for payment to receive their new Medicare card, or asking them to verify their Medicare number. This is a scam, as there is no cost to the new cards, AND Medicare will never call to verify someone's number, as they already have it.

To help educate beneficiaries and their families on this matter, we've created a short fraud alert on the upcoming change in their Medicare card and to be aware of scams.

English | Chinese | Farsi | Korean | Russian | Spanish | Tagalog | Vietnamese

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,





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)

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

Trump's budget slashes billions in Medicaid, CHIP funding
MAY 24, 2017
Fierce Healthcare
Paige Minemyer
Medicaid | American Health Care Act | AHCA | healthcare and social welfare | reforming Medicaid payments | per capita cap or a block grant

South County Adult Day Services showcases improvements at Laguna Woods center
MAY 23, 2017
Orange County Register
Shane Newell
South County Adult Day Services | services to seniors | quality health care and socialization for seniors

CMS Gives States Until 2022 To Meet Medicaid Standards Of Care
MAY 23, 2017
California Healthline
Phil Galewitz
Medicaid services | home and community settings | home- and community-based providers | quality of care | long-term care | American Health Care Act | day center

White House Proposes Deep Cuts To Safety Nets With 'Taxpayer First' Budget Plan
MAY 22, 2017
NPR Capital Public Radio
Morning Edition, Scott Horsley
social safety net programs | cuts to Medicaid, food stamps and disability benefits | Medicare and Social Security

Like Hunger Or Thirst, Loneliness In Seniors Can Be Eased
MAY 18, 2017
California Healthline
Judith Graham
older adults | seniors

Counties to Try Out an Electronic Registry for End-of-Life Wishes
MAY 15, 2017
California Health Report
Jessica Portner
Physician Orders for Life-Sustaining Treatment (POLST) forms | honor a dying person’s wishes

Aging at Home Will Be Harder With Medicaid Cuts
Home- and community-based services are vulnerable
MAY 17, 2017
Next Avenue
Beth Baker
Part of the Transforming Life as We Age Special Report
Alzheimer’s | Medicaid | American Health Care Act | long-term care | home- and community-based services | Affordable Care Act | dual eligible | adult day care and day health-care services

LA County to lose millions in state funding for services to the elderly, blind, disabled
MAY 15, 2017
89.3 KPCC
Michelle Faust
Coordinated Care Initiative | elderly, blind, or disabled citizens who might otherwise be in a nursing facility

Medi-Cal enrollees in Santa Clara Family Health Plan have trouble finding doctors
MAY 13, 2017
The Mercury News
Tracy Seipel, Bay Area News Group
Medi-Cal | Santa Clara Family Health Plan | shortage of Medi-Cal doctors | Affordable Care Act | Obamacare | Medicaid | managed care plans | low reimbursements, payment delays and “administrative hassles’’

When caring for elders, don't go at it alone
MAY 12, 2017
ABC 10
Sarah Moore, KXTV
Eskaton adult day center | dementia | caregivers | Adult day care | Eskaton Adult Day Health Center in Carmichael | Medi-Cal

'Cuts are coming,' Jerry Brown says as he releases revised budget plan
MAY 11, 2017
Sacramento Bee
Capitol Alert
Jim Miller and Christopher Cadelago
home-care services | Affordable Care Act | share of costs for home-care services for the old and disabled | Medicaid | Medi-Cal provider rates

VA may close more than 1,100 facilities to privatize more medical care
MAY 4, 2017
Fierce Healthcare
Ilene MacDonald
Department of Veterans Affairs | Choice Program to allow veterans to seek medical care from private doctors and hospitals

Prior Coverage

Videos / Podcasts

Home Alone Alliance
a collaborative from AARP
2017 Mobility Video Series

Preparing Your Home for Safe Mobility
(English :: Spanish)
[3:47 :: 4:05]
Getting from a Car to a Wheelchair
(English :: Spanish)
[2:02 :: 2:10]
What to Do When Someone Falls
(English :: Spanish)
[3:14 :: 3:42]
Using a Walker or Cane and Navigating Stairs
(English :: Spanish)
[3:28 :: 2:55]
Moving from a Walker to Shower or Bed
(English :: Spanish)
[2:46 :: 3:19]


Home Alone Alliance
a collaborative from AARP
Family Caregiver Video Series

Family Caregiver's Video Guide to Managing Medication

Beyond Pills: Eye Drops, Patches & Suppositories
Dealing with Dementia-Related Resistance
Giving Insulin Injections


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


Family Caregiver Alliance
SafeAtHome, a Caregiver's Guide

    1 Introduction [3:24]
    2 ABC Method [1:36]
    3 Kitchen Safety [1:55]
    4 Bathroom Safety [2:51]
    5 Bedroom Safety [2:26]
    6 Living Room Safety [2:08]
    7 Hallway Safety [1:12]
    8 Stairway Safety [1:36]
    9 Conclusion [1:33]


The Falling Monologues
Full Length [37:18]

    Introduction [2:53]
    The Ladder [7:28]
    The Bus [7:31]
    The Sidewalk [6:28]
    Scatter Rug [5:15]
    Don’t Ask [7:45]
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