CAADS - California Association for Adult Day Services

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CAADS CONFERENCE | MAY 1 - 3 | Berkeley
Health, Hope and Healing: The Promise of Adult Day Services

Join us at the Doubletree Berkeley Marina Hotel | Brochure | Registration Form [Fill-In] :: Write-On | CE Order Form [Fill-In :: Write-On] | Invitation to Exhibit | Sponsorship Opportunities

Adult Day Health Care:
An Unbelievable Cost Containment Resource that Is Underfunded and Underutilized

For those who think Adult Day Health Care (ADHC) is just day care…think again! Read Russell D. Foster's featured article in MAZARS USA HEALTHCARE TRENDS,Sept 2017.

The Effect of Adult Day Program Attendance on Emergency Room Registrations, Hospital Admission and Days in Hospital: A Propensity-Matching Study

Research by Ronald Kelly, PhD finds a decreased reliance on costly health care services by seniors who attend adult day programs. Read Abstract and Full Article | JUN 2017 | The Gerontologist, Volume 57, Issue 3, Pages 552–562.

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 . . . MARCH 16, 2018

Help Protect SHIP Funding!

MAR 16, 2018 | Justice in Aging

The Medicare State Health Insurance Assistance Program (SHIP) provides free local, in-depth, unbiased insurance counseling and assistance to Medicare beneficiaries, their families, and caregivers in every state. SHIPs help millions of seniors navigate their coverage options, fraud and abuse issues, billing problems, appeals, and enrollment in low-income programs.

Right now, Congress is working to finalize the FY18 funding package, including funding for SHIPs. While the Senate appropriations committee has proposed level funding for this year (FY18), the President and the House have both called for eliminating the program entirely.

Your Senators and Representative need to hear from you TODAY about how important this program is to older adults in your community.

Call 202-224-3121 to tell your Senators and your Representative to protect and fully fund SHIPs for FY18. You can use NCOA’s toolkit to send them an email too.

And while you have them on the phone, urge your Members of Congress to include these two bills that would improve access to health care for older adults and people with disabilities in the FY18 Omnibus Spending Bill:


New Cal MediConnect Performance Dashboard

MAR 15, 2018 | Department of Health Care Services, Health Care Delivery Systems

DHCS is pleased to announce the release of the new Cal MediConnect Performance Dashboard. This new dashboard will replace the previous enrollment dashboard and will also include performance metrics on quality withhold measures, care coordination, grievances and appeals, behavioral health and long-term services and supports.

For more information, and to view the dashboard, click here.

This and future dashboards will also be linked on

Any questions or comments can be sent to Thank you for your continued support of the CCI.


Congress' big Medicare changes include lifting therapy caps, shrinking the ‘doughnut hole

MAR 14, 2018 | Fierce Healthcare | Susan Jaffe, Kaiser Health News

Physical therapy helps Leon Beers, 73, get out of bed in the morning and maneuver around his home using his walker. Other treatment strengthens his throat muscles so that he can communicate and swallow food, said his sister Karen Morse. But in mid-January, his home health care agency told Morse it could no longer provide these services because he had used all his therapy benefits allowed under Medicare for the year.

Beers, a retired railroad engineer who lives outside Sacramento, California, has a form of Parkinson’s disease. The treatments slow its destructive progress and “he will need it for the rest of his life,” Morse said.

But under a recent change in federal law, people who qualify for Medicare’s therapy services will no longer lose them because they used too much. MORE


New Fraud Alert on New Medicare Card Scams

MAR 13, 2018 | California Health Advocates

Beware of callers saying you must first buy a temporary card for $5-50 before your new Medicare card arrives. This is not true. It is a scam.

In California, the new Medicare cards will arrive between April and June 2018. They are free, and Medicare will not call you about your new card. Cards will be mailed to your mailing addresses on file with Social Security. If you need to update your mailing address, you can go to

The following fraud alert warns of these scams and gives tips on how to protect yourself and where to report such scams. The alert is available in 7 languages and posted at

The Senior Medicare Patrol (SMP) also has placemats in English and Spanish and a new Medicare card bookmark available in several languages. If you'd like to order some of these, please contact our Operations Manager, Jasmine Suo, at


CMS to Begin Mailing NEW Medicare Cards in April

California Scheduled in Wave 2: Cards Mailing April - June 2018
MAR 1, 2018 | National Center on Law & Elder Rights (NCLER)

The Centers for Medicare & Medicaid Services (CMS) is in the process of issuing new Medicare Beneficiary Identifiers and Medicare cards to help protect the identities of Medicare beneficiaries. The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 requires CMS to remove beneficiaries’ Social Security Numbers (SSNs) from Medicare cards by April 2019 to mitigate risk of medical identity theft.

CMS will begin mailing new Medicare cards to beneficiaries in April 2018. The cards will be mailed in seven waves by groups of states over the next year. All beneficiaries should receive a new card by April 2019. Learn more from NCLER.


Critically Ill Medi-Cal Patients Just Got An Important New Benefit

FEB 24, 2018 | Michelle Faust | KPCC 89.3

About 300 health care providers from around the Los Angeles region gathered for a day-long conference Saturday to learn more about palliative care and end-of-life planning. L.A.'s largest Medi-Cal plan brought them together to learn more about a new state regulation that took effect in early 2018.

In 2014, California passed a law requiring Medi-Cal Managed Care patients get access to palliative care. Now, patients with congestive heart failure, advanced cancer, liver disease, and chronic obstructive pulmonary disease can get more services to address suffering associated with their illness. Over those four years, the state has been ramping up to prepare for the new patient need. MORE


Cal Duals CCI Monthly Update: FEBRUARY 2018

PDF | Word


Issue Brief: Advance Beneficiary Notices, Fees, and Dual Eligibles

FEB 18, 2018 | Georgia Burke and Denny Chan | Justice in Aging | Issue Brief

Federal law prohibits charging Qualified Medicare Beneficiaries (QMBs) with Medicare cost-sharing for covered services. Depending on state law, other beneficiaries who are fully eligible for both Medicare and Medicaid–full benefit dual eligibles–may also be protected from being billed for co-payments or other forms of cost sharing.

However, QMBs and other dual eligibles may still be responsible for certain charges or fees. A new Justice in Aging Issue Brief: Advance Beneficiary Notices, Administrative Fees, and Dual Eligibles explains for advocates the situations under which these types of beneficiaries may be responsible for charges.

Read the brief to learn what protections QMBs have and what charges they may have to pay.

Additional Justice in Aging resources on improper billing can be found here.


Justice in Aging Statement on Proposed 2019 Budget

FEB 14, 2018 | Justice in Aging

President Trump’s proposed FY 2019 Budget is yet another attack on the health and economic security of older adults and people with disabilities. After using the latest tax bill to give away trillions of dollars in tax cuts to America’s wealthiest, the Administration is attempting to pay for those tax cuts by slashing critical programs that keep older adults in their homes, allow them to visit their doctors, and ensure they can meet their basic needs.

This budget would take us backwards by increasing poverty and making it harder for people to get the health care they need. It goes against what Congress wants and what the public wants. In its 2018 budget, Congress recently increased spending for important and popular programs. Those gains would disappear in 2019 under this budget.

The American people do not want cuts to Medicaid or the repeal of the ACA, yet this budget renews calls for slashing Medicaid by more than $1.4 trillion over the next decade through block grants and per capita caps, as well as repealing and replacing the Affordable Care Act (ACA). As we have explained, such cuts would be devastating to low-income older adults who rely on Medicaid to support their health care needs and ability to stay in their homes, leave millions without coverage, and weaken consumer protections.

The President promised the American people he wouldn’t touch Medicare, yet his proposed budget for the next ten years calls for over $490 billion in cuts to a program that every American will need.

The budget also would make it harder for older adults to pay rent, put food on the table, and meet their basic needs. The budget proposes significant cuts of over $83 billion to Social Security, primarily through cuts to Social Disability Insurance (SSDI) and the Supplemental Security Income (SSI) programs. These programs are there for people who have no or little income and are the difference between home and a life on the streets for many.

Additionally, the budget proposes dramatic cuts to nutrition assistance, eliminates funding for home heating and cooling assistance for about 6 million low-income households, and calls for the complete elimination of the Legal Services Corporation, which provides vital legal help for low-income older adults and their families.

This budget is a true window into the misplaced priorities of this President and his Administration. On the heels of a massive tax cut that will increase income inequality, this budget proposes to make life even more difficult for America’s poor older adults and people with disabilities.

By joining together we have fought back successfully against previous attempts to cut the programs older adults and their families rely on, and we will continue to fight for justice for us all as we age.


California Gubernatorial Forum on Long Term Care

FEB 8, 2018 | Facebook Live hosted by SEIU 2015

Panel of experts discuss the challenges facing our long term care system. Then at minute 54:45 the candidates for Governor outline their plans for our state's aging population.


Legitimate CMS Communications to Beneficiaries

JAN 2, 2018 | California Health Advocates, Senior Medicare Patrol

The Senior Medicare Patrol is sharing two very important announcements regarding CMS legitimate communication:

  1. Medicare is sending emails about new Medicare cards coming:

    It was brought to our attention by our Stanislaus SMP liaison, that Medicare is sending emails to beneficiaries with a subscription informing them about New Medicare cards coming in 2018 and asking everyone to update their address with Social Security. We have confirmed with our CMS contacts that these emails are legitimate. The email is from Medicare ( with Subject: New Medicare cards coming in 2018 and Subject: Update your information. Per CMS, they are trying to ramp up their Medicare email efforts in advance of the card mailings. This listserve currently has 300+K on it, and folks will be able to sign up from the homepage after December 20th.

  2. CMS is sending mail containing a survey:

    It was brought to our attention by the Alameda HICAP, about a letter being sent to beneficiaries informing them about a "Medicare Provider Experience Survey" they will be receiving in the mail. According to the letter, a beneficiary's response is voluntary; whether or not he/she take the survey has no effect on his/her Medicare benefits. The survey itself is being sent by nrc Health. For more information, you may visit


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. 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


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.


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.


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

CAADS 40th Anniversary logo

Videos / Podcasts

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.

Seniors and Children Find Inspiration Together at a Day Care With a Heartwarming New Approach
FEB 2, 2018
Time Magazine
Megan McCluskey
Featuring ONEgeneration

What is an Adult Day Health Care Center? One of San Diego's Best Kept Secrets...
APR 18, 2017
Featuring Kathryn Holt, Owner, Poway Adult Day Health Care Center, and her mother Lois Knowlton, the Center's Administrator

More Videos / Podcasts

Media Coverage

This is What Life Without Retirement Savings Looks Like
The Atlantic
Alana Semuels | FEB 2018

Governor Brown’s Proposed Budget Has Only Modest Boost For Health Care
Kenny Goldberg | 1/10/18

Media Coverage

Seeking your ideas for ways to enhance recruitment and retention of Alzheimer’s disease study participants
MAR 7, 2018
National Institute on Aging (NIA) BLOG
Vicky Cahan and Elieser Masliah
Alzheimer’s disease | Alzheimer’s Association | NIA

Retirement planning: Older Americans face tough long-term care choices
MAR 2, 2018
USA Today
Robert Powell
long-term care | older Americans | Cognitive decline | health care decisions | adult day care | Medicare | Medicaid | Home- and community- based services | PACE (Program of All-inclusive Care for the Elderly)

This is What Life Without Retirement Savings Looks Like
FEB 2018
The Atlantic
Alana Semuels
low-income seniors | Medicare | National Institute on Retirement Security | Justice in Aging | senior poverty | safety net | homeless seniors

Friendship Center Feels the Love at 19th Annual Festival of Hearts Fundraiser
FEB 14, 2018
Rochelle Rose
Friendship Center’s HEART (Help Elders At Risk Today) Program | adult day services | caregivers | licensed by Community Care Licensing as a social model adult day care center

Contra Costa Today Ep 014: Debbie Toth Talks Choice in Aging
FEB 13, 2018
Contra Costa Today
Choice in Aging | The Bedford Center | Adult Day Health Services | Alzheimer's Disease | California Department of Public Health | California Department of Aging | caregivers | Medi-Cal | Medicare |

CalOptima expanding all-inclusive senior care program to Anaheim, Laguna Woods and Santa Ana
FEB 12, 2018
Orange County Register
Louis Casiano
CalOptima | adult health care centers | Programs for All-Inclusive Care for the Elderly | PACE | CBAS (community-based adult services) centers | Acacia Adult Day Services | South County Adult Day Services |

Health Plan coordinates medical care, housing
Program aims to keep older residents in communities, out of nursing facilities
JAN 27, 2018
San Mateo Daily Journal
Samantha Weigel
Health Plan of San Mateo’s Community Care Settings Program | Coordinated Care Initiative | Medicaid | Institute on Aging | adult day care center

CPMC to shut down Alzheimer’s program; residents scramble for alternatives
JAN 21, 2018
San Francisco Chronicle
Catherine Ho
Alzheimer's | Swindells day program for dementia patients | Institute of Aging

More Media Coverage
Please Direct Questions and Comments to


Photo of Lydia Missaelides

Lydia Missaelides, MHA
Executive Director

Photo of Kathryn Atkinson

Kathryn Atkinson
Membership & Communications Director

Pam Amundsen

Pam Amundsen
Education & Events Manager

Photo of Coni Segretto-Ricci

Coni Segretto-Ricci
Office Assistant

(not pictured)

Phyliss Regino
Office Assistant

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