CAADS - California Association for Adult Day Services

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CAADS WEBINAR MAY 26 | 2:30 PM - 4:00 PM (Pacific)
ADULT DAY SERVICES IN THE MANAGED CARE ENVIRONMENT: A Primer for Prospective Providers or New Managers
Registration Deadline: 4:00 PM, MAY 24 | Information / Registration Form (PDF / Word)

The California Department of Aging (CDA) is accepting requests from prospective applicants to begin the process to be certified to provide Community Based Adult Services (CBAS). CAADS members click here and use Handouts from Events/Webinars Quick Link for NOV 18, 2015 course, Pre-Screening & Application Process for the Certification of New CBAS Centers. To learn about membership in CAADS, click here.

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 . . . May 25, 2016

Cal Duals Update

MAY 2016 Update (PDF) (Word) | Source: (5/25/2016)


New Federal Regulation Will Help Ensure All Older Adults and People with Disabilities Can Access Health Care and Services Without Fear of Discrimination

MAY 23, 2016 | Source: Justice in Aging Health Network Alert

Last week, the Department of Health and Human Services (HHS) released the final rule implementing the non-discrimination provisions of the Affordable Care Act, otherwise known as Section 1557. This long-awaited regulation marks an important step in fighting discrimination in health care services for many different populations.

Both the statute and the rule interpreting it explicitly prohibit discrimination on the basis of race, color, national origin, sex, disability, and age. Section 1557 is the first federal civil rights law to prohibit discrimination on the basis of sex in health care, and the final rule interprets sex to include transgender individuals. Section 1557's protections apply to entities engaged in health services or health insurance coverage who receive funding from HHS. These include many who serve low-income seniors, like agencies within HHS - the Center for Medicaid and Medicare Services (CMS) - as well as Medicare and Medicaid providers and managed care plans.

Justice in Aging provided comments on the proposed regulation last year and will soon provide an analysis of the final rule from the perspectives of Medicare beneficiaries and those who serve older adults.


CBAS Updates - May 2016

MAY 20, 2016 | Source: California Department of Aging (CDA), Community Based Adult Services Branch (CBAS)

Upcoming Training Opportunity

Webinar: “Adult Day Services in the Managed Care Environment: A Primer for Prospective Providers or New Managers” (May 26th, 2:30 p.m. to 4:00 p.m.)

On May 26th from 2:30 p.m. to 4:00 p.m., CDA will participate in the California Association of Adult Day Services’ (CAADS) webinar on “Adult Day Services in the Managed Care Environment: A Primer for Prospective Providers or New Managers.” The presenters will be Lydia Missaelides, Executive Director of CAADS and the Alliance for Leadership Education (ALE), Gretchen Brickson, Senior Director, Managed Long-Term Services & Supports, L.A. Care Health Plan and Denise Peach, Chief, CBAS Branch, California Department of Aging.

The webinar will orient prospective new providers and new staff members to the evolving managed care environment and the credentialing, contracting, electronic billing, service authorization, auditing, and other requirements associated with being a contracted managed care provider. It also will address the state’s expectations for communication with managed care plans during the pre-screening process and L.A. Care Health Plan’s internal process for analyzing the need for new CBAS centers.

Webinar registration information is available on the CAADS website.

Please Note: The New CBAS Provider Start-Up Training (sponsored by CAADS in partnership with the California Department of Aging and the Department of Health Care Services) that was tentatively scheduled for June 6th and 7th in Sacramento is on hold until further notice. Please contact the CBAS Branch if you have any questions; (916) 415-7545.


Expanded FLSA Overtime Standards to be Effective DEC 1, 2016

MAY 20, 2016 | Source: National Adult Day Services Association (NADSA)

On May 18th the President and the Department of Labor announced changes to the Federal Fair Labor Standards Act (FLSA) regulations. Dubbed the “White Collar Overtime” rule, the new regulations will expand present overtime protections by increasing the salary levels under which they will apply. Initially, this expansion is expected to encompass approximately four-million employees nationally.

Generally, the Rule affects executive, administrative, professional, outside sales, and computer employees by raising the salary and compensation base under which these employees either must be paid overtime for more than 40 hours of work per week or must be given reduced hours.

The new base for most employees will be $913/wk (from $455/wk) and for Highly Compensated Employees it will be $134,004/yr (from $100,000/yr). The formal Rule is scheduled for publication in the Federal Register on May 23rd and will become effective on December 1, 2016.

Please visit the Department of Labor Blog for more information and to access additional links for specific information categories. If you are interested in how this rule effects non-profits, click here.


Medicaid and SSI in Need of Retooling

MAY 11, 2016 | Source: Justice in Aging Health Network Alert

Medicaid and SSI are two essential programs that fight senior poverty by ensuring that low-income older Americans can meet their basic needs and maintain their health. In operation for 50 years (Medicaid) and 40 years (SSI), these workhorse programs are indispensable for seniors. But as the population ages and income inequality increases, both programs need retooling to improve benefits and increase access for more people who need them.

Justice in Aging attorneys Georgia Burke, Jennifer Goldberg, and Kate Lang published “Medicaid and Supplemental Security Income Eligibility: Time for a Tune-Up,” in the spring issue of the National Academy of Elder Law Attorneys (NAELA) Journal.

This article recommends improvements for both programs to ensure that they continue to meet the needs of low-income older Americans now and into the future. You can learn more about the SSI Restoration Act here, and Justice in Aging's health care policy work here.



MAY 6, 2016 | Source: Health Care Delivery Systems, Department of Health Care Services

In early April, DHCS shared for stakeholder comment a comprehensive strategy for the Coordinated Care Initiative (CCI) focused on improving the quality of care and care coordination in Cal MediConnect for beneficiaries, ensuring that beneficiary satisfaction remains high and increases, and generating sustainability for the program.

In total, DHCS received letters and comments that represented the views of more than 40 stakeholder groups. This robust stakeholder engagement is critical to the success of the CCI, and DHCS appreciates everyone who participated in the comment process.

Today, DHCS is sharing an update on its policy decisions, as well as additional materials for stakeholder comment. MORE


Social Security’s Rep Payee Program for Consumers

APR 28, 2016 | Source: Justice in Aging

The Social Security Administration’s Representative Payee program is an important program for ensuring that older adults who can no longer manage their finances have someone trustworthy and competent to do it for them.

As the population ages and the prevalence of cognitive challenges among the older adult population increases, the Rep Payee program will become even more critical and will play an important role in preventing elder financial abuse.

At Justice in Aging, we are working on creating a series of Fact Sheets about Social Security’s Representative Payee program and ways it can be improved. Our Fact Sheet for Consumers, What is a Social Security Representative Payee and how are they chosen? provides an overview of the basics of the program for consumers and other lay audiences.

If you’re a direct service provider for seniors, people with disabilities, and their family members, feel free to print up multiple copies of the Fact Sheet to distribute.


Third Wave of National Study of Long-Term Care Providers to Begin Summer 2016: All ADS Centers are Invited to Participate

APR 26, 2016 | Source: National Adult Day Services Association (NADSA)

Starting this summer, the U.S. Centers for Disease Control and Prevention’s (CDC) and National Center for Health Statistics (NCHS) will conduct the third wave of a biennial nationally representative survey of ADS centers, as part of its groundbreaking National Study of Long-Term Care Providers (NSLTCP). NSLTCP is an ongoing federally funded data collection effort to gather and report national and state information about the characteristics of ADS centers, other paid, regulated long-term care services providers, and the people they serve.

CDC uses the information collected through NSLTCP to produce publicly available reports and findings on the major long-term care services sectors including adult day services centers, assisted living and other residential care communities, home health agencies, nursing homes, and hospices. Reports from the second wave of the NSLTCP survey conducted in 2014 include Long-Term Care Providers and Services Users in the United States: Data from the National Study of Long-Term Care Providers, 2013-2014, reports with national results on ADS centers and participants, and tables with state information on ADS centers and participants. CDC thanks all of the ADS centers that completed and submitted your questionnaires in the second NSLTCP wave. Your participation made it possible to provide these accurate and relevant findings to you, other providers, policy makers, advocates, and researchers. MORE


Discovering What the ADS Financial Indicator Results Can Reveal About our Field

APR 26, 2016 | Source: National Adult Day Services Association (NADSA)

NADSA, CARF International, and Reinsel Kuntz Lesher LLP are conducting the 2016 ADS financial indicators study in fulfillment of the goal to develop financial benchmarks for the Adult Day Services field. This is the 7th year of this study and NADSA offers Annual Meeting presentation to reveal the study findings as well as a webinar for members. ADS centers that participated in the study also receive complementary individualized reports with their benchmarking data.

If your organization is an Adult Day Services provider, you are invited to participate in this complementary study. Instructions for participation are included in this article along with why this is valuable for your organization, and highlights from last year’s study. FULL ARTICLE


CMS Releases Final Medicaid Managed Care Regulation

APR 25, 2016 | Source: Justice in Aging

Today, the Centers for Medicare and Medicaid Services (CMS) issued a final regulation updating federal Medicaid managed care regulations. The final regulation is the first major update to Medicaid managed care in more than 10 years. Significantly, this regulation details, for the first time, federal expectations for states contracting with managed care plans that deliver long-term services and supports.

CMS issued the proposed rule last summer and received over 850 comments from the public. The regulations go into effect on July 6, 2016 and states and managed care plans will need to come into compliance with the rule by July 1, 2018.

Justice in Aging will analyze this sweeping regulation with an eye toward the impact on low-income older adults. The regulation has the potential to significantly change the way states, managed care organizations, aging network providers, advocates, and beneficiaries interact in the long-term services and supports delivery system.

Stay tuned for forthcoming Justice in Aging analysis and trainings on the regulation’s impact on older adults and long-term services and supports.

The regulation will be published in the Federal Register on May 6, 2016. The document is available here:

For background on the previous proposed regulation, please see our issue brief. Justice in Aging’s MLTSS Tool Kit, MLTSS Contract Library and more advocate resources are available on our website.


DHCS Releases a New Provider Bulletin on Continuity of Care and Billing

APR 18, 2016 | Source: California Department of Health Care Services (DHCS), Health Care Delivery Systems

In order to ensure that beneficiary transitions into Cal MediConnect are smooth and do not result in disruptions of care, the CCI continuity of care policy gives beneficiaries in Cal MediConnect plans the right to continue seeing non-participating physicians for a limited period of time.

DHCS has developed a Provider Bulletin which explains how current out-of-network physicians can continue seeing Cal MediConnect beneficiaries, and the process for billing the correct entity for payment. It also provides information to help combat balance billing.

More information and additional resources for providers can be found on


IHSS Workers Who Fail to Return Provider Enrollment Form by April 15 Will NOT be Terminated From Program

APR 11, 2016 | Source: California Department of Social Services (CDSS)

The California Department of Social Services (CDSS) released a letter on April 8, 2016 to the County Welfare Directors and County IHSS Program Managers announcing that CDSS will NOT terminate IHSS providers (workers) from the program if they fail to return the “IHSS Provider Enrollment Agreement” form by the April 15th deadline.

However, all IHSS workers must submit the Provider Enrollment Agreement (SOC 846) form which was updated to include information regarding overtime and travel time pay, weekly hour maximums and the violations process.

Adult Day Services providers are urged to inform their center participants who have IHSS workers about this development, and refer them to the SOC 846 form and 7-page document “Important Information for the IHSS Provider.”


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

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

3/31/16 Sacramento Bee
California lawmakers send Jerry Brown historic $15 minimum wage

1/4/16 California Healthline
Feds OK California's $6.2 Billion Waiver

Media Coverage

Medi-Cal's Positive Impact Must Not Be Overlooked
MAY 24, 2016
The CHCF Blog
Stan Rosenstein
Medi-Cal | health care system | seniors | people with disabilities | ACA | long term care

Feds Approve California’s Health Plan Tax Swap
MAY 17, 2016
The Sacramento Bee
Jim Miller
tax on health plans | Medi-Cal | managed-care organizations | program for the poor | people with developmental disabilities | Local Health Plans of California

Fix For VA Health Snarls Veterans And Doctors In New Bureaucracy
MAY 16, 2016
California Healthline / Kaiser Health News
Quil Lawrence, NPR News and Eric Whitney, Montana Public Radio and Michael Tomsic, WFAE
Senate Veterans Affairs Committee | Veterans Choice program | Health Net

Dignity Health dips into the red as Medicaid volume grows
MAY 16, 2016
Modern Healthcare
Beth Kutscher
Dignity Health | Medi-Cal | Medicaid program

Alzheimer's OC to take over adult day care service in Laguna Woods
MAY 13, 2016
Orange County Register
Jennifer Karmarkar
South County Adult Day Services | Age Well Senior Services | Alzheimer's OC | adult day care

Aging population caused by lower fertility, longer lives
San Diego County's 65-and-up sector is 13 percent, growing to 20 percent
MAY 12, 2016
The San Diego Union-Tribune
Michelle Gilchrist
aging| 65-and-older population

California Governor Signs Bill Giving Time For ADA Fixes
MAY 10, 2016
Capital Public Radio
Americans with Disabilities Act | SB269

State Makes Changes to Managed Care Program For Elderly, Disabled
MAY 5, 2016
California Healthline
Anna Gorman
managed care health plans | Coordinated Care Initiative | “dual eligibles” | Department of Health Care Services | California Association of Health Plans

Anthem Blue Cross Fined For Poor Handling Of Consumer Grievances
MAY 3, 2016
California Healthline
Capitol Desk
Ana B. Ibarra and Chad Terhune
California's managed-care | Anthem Blue Cross | consumer grievances | California Department of Managed Health Care | DMHC | health care rights | consumer protections

Betty Berry: Caregivers must pay attention to their own needs, as well
APR 28, 2016
Ventura County Star
Betty Berry
caregiving | Respite care | Adult day care centers

Stefanik, Walorski, Zeldin testify before subcommittee about bills to improve healthcare for veterans
APR 26, 2016
The Ripon Advance
House Veterans Affairs subcommittee on Health | H.R. 3989 Family Caregiver Program | H.R. 4977 VA Scheduling Accountability Act | H.R. 2460 Adult Day Health Care services

CMS’ Sweeping Medicaid Managed Care Rules Set New Quality Standards
APR 26, 2016
California Healthline
Medicaid managed care | large insurance contractors | vulnerable patients

Prior Coverage


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 Coni Segretto-Ricci

Coni Segretto-Ricci
Office Assistant

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

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