CAADS - California Association for Adult Day Services

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

Top-of-Mind . . .

NOV 15 | Anaheim Marriott Suites | Garden Grove, CA
LODGING DEADLINE: 10/25/16 ($115, plus taxes) | Event details available in September.

CAADS FALL CONFERENCE -- The Quality Imperative
NOV 16-18 | Anaheim Marriott Suites | Garden Grove, CA
LODGING DEADLINE: 10/25/16 ($115, plus taxes) | EXHIBITOR INVITATION & CONTRACT | SPONSORSHIP OPPORTUNITIES | Full event details available in September.

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 Quick Link to Handouts from Events/Webinars for NOV 18, 2015 course, Pre-Screening & Application Process for the Certification of New CBAS Centers. To learn about membership in CAADS, click here.

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 . . . August 26, 2016

IMPROVING ACCESS: Moving Medi-Cal Forward — Together

AUG 17, 2016 | California Health Care Foundation (CHCF)

CHCF thanks everyone who participated in the July 13 briefing on the future of Medi-Cal. Over 500 people joined in person, online, or by phone to hear noted experts discuss the findings and recommendations in a new CHCF-sponsored report from Manatt Health, Moving Medi-Cal Forward on the Path to Delivery System Transformation.

In her latest article for The CHCF Blog, CEO Sandra Hernández reflects on the key takeaways from the briefing, including the widely agreed-upon vision for Medi-Cal as a program that should foster shared accountability among providers to achieve high-value, high-quality, and whole-person care. She shares data on how attendees at the briefing ranked the report's recommendations, presents some of CHCF's next steps to advance Medi-Cal reform, and explains how you can stay engaged in this work.

"No single organization, government agency, or foundation can tackle this work alone, but I am confident that together we can help move Medi-Cal forward."
          -- Sandra Hernández, MD, CHCF president and CEO

Read the complete article and share your thoughts on social media using #MediCal4ward.


Coordinated Care Initiative Update

AUG 17, 2016 | | Any questions or comments can be sent to

Streamlined Enrollment to Begin for Cal MediConnect

The Department of Health Care Services (DHCS) will begin streamlined enrollment during the week of August 22, 2016, for Cal MediConnect as part of the Coordinated Care Initiative (CCI).

Streamlined enrollment allows Cal MediConnect health plans to submit enrollment changes to DHCS on behalf of their members. This will provide a simpler method for beneficiaries to enroll in the Cal MediConnect program associated with their Medi-Cal managed care long-term services and supports (MLTSS) health plan as they will no longer have to take the extra step to contact the state enrollment broker, Health Care Options (HCO), to complete their enrollment choice.

Providing streamlined enrollment is part of DHCS' comprehensive strategy for improving the CCI and Cal MediConnect program. Streamlined enrollment builds upon lessons learned about effective beneficiary outreach, including that the best way to educate beneficiaries is through one-on-one conversations that answer their specific questions about their providers, how the program works and how to make a smooth transition.

DHCS has safeguards in place to protect beneficiaries and will work with the plans to ensure the process is smooth and that beneficiary protections are working.

For more information about streamlined enrollment, click here .

Telephone Survey Findings Released

The UCSF Community Living Policy Center and the UC Berkeley Health Research for Action Center conducted an evaluation of Cal MediConnect as part of California's Coordinated Care Initiative (CCI).

As part of this three-year evaluation, researchers conducted a representative telephone survey with 2,139 beneficiaries who were dually eligible in early 2016 to examine their experiences with Cal MediConnect. Researchers compared the experiences of Cal MediConnect beneficiaries with those who opted out and duals who reside in non-CCI counties to identify areas where experiences are significantly better or worse than those who did not participate.

The key insights from the telephone survey are summarized here. For full details of the telephone survey findings and more information regarding the other pieces of this evaluation, click here.

Cal MediConnect Ombudsman Program

The Department of Managed Health Care is soliciting proposals from qualified entities to provide services to California's dual eligible beneficiaries in Coordinated Care Initiative (CCI) counties, including consumer assistance, education, training and outreach. It is anticipated that the contract will begin on October 1, 2016, and end on December 31, 2017. This will ensure beneficiaries can continue to access these critical services from an independent ombudsman program.

You are invited to review and respond to this Request for Proposals (RFP), entitled "Cal MediConnect Ombudsman Program." Potential proposers are encouraged to download the solicitation package as well as any future addendums from Cal eProcure. The deadline for submitting proposals is 4 p.m. Pacific Standard Time (PST) on September 2, 2016. Please contact Christopher Rendall at or (916) 324-1618 if you have any questions.


New Atlas on Cost and Quality

AUG 11, 2016 | California Health Care Foundation (CHCF)

Benchmarking and tracking quality and cost measures is critical to reducing unwarranted variation and achieving high-quality, affordable care for all Californians. The new atlas is a collaboration of the Integrated Healthcare Association (IHA), the California Health Care Foundation (CHCF), and the California Health and Human Services (CHHS) Agency, and includes data for nearly two-thirds of Californians. See the new data tool and listen to a discussion.


Caregiver Cruise -- Possibly The First Of Its Kind In The Country

AUG 2016 | Insight Memory Care Center | Video [4:36 min] | Blog

We can all use a vacation, but what about traveling when your loved one has dementia? It can certainly be difficult, and that’s why Insight Memory Care Center offers a Caregiver Cruise! Both the individual with a dementia diagnosis and their caregiver attend, making the program possibly the first of its kind in the country. In addition to the many benefits a cruise offers – the chance for a vacation, seeing new sights, a getaway – the caregiver cruise provides families with a chance to vacation in a safe and supportive environment.

Hear from families who participated and Insight staff to learn more about the Caregiver Cruise by watching this short video. Check out the Cargiver Cruise Blog.


New Video from Institute on Aging

AUG 5, 2016 | Institute on Aging | Video [1:36 min]

We believe the future should be something to look forward to, at every age.

This short film [1:36 minutes] simply titled "ME," was created to encourage and inspire the 42 million older adults in this country, and to help remind everyone that the hopes, dreams and ambitions of those over 65 are not only alive and well; they are as vibrant and strong as ever.

Institute on Aging is a non-profit that brings together resources, education and services to help older and disabled adults remain independent, engaged, and in their own home for as long as possible.

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.

Chip Kettering
, art director; John Dolab, writer; Alan White, director/dp; Zachary Green, producer; Whitehouse, editorial company; Francesca Capua, producer; Brian Gannon, editor; Formosa Villa, audio post; Lauren Cascio, executive producer; John Bolen, audio mixer; Marmoset (‘Frygar Dreams of Sunshine’), music company; Institute On Aging, client; Deborah Cantu, vice president, brand marketing; Katie Zierhut, brand marketing project manager


New Interactive Tool Highlights Economic Stimulus Impact of Social Security

AUG 4, 2016 | Justice in Aging Health Network Alert

Social Security is the most successful anti-poverty program ever created, providing essential support to millions of older adults, people with disabilities, surviving spouses, and children. However, the overall economic benefits of Social Security go far beyond the direct benefits it provides.

A new interactive tool, Social Security Spotlight, produced by our friends and partners at the National Committee to Preserve Social Security and Medicare, highlights the valuable economic stimulus impact of Social Security in every state and in communities nationwide.

This tool can be helpful for advocates in their daily work as it provides detailed data about beneficiaries by state, county, congressional district, age, race/ethnicity and gender that anyone can access easily with just a few clicks. It can also bolster all of our advocacy by showing clearly how Social Security provides $1.6 trillion in economic stimulus impact and also serves as an automatic economic stabilizer, even during economic downturns.

You can access the tool at .


Opportunity for Regional Center Vendors to Apply for HCBS Compliance Activities Funding

AUG 3, 2016 | California Department of Developmental Services (DSS)

The 2016 Budget Act (SB 826, Chapter 23, Statutes of 2016) contains $15 million to help fund changes necessary for regional center service providers to come into compliance with the HCBS rules. The letter and accompanying enclosures sent to regional centers are available below.

•  August 3, 2016 letter
•  Settings/Services list, Enclosure A
•  Compliance Evaluation, Enclosure B
•  Concept Proposal, Enclosure C

The Department will conduct two webinars to review the compliance funding process and answer questions. The schedule for these webinars is:

Monday, August 15, 2016, at 9:30 a.m.
» Click here to register

The webinar will be repeated on:

Thursday, August 18, 2016, at 3:30 p.m.
» Click here to register

Choose one of the above dates/time to participate in the webinar. Select the corresponding registration link. Follow the prompts to receive instructions for participating in the webinar. Email questions, comments, and concerns to

What Are Home and Community-Based Services (HCBS)?
HCBS are long-term services & supports provided in home and community-based settings, as recognized under the federal Medicaid (Medi-Cal) Program. These services can be a combination of standard medical services and non-medical services. Standard services can include, but are not limited to: case management (i.e. supports and service coordination), homemaker, home health aide, personal care, adult day health services, habilitation (both day and residential), and respite care. States can also propose "other" types of services that may assist in diverting and/or transitioning individuals from institutional settings into their homes and community.

The New HCBS Rules Affect More Than Just DDS
The California Department of Health Care Services (DHCS) has been working with partner agencies, including the Department of Developmental Services (DDS), the California Department of Aging (CDA), the California Department of Public Health (CDPH), other entities, and public and stakeholder input to develop a 5-year Statewide Transition Plan (STP) to bring California into compliance with new rules. This plan has to be approved by CMS.

On August 14, 2015, DHCS, as the single state agency for the Medi-Cal program, submitted the Statewide Transition Plan for home and community-based settings to CMS for approval. It covers all existing California programs that are affected by the home and community-based settings requirements, including the HCBS Waiver for Californians with Developmental Disabilities and the DDS 1915(i) State Plan program.

New HCBS programs are not covered by the Statewide Transition Plan. New programs, such as the proposed Self-Determination Program Waiver, must be in compliance with the HCBS rules when they are implemented.

Additional information is now available
•  Fact Sheet Home and Community-Based Settings Rule
•  Frequently Asked Questions HCBS Rules

DDS HCBS Advisory Group
On January 16, 2015, in a letter to All Interested Parties regarding the HCBS regulations, DDS announced its efforts to establish an HCBS Advisory Group to guide the transition process for the home and community-based settings requirements in the developmental disabilities service system: Letter regarding the HCBS regulations dated January 16, 2015

In early February, 2015, a number of individuals accepted invitations from Director Santi Rogers to participate on the HCBS Advisory Group (Advisory Group). The Advisory Group provides greater depth and breadth of analysis on the focused issues and processes impacted by, or necessary for, developing, implementing, and continuing compliance with the federal HCBS requirements. Members represent the various interests and perspectives impacted by the HCBS regulations by including consumers, family members, providers, regional centers, and advocates. Interested individuals are welcome to attend meetings.

The Advisory Group Meeting Materials.

DDS - View 4-page overview of the Federal Requirements for Home and Community-Based Settings.
Medicaid and CMS - Visit CMS website for various communications and fact sheets that help explain the new HCBS rules.
DHCS - Access Statewide Transition Plan and related information on the DHCS website.

For questions, or information on future meetings, email to


Cal Duals Update -- JULY 2016

AUG 2, 2016 (PDF) (Word) |


Medicaid's Role in Meeting Seniors' Long-Term Services and Supports Needs

AUG 2, 2016 | The Henry J. Kaiser Family Foundation | View Article

•  How Do Seniors Qualify for Medicaid LTSS?
•  Which LTSS Does Medicaid Cover?
•  How Much Does Medicaid Spend to Cover Seniors' LTSS Needs?
•  What are the Current Policy Issues in LTSS for Seniors?
•  Looking Ahead

Medicare | long-term services and supports (LTSS) | adult day health care | Medicaid | community-based care | Medicaid home and community-based services (HCBS) | Deficit Reduction Act of 2005 | Affordable Care Act (ACA) | risk-based managed care organizations


Apply Now! 2016 Rosalinde Gilbert Innovations in Alzheimer's Disease Caregiving Legacy Awards

AUG 1, 2016 | The Rosalinde and Arthur Gilbert Foundation, Family Caregiver Alliance (FCA)

With continuing support from The Rosalinde and Arthur Gilbert Foundation, Family Caregiver Alliance (FCA) is pleased to announce that applications are now being accepted for the 2016 Rosalinde Gilbert Innovations in Alzheimer’s Disease Caregiving Legacy Awards.

$20,000 awards in each of these 3 categories:

  • Creative Expression
  • Diverse/Multicultural Communities
  • Policy and Advocacy

Visit for information and to link to the online application. To view our interactive scrapbook of Gilbert Caregiving Legacy Award winners 2008 through 2015, click here.

The Gilbert Caregiving Legacy Awards reception will be held at the annual conference of the American Society on Aging, AiA17, March 20-24, 2017, in Chicago.


Oral Health in California: What About Older Adults?

JUL 27, 2016 | Justice in Aging Health Network Alert

Oral health is a critical aspect of overall health for people of all ages, but especially for older adults. Unfortunately, the oral health needs of older adults, particularly low-income older adults have been neglected.

A new Issue Brief by Justice in Aging, Oral Health in California: What About Older Adults? explores the reasons why the oral health of older adults in the state is suffering and offers recommendations for improvements.

The issue brief launches a new area of advocacy for Justice in Aging in which we seek to improve oral health for low-income older adults in California.

California ranks 30th in dental care for older adults. Older adults with limited income especially face barriers accessing quality dental care through the state’s Denti-Cal program, which provides dental services under the Medi-Cal program. For example, only one in four California dental providers provide services to Denti-Cal enrollees. Five California counties have no Denti-Cal providers and several other counties have Denti-Cal providers, but they are not accepting new patients. As a result of this and other reasons, older adults in California have high rates of dental decay and tooth loss.

Justice in Aging presented a webinar on this topic on Tuesday, July 26. You can access the webinar slides or watch the video here.

This issue brief and its accompanying webinar was funded by a grant from The California Wellness Foundation (Cal Wellness). Created in 1992 as a private independent foundation, Cal Wellness’ mission is to improve the health of the people of California by making grants for health promotion, wellness, education and disease prevention.


New Fact Sheets on How Medicare and Medicaid Work for LBGT People

JUL 21, 2016 | Justice in Aging Health Network Alert

LGBT people need to be aware of recent developments that change how Medicare and Medicaid work for them. First, the Supreme Court’s legalization of same sex marriage in all states changed how Medicare and Medicaid evaluate the eligibility of same sex spouses for both programs. Depending on the program and the individual’s circumstances, the changes can be positive or negative. Additionally, Medicare has begun covering Gender Reassignment Surgery and issued new rules that protect transgender older adults from sex discrimination in healthcare.

Three new fact sheets can help consumers learn how these changes may affect them, whether they are LGBT individuals married to someone of the same sex, or transgender individuals needing to access health care. These fact sheets were produced in partnership with SAGE (Services & Advocacy for Gay, Lesbian, Bisexual, & Transgender Elders), the SHIP National Network (State Health Insurance Assistance Programs), and Administration for Community Living (ACL).

The three fact sheets are:

All are available for download at the National Resource Center for LGBT Aging.

Direct service advocates are encouraged to share these resources widely with the individuals they serve.

Also available from Justice in Aging, Can Legal Services Better Meet the Needs of Low-Income LGBT Seniors?, a special report produced in partnership with Services and Advocacy for Gay, Lesbian, Bisexual, & Transgender Elders (SAGE). This report explains why LGBT older adults have higher rates of poverty, outlines how discrimination and other factors lead to unique legal needs, and provides practical tips for outreach, intakes, and providing culturally competent legal services to LGBT older adults.


Tell CMS What Isn't Working and to Improve Access to Durable Medical Equipment

JUL 19, 2016 | Justice in Aging Health Network Alert

Consumers with both Medicare and Medicaid coverage face recurring problems getting approval for Durable Medical Equipment (DME), getting repairs, and finding reliable suppliers. DME includes many vital items, such as wheelchairs, walkers, hospital beds, home oxygen equipment, and even diabetes test strips used with a glucose monitor. After dialogue with advocates about these problems, the Centers for Medicare and Medicaid Services (CMS) recently issued a Request for Information seeking more information about problems accessing these vital forms of equipment.

This is a very important opportunity to tell CMS what isn’t working and to improve access to DME. Please consider commenting and share this opportunity with others, both advocates and consumers, who can provide input to CMS.

The deadline for comments is August 23.

CMS noted some of the obstacles facing dual eligibles in getting access to DME including:

  • Conflicting DME approval processes for Medicare and Medicaid
  • DME access problems for people who have Medicaid first and then become eligible for Medicare
  • Getting coverage for repairs, particularly getting Medicare coverage for an item originally obtained through Medicaid
  • Differences between Medicare and Medicaid approved suppliers (many providers are approved for one program, but not the other)

The agency asked for examples of these problems, as well as suggestions for legislative and administrative measures that could remedy the issue.

The full list of CMS questions is here. It is very open-ended. We hope that policy advocates will talk about trends they see and specific policy changes that would help. We also hope that consumers who can recount first hand problems will respond (but since comments are public - please don’t include personal information such as a Medicare number).

File your comments on Directions on how to file are found here. It is simple. Comments can be short or long and do not need to be formal.

Please take advantage of this chance to help make DME more accessible to dual eligible beneficiaries!


Drop in Percentage of Physicians Participating in Medi-Cal Raises Red Flags

JUL 8, 2016 | Amy Adams, California Health Care Foundation

New 2015 data now available on ACA 411 show the percentage of physicians participating in Medi-Cal has declined since 2013 — during the same period Medi-Cal enrollment skyrocketed by 39%. This raises serious concerns about whether the supply of physicians participating in Medi-Cal can meet the increased demand.

Self-reported data from a voluntary survey of California physicians show physician participation in Medi-Cal declined from 69% in 2013 to 63% in 2015. (Physicians are identified as participating in Medi-Cal if they report any of their patients are covered by Medi-Cal.) The percentage of specialty care physicians participating in Medi-Cal likewise dropped during this time, from 70% to 64%. MORE


Changes to the Medicaid Managed Care Regulations in Effect

JUL 5, 2016 | Justice in Aging

On July 5, the first wave of new Medicaid Managed Care regulation requirements went into effect. The Centers for Medicare and Medicaid Services (CMS) published the final Medicaid managed care rule this spring, introducing sweeping changes to how the federal government will regulate entities that manage long-term services and supports (LTSS).

Justice in Aging discussed some of the most important pieces of the new regulations in a webinar on June 30. Watch the webinar or download the slides here. Read about the changes on our blog.


HHS Issues Guidance on Facility Residents’ Return to Community Living

JUL 5, 2016 | Justice in Aging Health Network Alert

Recent federal guidance instructs nursing facilities on how to better identify and support residents who want to move to community settings. As the guidance notes, unnecessary nursing facility placement may constitute illegal disability-based discrimination.

The guidance concerns how a facility should administer an assessment document called the Minimum Data Set — MDS for short. Since 2010, the MDS has included Section Q, which is designed to determine a resident’s interest in moving from the facility to a community setting. According to the HHS Office of Civil Rights —the author of the guidance — many nursing facilities are administering Section Q improperly, which results in residents being deprived of opportunities to move from facilities into community settings.

One MDS question asks if “active discharge planning” is occurring. The Office of Civil Rights reports that too many facilities are answering “yes” based on the file containing a pro forma “discharge plan” that has no practical effect. Under MDS assessment protocols, this “yes” answer results in the resident not being asked whether he or she wishes to speak to someone about the possibility of moving from the facility into the community.

The guidance also identifies problems in how the facilities ask whether the resident wishes to speak to someone about possibly moving into the community. The guidance instructs facilities to emphasize that the resident does not need to know exactly how or whether a move would take place: the resident just needs to have an interest in the possibility of moving.

Finally, the guidance advises that interested residents be referred to the “Local Contact Agency” designated to assist residents in moves into the community. A facility should not short-circuit the process based on its estimation that the resident would not be able to live in the community, or on the opinions of the resident’s family.

Justice in Aging commends HHS for its attention to these issues, and encourages residents, family members, and care coordinators to actively explore how moves to the community might be facilitated. The federal guidance and contact information for Local Contact Agencies each is available on-line.

For more information from Justice in Aging about rights under the Americans with Disabilities Act (ADA) and Olmstead, see our issue brief, ADA at 25: Aging Advocates Celebrate Partnership and Progress.



State Health Insurance Assistance programs provide local help for people with Medicare

JUN 21, 2016 | Justice in Aging Health Network Alert

The Senate Appropriations Committee shocked advocates last week by approving a bill that would entirely eliminate funding for State Health Insurance Programs (SHIPs). The Senate bill now goes to the House Appropriations Committee.

SHIPs in every state provide vital one-on-one benefit counseling to people with Medicare, helping them choose Medicare plans and navigate denials. They assist low income Medicare beneficiaries in accessing programs that lower their costs, such as Medicare Savings Programs and the Low Income Subsidy, and in using those programs effectively. For example, in 2015, SHIPs served over 1 million beneficiaries with one-on-one assistance during the Medicare Open Enrollment Period. Losing SHIPs would be a major blow to the people we all serve.

Now is a good time for your Senators and Representatives to hear from you. Use our Action Alert to contact members of the House of Representatives and urge them to reject the Senate proposal and invest in SHIPs. For more information, this Kaiser Health News article explains the potential consequences of a loss in funding, and The National Council on Aging (NCOA) also prepared an issue brief on SHIP funding.

Make your voice heard and let the House know how important SHIPs are for Medicare beneficiaries. News Features Advance Planning, Scam Alerts

JUN 3, 2016 |

LawHelpCA is a statewide resource for legal information and referrals. This issue of News features:


Mental Health Access for Persons with Dementia

JUN 2016 | Prepared for the Alzheimer's Association by Cordula Dick-Muehlke, PhD, Cordula Cares

As this paper, Mental Health Services for Californians with Alzheimer's Disease, proposes, California has a number of timely opportunities to improve access to mental health services for people with dementia, beginning at the point of diagnosis. An urgent need exists to pursue such opportunities immediately to prevent the types of crises presented here, enable families to stay together, improve quality of life, and reduce the cost of care.


Mainstreaming Medi-Cal
Investing in Patient Access, Improving Economic Productivity

JUN 2016 | Bay Area Council Economic Institute | Executive Summary | Full Report (PDF)

Medi-Cal is massive. It covers over 13 million people, more than the entire population of every state except Texas, New York, and Florida. As California’s state Medicaid program, it finances healthcare access for low-income children and adults as well as pays for a great deal of care for seniors and the disabled.

Because Medi-Cal is the provider of healthcare coverage for such a large percentage of the state’s population and the second-largest item in the state budget, it is critical to understand the growth of Medi-Cal over time, its economic and social benefits, and its strengths and weaknesses.


How SSA Can Improve the Representative Payee Program to Protect Vulnerable Seniors

JUN 1, 2016 | Justice in Aging Income Network Alert

Social Security’s Representative Payee Program is crucial to protecting the resources and economic security of vulnerable older adults who cannot manage their own finances. It is also inadequate to meet the growing needs of older adults and has a number of problems in both its capability determination process and in the way the overall program is administered.

This Issue Brief, How SSA Can Improve the Representative Payee Program to Protect Vulnerable Seniors, is the final paper in a series that Justice in Aging has produced with the support of a fellowship grant from the Borchard Foundation on Law and Aging.

This issue brief offers a brief explanation of the program, and outlines the major issues facing the program with recommendations for fixing those issues. The brief then talks about the more specific reforms needed and offers specific recommendations for advocates to use when pushing for reforms.

Justice in Aging will also be hosting a webinar on this topic in late July so stay tuned for that announcement. You can access the full toolkit of Justice in Aging resources on the Rep Payee program here.


Voluntary Means Voluntary: Coordinating Medicaid HCBS with Family Assistance

MAY 2016 | Issue Brief | Justice in Aging

When an older adult can no longer can live independently, and is eligible for Medicaid, he or she often qualifies for home and community-based services (HCBS) that enable the individual to stay at home, rather than move to a nursing facility or other health care institution. The same is true for persons with disabilities. HCBS are provided under a service plan; under federal Medicaid regulations effective since March 2014, those service plans cannot compel unpaid assistance by family members such as adult children. MORE


Meeting the Mental Health Needs of Dual Eligibles: An Opportunity for Advocates

MAY 24, 2016 | Denny Chan, Justice in Aging

The mental health needs of seniors and persons with disabilities who are dually eligible for Medicare and Medicaid are often overlooked in traditional medical settings, ramping up costs and leading to inadequate care. About 44% of dual eligibles have at least one mental or cognitive condition, while more than half of all Medicare inpatient psychiatric facility patients are duals. Stigma and inadequate screening mechanisms prevent beneficiaries from accessing behavioral health services. These needs affect some groups within the dual eligible population disproportionately. For example, nearly half of the under-65 dual eligible population have severe mental disorders, and this group’s health care costs are about double compared to young duals without severe mental health needs. MORE


Expanded FLSA Overtime Standards to be Effective DEC 1, 2016

MAY 20, 2016 | 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.


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

APR 11, 2016 | 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

6/20/16 California Healthline
California Budget: Small Health Gains, Advocates Look To Nov. Ballot For Big-Ticket Items

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

Media Coverage

Geriatric ERs Reduce Stress, Medical Risks For Elderly Patients
AUG 23, 2016
California Healthline
Anna Gorman
geriatric emergency room | poor older patient with dementia | Affordable Care Act | Centers for Medicare and Medicaid Services

Elderly Patients In The Hospital Need To Keep Moving
AUG 16, 2016
California Healthline
Anna Gorman
Acute Care for Elders unit | ACE | geriatric patients | physical and cognitive needs of seniors | Affordable Care Act | CMS [Centers for Medicare and Medicaid Services]

Exclusive: Losses from Obamacare, other business force Blue Shield to take a week off in September
AUG 11, 2016
San Francisco Business Times
Chris Rauber
Blue Shield of California | Care1st | Obamacare

Elderly Hospital Patients Arrive Sick, Often Leave Disabled
AUG 9, 2016
California Healthline
Anna Gorman
elderly patients | seniors | caregivers | Medicare

Painting to remember
AUG 3, 2016
OC Register
Joseph Pimentel
Alzheimer's disease | adult day health care centers

Long-Term Care Is An Immediate Problem — For The Government
AUG 1, 2016
California Healthline
Anna Gorman and Barbara Feder Ostrov
Alzheimer’s disease | long-term care | Medicaid | Medi-Cal | managed care companies

Doctors Are Improperly Billing Some on Medicare, U.S. Says
JUL 30, 2016
New York Times
Robert Pear
Medicare | improperly billing poor people on Medicare | Department of Health and Human Services | cost-sharing | Justice in Aging | balance-billing prohibitions

Democratic And Republican Platforms Back Home-Based Care For Older Adults
JUL 27, 2016
Howard Gleckman
community-based long-term care | personal assistance and social supports for older adults | paid aides and family caregivers | independence rather than institutionalization | care for aging relatives or those with disabilities | elder abuse

Adult day centers provide care for older adults, respite for caregivers
JUL 27, 2016
The Daily Courier
Adult day centers | National Adult Day Services Association | Adult day services centers

UnitedHealth, Aetna to join major Medi-Cal markets
JUL 27, 2016
Fierce HealthCare
Grant Ferowich
UnitedHealth | Aetna | Medi-Cal | Medicaid managed care | Medicaid beneficiaries | Affordable Care Act | State Department of Health Care Services | Centene | Molina

El Monte center pays former employee $9,187 in unpaid wages, penalties
JUL 14, 2016
Pasadena Star News
A Plus Adult Day Healthcare Center

Senior Lifestyles
Avenidas partners with Lyft to boost service to seniors

JUL 13 2016
Los Altos Town Crier
Avenidas Rose Kleiner Center | adult day care | adult day health care | aging-in-place

Savvy Senior: How to Choose an Adult Day Care Service
JUL 8, 2016
The Philadelphia Sunday
Connecting Philadelphia's African American Community

Jim Miller
adult day care services | Adult Day Services | National Adult Day Services Association | NADSA

Jerry Brown signs $167 billion California budget, makes no cuts
JUN 27, 2016
Sacramento Bee
Capitol Alert
Jim Miller

Fighting the Swell of Latino Dementia
JUN 21, 2016
California Health Report
Matt Perry
Latino aging | access to quality healthcare | health disparities | culturally competent information | older adult caregiving | health literacy
[UC Davis Latino Aging Research Resource Center]

California Budget: Small Health Gains, Advocates Look To Nov. Ballot For Big-Ticket Items
JUN 20, 2016
California Healthline
Pauline Bartolone
Medi-Cal | payments to Medi-Cal providers | Health Access | California Medical Association | “We Care for California” | raising Medi-Cal provider rates | Senate Health Committee

Prior Coverage


Institute on Aging
We believe the future should be something to look forward to, at every age.


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Insight Memory Care Center
JULY 29, 2016
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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