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ADHC/CBAS Transition || Associate Members (Vendors/Consultants/Networks) || Coordinated Care Initiative (CCI)/Cal MediConnect || Legal Updates
INSIDE THE BLACK BOX: The Future of Price Transparency in California
| December 9, 2013
| 12:00 - 1:30 PM
California Chamber of Commerce Conference Room
1215 K Street at Esquire Plaza, 14th Floor
Sacramento, CA 95814
REGISTER NOW to attend online, in person, or by phone.
Health care is that rare marketplace where neither the person ordering a service (the doctor) nor the person consuming it (the patient) is conscious of the price. Proponents of greater transparency believe that changing this dynamic is essential to reining in spending and bringing greater value.
The California HealthCare Foundation (CHCF) announces a Sacramento briefing that will explore the state of pricing transparency, provide examples of effective practices for sharing price information, and cover potential strategies for driving transparency forward in California.
Among the topics that will be explored:
- Who are the different audiences for price information and what does each need?
- Does the sharing of retail prices for care (gross charges) matter in a world of heavily discounted prices?
- Could greater openness actually drive up prices?
- What can we learn from other states about price transparency?
- Adams Dudley, MD, MBA, professor of medicine and policy, Philip R. Lee Institute for Health Policy Studies University of California, San Francisco
- Maribeth Shannon, MSHA, director of Market and Policy Monitor program, CHCF
- Jill Yegian, PhD, vice president of policy and research, Integrated Healthcare Association
Lunch will be served to those in attendance. The briefing is open to all interested participants.
COVERED CALIFORNIA LAUNCHES SELF-SERVICE WEBSITE FOR THE SMALL BUSINESS HEALTH OPTIONS PROGRAM
Small Businesses Can Enroll for Coverage That Begins As Soon As January 1st
Covered California™ today officially launched the full self-enrollment function of the Small Business Health Options (SHOP) online marketplace. This significant new function on the Covered California website will enable small businesses to fully enroll for coverage that may begin as early as Jan. 1, 2014.
Small-business owners with one to 50 eligible employees may now enroll in Covered California’s Small Business Health Options Program (SHOP) plans for coverage effective Jan. 1, 2014. Like the health insurance plans in Covered California’s individual market, Covered California’s SHOP plans were negotiated to bring a standardized set of benefits, a robust provider network, and a broad choice of health insurance plans with competitive pricing to employers and their employees. Read more.
COORDINATED CARE INITIATIVE (CCI) / CAL MEDICONNECT
DHCS Webinar -- December 10 | 1 PM to 2 PM
The California Department of Health Care Services will host a Stakeholder Update on the Coordinated Care Initiative on December 10, 2013, from 1:00 PM to 2:00 PM, via webinar. This webinar is open to all Coordinated Care Initiative (CCI) / Cal MediConnect stakeholders. To register, click here.
DUAL ELIGIBLE DEMONSTRATIONS: WHAT CAN OTHER STATES LEARN FROM NY, VA AND SC?
December 17, 2013 | 2 PM to 3 PM EST
In the second half of the year, New York, Virginia and South Carolina received approval from the Centers for Medicare and Medicaid Services for their state's dual eligible demonstration.
The Memorandum of Understanding (MOU) for these three states builds on MOUS from previous state demonstrations and includes features of interest to advocates in states currently working on their MOU and three-way contracts.
This webinar will dig deeper into specific features of the state programs, including the appeals process, care continuity, plan evaluations and ombudsman programs.
Advocates from these and other states can learn more about the MOUs and how demonstration programs are being designed.
- Krystal Knight, Medicare Rights Center
- Georgia Burke, National Senior Citizens Law Center
- Fay Gordon, National Senior Citizens Law Center
STATE'S NEXT CBAS STAKEHOLDER WORKGROUP MEETING
January 9, 2014 | 2 PM to 5 PM
The Department of Health Care Services (DHCS) and the California Department of Aging (CDA) have announced the schedule for the CBAS Stakeholder Workgroup meetings:
January 9, 2014 | 2-5 PM - Stakeholder Workgroup Meeting
February 4, 2014 | 2-5 PM - Stakeholder Workgroup Meeting
March 6, 2014 | 2-5 PM - Stakeholder Workgroup Meeting
April 10, 2014 | 3-5 PM - CBAS Stakeholder Process Summary Webinar
All meeting announcements, agendas, meeting materials, etc., will be shared through the CDA CBAS distribution list. If you have not signed up already, you may register to receive notifications about the CBAS Stakeholder Process and Workgroup Meetings.
Information regarding the CBAS Stakeholder Process can be found on the CDA website. Meeting summaries and action items will be posted to the CDA website following Stakeholder Workgroup meetings. Public comment will be allowed at each meeting and is encouraged in writing or by phone at any time through April 2014. Contact information for CDA is below.
California Department of Aging
1300 National Drive, Suite 200
Sacramento, California 95834
CDA CBAS Mail Box: CBAScda@aging.ca.gov
CDA CBAS Website: www.aging.ca.gov
CDA Phone Number: (916) 419-7545
FINAL RULE ON HOME CARE & DOMESTIC WORKERS ISSUED BY LABOR DEPT
September 17, 2013 -- US Department of Labor
The US Department of Labor released a Final Rule that extends the minimum wage and overtime protections under the federal Fair Labor Standards Act, to nearly 2 million home care workers including home health aides, personal care aides and certified nursing assistants, effective January 1, 2015. It also extends those minimum wage and overtime protections to all direct care workers employed by home care agencies and other third parties.
The US Department of Labor has created a new web portal with interactive web tools, fact sheets and other materials to help families, other employers and workers understand the new requirements. These, along with information about upcoming webinars on the rule, are available at www.dol.gov/whd/homecare. To register for the Western Region Webinar scheduled for Tuesday, October 8, 2013, from 10 AM to 11:30 AM Pacific, click here.
NEW HIPAA OMNIBUS RULE REQUIRES UPDATED PRIVACY POLICIES AND PROCEDURES
September 17, 2013 | 10:00 AM -- CAADS Regulatory Alert
On September 23, all Adult Day Health Care/CBAS facilities that are subject to the HIPAA privacy and security rules must come into compliance with the “HIPAA Omnibus Rule,” which implements changes required by the HITECH Act of 2009.
Any facility engaging in electronic transmission of protected health information is included. The new rules make minor revisions in a large number of areas and extensive changes in a few, such as the requirements for dealing with Business Associates, and for providing notification of security breaches to patients and government agencies. Failure to have internal guidelines in place that comply with the new Rule can lead to fines and other sanctions after September 23, 2013.
CAADS is making the new Privacy Policies and Procedures Manual, designed to be easily customizable to your center, available to Adult Day Health Care providers. The new manual replaces the previous HIPAA Policy and Procedures Manual in its entirety. View order form.
CBAS NON-PROFIT PROVIDER REQUIREMENT POSTPONED
December 31, 2013 -- CA DHCS / CDA
The California Department of Health Care Services (DHCS) is postponing implementation of the CBAS non-profit requirement from July 1, 2012 to no sooner than January 1, 2014. Read CDA Notice to CBAS Providers.
CAADS ISSUE PAPER CRITICAL OF STATE'S NON-PROFIT REQUIREMENT FOR CBAS PROVIDERS
March 13, 2012 - CAADS
CAADS has published an analysis of the state’s new policy requiring CBAS providers to become non-profit entities, outlining the legal and logistical challenges that make implementation of this policy a maze of bureaucratic dead ends. CAADS recommends that the state take a different approach to avoid problems with reducing access to care and creating unnecessary state cost. The burdensome oversight of the exception process that the state proposes as a remedy to maintain access merely adds to the uncertainty as the programs move into managed care. Penalizing two-thirds of existing providers based on their tax structure does not make sense when the vast majority of ADHC participants are found eligible for CBAS and require uninterrupted access to those very same for-profit centers. A better solution is one that relies on assuring compliance with the new Standards of Participation in the 1115 Waiver.
LEGAL HELP FOR ADHC PROVIDERS SEEKING NON-PROFIT STATUS
With the recent announcement by the California Department of Health Care Services that CBAS sites must be nonprofit organizations, many of the state's for-profit ADHC centers are facing significant financial implications and a tight timeframe to complete the process for obtaining nonprofit status. In response, CAADS has prepared a Preferred Attorney List which includes legal firms in membership with CAADS which have experience with establishing a nonprofit organization and have expressed interest in working with ADHC providers on this complex process.
For more information on ADHC Transition to CBAS, click here.
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. CAADS member-centers 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 advocacy, timely information, analysis, technical assistance, education, and networking opportunities for member organizations. CAADS members agree to abide by the Association's Bylaws and Code of Ethics. For more information on CAADS Membership click here!
The 2010 CAADS Annual Report highlights the Associations efforts to build state relationships, pursue legislation, and provide education, training and public awareness.
CAADS Members-Only Online Benefits
Available to CAADS members on the Members-Only page:
- State Budget Analysis
- CBAS / Medi-Cal Managed Care Plans Information
- Medi-Cal Updates
- Licensing Updates
- Laws & Regulations for ADHC/CBAS and ADP Facilities
- Advocacy & Legislative Alerts
- Funding Sources
- Technical Assistance
- Education / Training Materials
- Member Roster
The Alliance for Leadership and Education (A.L.E.) is a non-profit 501(c)(3) public benefit arm of CAADS. The A.L.E. 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. The organization is governed by the 7-member A.L.E. Board of Directors.
The 2010 A.L.E. Annual Report summarizes the year's grant activities and initiatives focused on Quality of Care, Public Education and Information.
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California Association for Adult Day Services
1107 9th Street, Suite 701
Sacramento, California 95814-3610
TEL: (916) 552-7400 || FAX: (866) 725-3123
Human Kindness--it just flows around here
[Download Real Player]
Honoring Adult Day Services pioneers and those they serve.
DEC 4, 2013
State, Stakeholders Work To Renew Community-Based Adult Services
Community-Based Adult Services program | CBAS | CBAS workgroup | California Association of Adult Day Services | access to CBAS care
DEC 3, 2013
Treasury official joins Covington -- Adult care groups hire Medicaid help -- Bryce Harlow awards announced -- CEA celebrates the holidays
Byron Tau with Andrea Drusch
National Adult Day Services Association | NADSA | adult day care providers
New York Times
NOV 28, 2013
Medicaid Growth Could Aggravate Doctor Shortage
California's Medicaid program | Medi-Cal | managed-care plans | access to care
NOV 27, 2013
Fremont adult day care center will expand with $130,000 grant
Bay Area Community Services' Adult Day Care Program | adult daycare program
NOV 26, 2013
Mobile Initiative Helps Isolated Caregivers in L.A., Ventura Counties
Senior Concerns | Mobile Caregiver Support Center
California Health Report
NOV 25, 2013
A Unique Caregiver Program: "We Come to You."
Senior Concerns | Mobile Caregiver Support Center | adult day care | adult day center
San Diego 6 News
NOV 6, 2013
County holds town hall meeting on the Affordable Care Act
San Ysidro Adult Day Health Center
OCT 30, 2013
Yolo Adult Day Health center aids adults in need
Blues Harvest fundraiser set this week
Yolo Adult Day Health Center | YADHC | Friends of Adult Day Health Care
OCT 23, 2013
State Agency's Penalty Check Payout for Late Hearings Climbs Above $2.7 Million
Community Based Adult Services program | CBAS | Adult Day Health Care
OCT 22, 2013
State Opens Adult Day Services Dialogue
Community Based Adult Services program | CBAS | Darling v. Douglas settlement | Adult Day Health Care | California Association of Adult Day Services
OCT 22, 2013
Veterans Corner: VA long-term care
home- and community-based outpatient long-term care programs | adult day health care
Imperial Valley Press
OCT 19, 2013
Alegria Adult Day Health Care Center celebrates 12 years
Alegria Adult Day Health Care Center
News Medical /
OCT 2, 2013
ARAMARK event to aid low-income San Diego families caring for disabled family members
Neighborhood House Association's Adult Day Health Care Center (ADHC)
HealthDay / HealthDay.com
SEPT 30, 2013
Many Americans Worry About Cost of Long-Term Care: Poll
Harris Interactive/HealthDay survey also finds most are mistaken about how costs are covered now
long-term care | adult "day care" center
SEPT 17, 2013
US budget deficit to rise to 3.5 percent of GDP by 2023
Lifelong Medical Marin Adult Day Health Care Center (photo caption)
Physicians News Network
SEPT 16, 2013
Two LA Elderly Care Facilities to Benefit from SCAN Grant
Alliance for Leadership and Education (ALE) | Community-Based Adult Services (CBAS) program | A Day Away Adult Day Care Center | St. Barnabas Senior Center of LA
Quick Link . . .
Videos / YouTube
The Falling Monologues
MAR 7, 2012
What would happen if California's Governor and Legislature made a mistake?
Oakland Rally to STOP Elimination of ADHC
OCT 27, 2011
San Francisco Rally to SAVE ADULT DAY HEALTH CARE
OCT 20, 2011
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THE CAADS STAFF
Lydia Missaelides, MHA
Education & Events Manager
Membership & Communications Director