CAADS - California Association for Adult Day Services

Highlighted Media Coverage

JUN 25, 2015 | California Healthline
Brown Signs $167.7B Budget With Few Line-Item Vetoes

JUN 2, 2015 | California Healthline
Protest Rises Over Medi-Cal Rates

MAR 31, 2015 | California Healthline
SCOTUS: Providers Cannot Sue Over Low Medicaid Reimbursements

What's New . . .

CalDuals Outreach Update

JUL 21, 2015

New Version of 20 Common Nursing Home Problems and How to Resolve Them Just Released

JUL 2015 | Request Report (Free) | SOURCE: Justice in Aging

Can a nursing home deny needed therapy services? Evict a resident for being “difficult”? Limit family members and friends to specified “visiting hours”?

Many common nursing home practices are, in fact, illegal. In order to receive the best possible quality of care, a resident or resident’s family member should be familiar with the protections of the federal Nursing Home Reform Law, and understand how to use the law effectively.

That’s why Justice in Aging wrote a practical and widely-used consumer guide, 20 Common Nursing Home Problems and How to Resolve Them. The new version is completely updated and boasts a reader-friendly new design.

Family Caregiving Report, Valuing the Invaluable: 2015 Update, Now Available

JUL 2015 | Report by Susan C. Reinhard, Lynn Friss Feinberg, Rita Choula, and Ari Houser, AARP Public Policy Institute | SOURCE: AARP

Undeniable Progress, but Big Gaps Remain

This report highlights the growing importance of family caregiving on the public policy agenda. It lists key policy developments for family caregivers since the last Valuing the Invaluable report was released in 2011. Finally, the report recommends ways to better recognize and explicitly support caregiving families through public policies, private sector initiatives, and research.

Assemblymember Levine Proposes Funding Fixes for Vital Health Care Services

JUL 16, 2015 | SOURCE: Press Release, Assemblymember Marc Levine, District 10

Today Assemblymember Marc Levine (D-San Rafael) introduced legislation to close a funding gap for Medi-Cal and other vital health services, bringing a needed solution to the legislative extraordinary session on health funding.

This fix would preserve $1.1 billion in federal matching funds that were threatened after the federal government rejected a sales tax on Medi-Cal plans that California had previously used to provide its share of Medicaid funding. Resolving the problem is vital to implementation of the Affordable Care Act. AB 4 (Levine) 2nd Ext. also provides needed funding for in-home support services and developmental services.

"I applaud Governor Brown for convening this extraordinary session of the Legislature to act on this expeditiously, as waiting until 2016 is irresponsible," said Levine, a Member of the Committee on Public Health and Developmental Services in the Second Extraordinary Session. "This funding fix is broad-based, stable, and solves the problem we were called here to address. Almost half of all California's children receive health care through Medi-Cal, so we must come up with a real, sustainable solution now. I offer this potential solution, and welcome other proposals so that the Legislature can act on this crisis before adjourning in September."

AB 4 (Levine) 2nd Ext. would generate revenue through a broad-based Managed Care Organization (MCO) flat tax of $7.88 per person per month, a solution that provides $1.1 billion needed for Medi-Cal to prevent the loss of federal funds. There are 45 MCOs providing managed care coverage for 21 million Californians. Roughly 9 million of them are Medi-Cal patients. MCOs receive federal and state reimbursement for costs of services provided to Medi-Cal Californians.

AB 4 (Levine) 2nd Ext. would accomplish the following:

  • Prevent a potential $1.1 billion funding shortfall for Medi-Cal;
  • Restore previous cuts to Medi-Cal reimbursement rates and move to fully fund Medi-Cal;
  • Reinstate In-Home Supportive Services (IHSS) hours; and
  • Increase developmental services funding.

California currently taxes only Medicaid MCOs, an approach recently rejected by the federal government. The federal Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS) notified California in July, 2014 that our current MCO tax is not in compliance with federal rules. CMS provided direction to California to construct a new MCO tax because of the fact that states do not have the "ability to tax only Medicaid MCOs. In order for a health care-related tax on MCOs to be permissible . . . the tax would have to apply more generally to all MCOs." AB 4 (Levine) 2nd Ext. would resolve this problem.

Funding for Medi-Cal, IHSS, and developmental services is critical. These programs suffered deep cuts in the Great Recession, experienced increased costs, and have yet to receive adequate funding. Several organizations have called for long term funding for Medi-Cal, IHSS, and developmental services.

  • "The community system for people with intellectual and developmental disabilities is currently collapsing due to historic divestment away from supporting some of our most vulnerable citizens," said Tony Anderson, executive director of The Arc California. "AB 4 (Levine) 2nd Ext. is an urgently needed bold policy that breaks through the delay. Every day that passes means more individuals and families are at risk." The Arc California is the state's oldest and largest advocacy association of people with intellectual and developmental disabilities and their families fighting for the human and civil rights of the intellectual and developmental disabled community since 1950.
  • "California has made a promise to people with developmental disabilities and their families. Marin Ventures and others in this community need vital help in keeping this promise," said Jami R. Davis, Ph.D., Executive Director, Marin Ventures. "We look forward to working on the details of this proposal and others that seek to address this serious need." Marin Ventures is a Marin County community-based nonprofit that serves people with developmental disabilities.
  • "California has always been an innovative leader and over many years we built a system of cost-efficient and effective programs to support elderly and disabled citizens. These home and community-based programs are a safety net for our friends, neighbors and community-members who would otherwise be at grave risk due to illness, infirmity or disability," said Lydia Missaelides, MHA, Executive Director, California Association for Adult Day Services. "Since the recession we have cut these programs again and again, until our safety net is full of holes and people are falling through the gaps. AB 4 (Levine) 2nd Ext. will provide funding for vital investments to repair the gaps and sustain all members of our community, no matter how vulnerable; ensuring their safety, protection and good quality of life. These investments are critical to our future, because in our state we take care of people, we don't leave them behind." M O R E

California Adult Day Services State Advocacy Fund

Please Help Support Efforts to Pass AB 1261 and Restoration of Medi-Cal Funds!

JUL 21, 2015 | Donate Now (Contributions NOT tax deductible) | SOURCE: CAADS

What's Trending . . .

California State Budget

Impact on California's Older Adults and People with Disabilities

MAY 28, 2015 | Fact Sheet: | SOURCE: The SCAN Foundation

Health Homes

CAADS Submits Comments on DHCS' Health Homes for Patients with Complex Needs Concept Paper Version 2.0
MAY 1, 2015 | CAADS Letter | DHCS California Concept Paper Version 2.0 (Draft 4/10/2015) | SOURCE: CAADS & CA Department of Health Care Services


Notice  |  Get CAADS Updated HIPAA Manual for ADHC! | SOURCE: CAADS


JAN 7, 2015 | Update | SOURCE: NSCLC


California Association for Adult Day Services, a 501 (c) 6 non-profit grassroots-driven organization, advocates for the growth and development of adult day services in California and nationally. CAADS was the first state association formed in the United States for the purpose of advancing adult day services. Centers in membership with CAADS provide innovative day programs that support individuals with physical or mental disabilities and older adults with Alzheimer's disease and their families.

A nationally recognized leader in the field of aging, the Association is governed by the CAADS Board of Directors and provides timely information, analysis, advocacy, technical assistance, education, and networking opportunities for its members. CAADS members agree to abide by the Association's Bylaws, Code of Ethics, and Anti-trust Policy.

CAADS Board of Directors

CAADS Bylaws

CAADS Code of Ethics

CAADS Anti-trust Policy

CAADS 2014 Annual Report

The CAADS Members Only page features information and technical assistance specific to Adult Day Services:

  • State Budget Proposals
  • CBAS Waiver
  • Medi-Cal Issues
  • Medicare and Medi-Cal Dual Beneficiaries News
  • Managed Care Health Plans
  • Coordinated Care Initiative (CCI) and CalDuals Updates
  • CA Dept of Managed Health Care Updates
  • CA Dept of Public Health Licensing & Regulations for ADHC / CBAS Centers
  • CA Dept of Social Services Licensing & Regulations for ADP Centers
  • Legislative Alerts and Advocacy
  • Funding Sources
  • Education / Training Materials / Webinar Recordings
  • CAADS Membership Roster

Membership Information


The 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.


Donate Today!

Photo of Nina Nolcox
Nina Martine Nolcox, RN, PHN
1965 - 2014
Forever In Our Hearts

The Alliance for Leadership and Education (ALE), a subsidiary of CAADS, has established the Nina M. Nolcox Scholarship Fund to inspire nurse leaders in the community.

Application is open to ADHC and ADP Nurses (LVN or RN licensed staff) working in CAADS Member Centers. Application Deadline: 5 PM August 17, 2015.


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
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.


Photo of Lydia Missaelides

Lydia Missaelides, MHA
Executive Director


Photo of Pamela Amundsen

Pamela Amundsen
Education & Events Manager


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)



California Association for Adult Day Services
1107 9th Street, Suite 701 || Sacramento, CA 95814-3610
T: (916) 552-7400 || F: (866) 725-3123

Quick Links. . .

Alliance for Leadership & Education (ALE)

Associate Member Vendors, Consultants, Networks & Health Plans

Community Based Adult Services (CBAS)

Coordinated Care Initiative (CCI/Cal MediConnect)

Legal Updates

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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.

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Recent Media Coverage

Quick Links. . .

Videos | Past Coverage

California Healthline
JUL 23, 2015
Calif. Gives Homeless No-Cost IDs To Increase Social Services Access
Key Words:
AB 1733 | homeless individuals | social services | mental health care

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California Healthline
JUL 23, 2015
Study: Calif. Caregivers Provided $57B in Unpaid Care in 2013
Key Words:
Family caregivers | AARP | California Caregiver Act

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California Healthline
JUL 20, 2015
Medi-Cal Enrollment Growth Could Strain California's Budget
Key Words:
Medi-Cal | Affordable Care Act's expansion | California Enrollment | Medi-Cal reimbursement rates | health plan tax

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Assemblymember Marc Levine, District 10
JUL 16, 2015
Press Release
Assemblymember Levine Proposes Funding Fixes for Vital Health Care Services
Key Words:
AB 4 (Levine) 2nd Ext. | Medi-Cal | Affordable Care Act | Managed Care Organization (MCO) | Medi-Cal reimbursement rates | In-Home Supportive Services (IHSS) | California Association for Adult Day Services

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California Healthline
JUL 9, 2015
Study: Medi-Cal Beneficiaries See Gaps in Access to Health Care
Key Words:
Medi-Cal beneficiaries | access to care | Medi-Cal managed care plans | unmet medical needs

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California Healthline
JUL 7, 2015
Capitol Desk
State's Rate Review Shows Fewer Dental Providers Take Medi-Cal Patients
David Gorn
Key Words:
rate structure for Medi-Cal dental coverage | access to care | how rates affect access

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California Healthline
JUL 6, 2015
Capitol Desk
Special Session on Health Spending Opens
David Gorn
Key Words:
health care funding | Medi-Cal provider rate increases | managed care organization tax | MCO tax | In-Home Supportive Services hours

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California Healthline
JUN 25, 2015
Brown Signs $167.7B Budget With Few Line-Item Vetoes
Key Words:
Medi-Cal | health care implications | In-Home Supportive Services providers | Medi-Cal provider reimbursement rates | ways to increase Medi-Cal reimbursements

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JUN 23, 2015
Opinion | Columnist
Elder care a challenge for whole county
Joyce Hayes
Key Words:
Humboldt Senior Resource Center | older adults and frail elderly | Medi-Cal | Multipurpose Senior Services Program (MSSP) | Redwood Coast PACE | Adult Day Health Center

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California Healthline
JUN 22, 2015
Capitol Desk
Governor Calls for Special Legislative Session To Address Health Spending
David Gorn
Key Words:
Financing the Medi-Cal program | managed care organization tax | 10% Medi-Cal provider rate reduction

Prior Coverage


Easter Seals Supports Employment of Veterans
PSA Video Series
What to Wear
Morning Routine
The Bank

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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.

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"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.

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San Ysidro Health Center, Inc.
Caring for Our Greatest Generations
Celebrating SYHC's 45th Anniversary

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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"

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PBS NewsHour
Innovating technology for the needs and health of elders
Featuring Institute on Aging

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Marin Adult Day Health Care
"A Day in the Life": LifeLong Medical Care's Marin Adult Day Health Care Center

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The Falling Monologues
Full Length
The Falling Monologues
The Ladder
The Bus
The Sidewalk
Scatter Rug
Don't Ask
Please Direct Questions and Comments to

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