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JAN 24 CAADS Webinar | Federal and State Environment Affecting Adult Day Services
CAADS Members: No charge - please register on Members Only page
Non-members: $199 - Details with Write-on Registration Form

APR 29-MAY 1 CAADS Conference | Advancing Excellence Together | Berkeley
Watch for course offerings and registration information coming in March...

CAADS Webinar Recordings / Handouts
Past Webinar Recordings / Handouts -- Order Form Fill-In :: Write-On

NEW History & Physical Form — A CDA-Approved Standardized Tool
New H & P Form -- Order Form Fill-in : Write-on

Adult Day Health Care: An Unbelievable Cost Containment Resource that Is Underfunded and Underutilized
For those who think Adult Day Health Care (ADHC) is just day care…think again! Read Russell D. Foster's article in MAZARS USA HEALTHCARE TRENDS,Sept 2017.

The Effect of Adult Day Program Attendance on Emergency Room Registrations, Hospital Admission and Days in Hospital: A Propensity-Matching Study
Research by Ronald Kelly, PhD finds a decreased reliance on costly health care services by seniors who attend adult day programs. Abstract and Full Article | JUN 2017 | The Gerontologist, Volume 57, Issue 3, Pgs 552–562.

What's New . . . JANUARY 18, 2019

CAADS January 24 Webinar to Focus on Federal and State Environment Affecting Adult Day Services

On January 24, from 2:30 PM to 4:00 PM (Pacific), CAADS will conduct an important webinar for adult day services providers and stakeholders. Join CAADS Executive Director Lydia Missaelides and Associate Director Christin Hemann for a discussion about the federal and state environment affecting adult day services providers and participants. Issues / questions to be addressed include:

  • Will the federal government shut down continue through January, and what is the current status of the Affordable Care Act?

  • Is replacing Medicaid expansion with a block grant system still a threat in 2019?

  • Do aging and adult day services have a champion with Governor Newsom?

  • What have advocates been doing to persuade the new governor about developing a Master Plan for an Aging California?

Advance registration is required by Noon on Wednesday, January 23.
CAADS Members may learn more and register at no charge on the Members Only page. Non-members may learn more and register for $199.


CMS finalizes New Medicare Card distribution ahead of deadline, accelerating fight against Medicare fraud and abuse

New Medicare cards offer better identity protection for millions of Americans

JAN 16, 2019 | CMS Press Release

The Centers for Medicare & Medicaid Services (CMS) recently completed a large-scale effort to provide new Medicare cards without Social Security numbers to people with Medicare. The new cards support the agency’s work to protect personal identity and reduce fraud and abuse. Over the past nine months, CMS sent new cards to more than 61 million people with Medicare across all U.S. states and territories, completing the mailing ahead of schedule.

“Safeguarding our beneficiaries’ personal information continues to be one of our top priorities,” said CMS Administrator Seema Verma. “The Trump Administration is committed to modernizing Medicare and has expedited this process to ensure the protection of Medicare beneficiaries and taxpayer dollars from the potential for fraud and abuse due to personal information that existed on the old cards. All beneficiaries should continue to use these new cards as a valuable resource when seeking care. These new cards will not only be easier for beneficiaries, but also provide the Medicare program with essential protections due to the new unique identifier on the cards.”

In April 2018, CMS began mailing the new Medicare cards, each of which features a unique, randomly assigned Medicare number known as a Medicare Beneficiary Identifier (MBI). MORE


New Fact Sheet on Medicare Enrollment Changes

JAN 8, 2019 | Justice in Aging

The Centers for Medicare and Medicaid Services (CMS) issued new rules that limit enrollment and disenrollment from Medicare Advantage and Part D prescription drug plans for low-income Medicare beneficiaries. Previously, dual eligibles – individuals with Medicare and Medi-Cal coverage – and beneficiaries who receive the low-income subsidy (LIS) to make Part D prescription drug coverage more affordable could make enrollment changes any time throughout the year. The new rule, which became effective January 1, 2019, limits enrollment changes to once per quarter.

Justice in Aging has created a factsheet that explains these changes in detail and how they impact low-income Medicare beneficiaries in California.


MSSP Workgroup Releases Second Set of Recommendations for Public Comment

JAN 8, 2019 | California Department of Health Care Services (DHCS)

In preparation for the transition of Multipurpose Senior Services Program (MSSP) sites becoming a fully integrated Medi-Cal managed care benefit, the Department of Health Care Services (DHCS) and the California Department of Aging (CDA) have convened a Model of Care Workgroup composed of the two agencies, MSSP sites, and managed care plans. The workgroup's goal is to develop recommendations for a model of care for the new Home and Community-Based Services Care Planning and Management benefit that will take the place of the MSSP program.

DHCS and CDA are seeking public comment on the workgroup's second set of recommendations. The public comment period will be open from now until close of business on Friday, February 8 to


2019 Cal MediConnect Stakeholder Process

JAN 4, 2019 | California Department of Health Care Services (DHCS)

As the Department of Health Care Services (DHCS) and Centers for Medicare & Medicaid Services (CMS) continue to work toward approval of a three-year extension to Cal MediConnect (CMC), we are pleased to announce an opportunity for stakeholders to help think creatively about ways to continue to strengthen and improve the demonstration program.

Stakeholders are invited to propose new ideas for how Cal MediConnect can provide a better member experience or otherwise improve care and care coordination.* Examples include programmatic improvements identified via best practices from other integrated programs, or via SCAN evaluation findings, additional topics for DHCS Cal MediConnect plan best practices meetings or strategies to continue to improve coordination with long-term services and supports providers or behavioral health providers. As much as possible, we are looking for new, CMC-specific proposals that are cost-neutral to the state and do not require changes to CMC rates.

DHCS and CMS will be accepting comments between now and February 15th through Please use this form to submit your proposal.

DHCS and CMS will review and compile those suggestions for release in March 2019 in conjunction with a webinar to review the suggestions in dialogue with stakeholders. DHCS and CMS anticipate announcing new CMC improvement initiatives in the spring of 2019, along with a timeline for implementation. Send any questions regarding this proposal to

Click here for more information.

*Please note that the "in lieu of services" proposal is currently under consideration at DHCS as a part of a broader initiative looking at care coordination across the Medi-Cal program, and will not be considered as a part of this CMC-specific process.


Sen. Kaine's legislation to combat Alzheimer's signed into law

JAN 2, 2019 | ABC/13 News Now | Author: Erin Patterson

Legislation that will help combat Alzheimer’s disease and preserve brain health was signed into law.

For the first time, legislation was signed into law to create a public health infrastructure that will help combat Alzheimer’s disease and preserve brain health.

On December 31, 2018, the Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer’s Act was signed into law. The legislation was authored by U.S. Senators Susan Collins (R-ME), Catherine Cortez Masto (D-NV), Shelley Moore Capito (R-WV), and Tim Kaine (D-VA).

The Act passed the Senate unanimously, and it passed the House 361-3.

The legislation offers a public health approach to reduce the risk, detect early symptoms, advance care, improve data, and ultimately change the trajectory of this devastating disease. The law allows $20 million annually over the next 5 years to create centers, generate data grants, and cooperative agreements with the CDC and State Health Departments.

About 5.5 million Americans are living with Alzheimer’s, and the disease is costing the United States more than $277 billion per year, including $186 billion in costs to Medicare and Medicaid.

“I am thrilled that our bipartisan bill to strengthen our country’s response to Alzheimer’s was officially signed into law,” Senator Kaine said in a press release. “Too many families know what it’s like to have a loved one with Alzheimer’s, and I hope that our efforts will start to provide much-needed relief to those affected.”

The BOLD Act was introduced by the authored Senators last year. It was cosponsored by 58 Senators, and 181 organizations and individuals supported the Act.


Older Women & Poverty

DEC 19, 2018 | Justice in Aging | Brief | Video

Because of structural inequities that impact women more than men, a significant percentage of older women are struggling to stay out of poverty.

There are 7.1 million older adults living in poverty in the United States, with nearly two out of three of them being women. Women like Venorica, who is working three jobs at the age of 70, and Vicky, who once ran a successful business with her husband, are struggling to stay afloat.

A new Justice in Aging issue brief surveys the reasons more women are aging into poverty than men, discusses the support systems that are in place to help older women, and recommends ways we can strengthen and expand those support systems. The brief is accompanied by videos of women telling their own stories. Older women have cared for us and worked hard all of their lives. It's imperative that we enact policies so they don't have to struggle to make ends meet.

Read the brief and watch the accompanying videos.


Cal Duals Coordinated Care Initiative
Monthly Update: December 2018

DEC 19, 2018 | Cal Duals

The Cal Duals Coordinated Care Initiative Monthly Update: December 2018 is now available.


CAADS Congratulates Newsom on Election to Governor

DEC 5, 2018 | CAADS

In a letter to Lieutenant Governor Gavin Newsom, CAADS Executive Director Lydia Missaelides congratulated him on being elected the next Governor of California, and expressed appreciation for his hard work and commitment to serving seniors and adults with disabilities in our state.

In the letter Ms. Missaelides stated,

We are pleased that you have committed to producing a master plan on aging. It is our hope that the plan focus on moving towards a more coordinated and integrated system of long-term services and supports, that is founded on core principles and directed toward specified goals that provides and pays for the sustainability and further growth of adult day services as a foundational component of the system.

Your Donations Help!

Three (3) great opportunities to further support Adult Day Services:

  • CAADS | State Advocacy Fund
  • CAADS | New Improved Website Fund
  • ALE | Nina M. Nolcox Scholarship Fund

Learn more and DONATE today -- thank you!


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


ALE logoThe Alliance for Leadership and Education (A.L.E.) is a non-profit 501(c)(3) public benefit arm of CAADS. Its mission is to advance innovation and quality in Adult Day Service through research and analysis, education and training, and leadership for the benefit of consumers and their caregivers.



CAADS is a proud member of the National Adult Day Services Association.

California representatives currently serving on the NADSA Board of Directors:

Corinne Jan, RN, PHN (NADSA Chair)
CEO, Family Bridges / Hong Fook Centers

Lydia Missaelides, MHA (NADSA Treasurer)
Executive Director, CAADS

Amanda Sillars, MSW, LCSW
CEO, Total ADHC Solutions, Inc.
Thousand Oaks


For help, call the VA Caregiver Support Line (toll-free):


Mon - Fri 8 AM - 11 PM (EST) || Sat 10:30 AM - 6 PM (EST)


Call DHCS Medi-Cal Fraud Hotline:


The call is free and you can remain anonymous.


Use the California Department of Public Health's Cal Health Find website
call, write, fax the Center for Health Care Quality,
Licensing and Certification District Office nearest you.


The California Senior Medicare Patrol offers free fraud prevention education throughout the state.
To schedule a presentation, call 855-613-7080

See the SMP/Medicare fraud section at, for more information on ways to protect yourself from healthcare fraud and how to detect it.

If you come across any suspicious activity,




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

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CAADS Stands With Seniors
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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.

Could adult daycare centers be one solution to providing lower cost care for Alzheimer's patients?
DEC 14, 2018
Danielle Prieur
Listen To The Story

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

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

MORE Videos / Podcasts



California’s senior population is growing faster than any other age group. How the next governor responds is crucial
Los Angeles Times
Melanie Mason
OCT 7, 2018

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



Walmart to pull pharmacies from CVS Health network
JAN 16, 2019
Fierce Healthcare
Tina Reed
Managed Medicaid retail pharmacy networks | Medicaid | patient care

Senior Emergency Unit Opens In UCSD La Jolla Hospital
JAN 11, 2019
Susan Murphy
geriatric rooms | seniors | patients over the age of 65 | accredited geriatric wing | geriatric medicine | best practices in geriatric emergency care

The Anti-Alzheimer's BOLD Act Isn't. But It Could Be A Step In The Right Direction.
JAN 9, 2019
Howard Gleckman
BOLD Infrastructure for Alzheimer’s Act | dementia | caregiver support | Alzheimer’s Association | vascular dementia | Lewy Body disease | respite care

Debbie Toth Named as 2018 Recipient of Contra Costa Chair of the Board Award
DEC 21, 2018
East County Today
Choice in Aging | adult day health programs | multipurpose senior service programs | aging population | intergenerational programing | Mt. Diablo Center | old people | caregivers | Aging in Place | adult day care

Could adult daycare centers be one solution to providing lower cost care for Alzheimer's patients?
DEC 14, 2018
Danielle Prieur
Listen To The Story

With Federal Public Charge Rule Pending, California Braces For Possible Medi-Cal Exodus
NOV 26, 2018
Capital Public Radio
Sammy Caiola
accessing social services | Medicaid | “public charge” | dependent on government assistance | housing assistance, food stamps and most Medicaid services | Department of Homeland Security | federal Department of Health Services

Why HHS wants Medicare Advantage plans to pay for home modifications, transportation for seniors
NOV 14, 2018
Fierce Healthcare
Tina Reed
Medicare Advantage plans | social determinants of health | Medicaid | vulnerable populations | Center for Medicare and Medicaid Innovation (CMMI)

Here’s why Meals on Wheels is asking elderly Californians about their LGBT status
OCT 23, 2018; Updated OCT 27, 2018
Sacramento Bee
Micahel McGough and Cassie Dickman
AB 959 | AB 677 | California’s LGBT Disparities Reduction Act | Department of Aging | health disparities | departments of Health Care Services, Public Health and Social Services | seniors | Older Americans Act | Area Agencies on Aging

As Billions In Tax Dollars Flow To Private Medicaid Plans, Who's Minding the Store?
OCT 18, 2018
California Healthline
Chad Terhune
Medicaid | low-income Americans | managed care | Centene | Affordable Care Act | patient care | managed care plans | Centers for Medicare & Medicaid Services

MORE Media Coverage
Please Direct Questions and Comments to


Photo of Lydia Missaelides

Lydia Missaelides, MHA
Executive Director

Christin Hemann

Christin Hemann
Associate Director

Photo of Kathryn Atkinson

Kathryn Atkinson
Membership & Communications Director

Pam Amundsen

Pam Amundsen
Education & Events Manager

Photo of Coni Segretto-Ricci

Coni Segretto-Ricci
Office Assistant

(not pictured)

Phyliss Regino
Office Assistant

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