CAADS - California Association for Adult Day Services

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Next CAADS Conference | APR 25-27

CAADS Spring Conference & Membership Meeting | Berkeley, CA
DoubleTree Berkeley Marina Hotel | Event Brochure | Registration Form: Fill-in :: Write-on | CE Order Form: Fill-in :: Write-on | Be a Sponsor | Be an Exhibitor :: Exhibitor Contract

Next CAADS Webinar | MAY 18

What Every Provider Needs to Know to be in Compliance

2:30 PM to 4:00 PM (Pacific) | Details / registration information coming soon

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

Block Grants

Fact Sheet: California
Changing Medicaid to a Block Grant or Per Capita Cap Could Hurt Californians

AARP Public Policy Institute | Fact Sheet 404 | Brendan Flinn | MAR 2017

Medicaid Funding Caps Would Harm Older Americans
Justice in Aging | Fact Sheet (2/17/2017) | Issue Brief | FEB 3, 2017

Everything You Need To Know About Block Grants - The Heart of GOP's Medicaid Plans
California Healthline | Shefali Luthra | JAN 25, 2017

What's New . . . APRIL 14, 2017

CAADS Best Practices Webinar Series Recordings / Handouts Available

CAADS Best Practices Webinar Series recordings / handouts are now available to CAADS members via the Members Only page using the link to "Event / Webinar Handouts and Recordings." Others may order the following webinar recordings / handouts using this form:

  • MAR 16 Webinar
    How Health Literacy, Plain Language and Teach-Back Support Person Centered Care
  • APR 13 Webinar
    Abuse Reporting Changes Under AB 40

Transforming the Continuum of Care

Conference artwork
April 25-27, 2017 | Doubletree Berkeley Marina Hotel

Extreme Measures Author Dr. Jessica Zitter to Speak at General Session April 26

Dr. Zitter is featured in the 2017 Oscar Nominated short documentary Extremis, which won top honors at the Tribeca and San Francisco International Film Festivals and is now streaming on Netflix. Her book, Extreme Measures, charts Dr. Zitter's journey from wanting to be one kind of hero to becoming another—a doctor who prioritizes the patient's values and preferences over all other factors. Books will be available for purchase throughout the conference, and Dr. Zitter will be available for book signing following her presentation Wednesday morning.

Join us at the DoubleTree Berkeley Marina Hotel for a great line-up of educational sessions and networking opportunities as we explore the conference theme, Transforming the Continuum of Care.

Brochure | Registration Form: Fill-in :: Write-on | CE Order Form: Fill-in :: Write-on
Sponsorship Opportunities | Exhibitor Invitation & Contract

GOP Healthcare Proposal Would Harm California Seniors

APR 12, 2017 | Justice in Aging Health Network Alert
Amendment to the AHCA | California-specific fact sheet

Although we fought back against recent efforts in Congress to repeal and replace the Affordable Care Act (ACA) with the American Health Care Act (AHCA), leaders in Congress say they will continue their efforts to pass a health care bill that would eliminate coverage for 24 million individuals and gut Medicaid funding to pay for tax cuts for the wealthy and corporations. This California-specific fact sheet spells out how older adults in California will be impacted by the harmful provisions of the AHCA.

The House Rules Committee issued an amendment to the AHCA intended to stabilize the individual insurance market. The amendment is only a minor tweak, however, leaving in place the provisions that would eliminate coverage for 24 million Americans.

Right now Congress is on a two-week recess, so you have the opportunity to tell members of Congress just how harmful these proposals are for older adults.

  • Call Members of Congress at 1-866-426-2631. Ask to be connected to your Representative and tell them not to vote to repeal the ACA. Use the information on the California-specific fact sheet to tell them to stop trying to repeal and replace the ACA.

Older adults have a lot to lose if any one of the changes under the AHCA are successful, so let's make sure Congress knows just how bad this is for seniors.

CAADS Sets Advocacy Fund Raising Goal of $100,000 by May 30

APR 10, 2017 | CAADS | Letter | Donate/Pledge Form [Fill-in :: Write-on]

In a letter to adult day services providers and colleagues, CAADS President Corinne Jan, CEO of Family Bridges, announced a $100,000 fund raising campaign to sustain a major advocacy effort to protect adult day services beneficiaries and programs from new threats, while looking for opportunities to strengthen our position at the state and national levels.

Ms. Jan kicked off the campaign with a generous donation of $8,000 from Family Bridges.

The President and Republican majority in Congress continue negotiations to “repeal and replace” the Affordable Care Act. Legislative proposals to drastically reduce the federal share of Medicaid (Medi-Cal) funding under a new “per person” block grant formula threaten funding for continuation of CBAS as a Medi-Cal benefit! Changes to the Coordinated Care Initiative (CCI) continue to be negotiated through the state budget process. Low provider rates continue to threaten access to services.

CBAS Updates

APR 7, 2017 | California Department of Aging, CBAS Branch

A Reminder to CBAS Providers and Managed Care Plans to Register for the California Association for Adult Day Services (CAADS) Spring Conference & Membership Meeting


Registration is still underway until April 12th for the CAADS Spring Conference, scheduled for April 25-27, 2017 at the DoubleTree Berkeley Marina Hotel, Berkeley, CA. Hotel and conference registration information is posted on the CAADS website or call/e-mail CAADS: 916-552-7400;

The conference theme is Transforming the Continuum of Care. Kevin Prindiville, Executive Director at Justice in Aging, will provide the keynote address, “High Stakes for Older Adults in 2017.” A range of practical workshops will be offered for both Adult Day Programs and ADHC/CBAS centers including motivational interviewing, mindfulness based dementia-care, meaningful activities for persons with a dementia, honoring choice in dementia care while mitigating risk, high-risk medications and interactions in the elderly, quality measures and metrics for CBAS centers, and more. A panel of managed care plan partners will end the conference discussing innovative practices and partnerships to improve services for persons needing long term services and support.

The California Department of Aging (CDA) CBAS Branch staff will facilitate a workshop on the new CBAS IPC Individual Plan of Care (IPC) including a brief overview of the standardized ADHC / CBAS Participation Agreement, and lead a general session on CBAS Compliance with the Home and Community-Based Services (HCBS) Rule which includes the HCB Settings and Person-Centered Planning requirements. Experienced CBAS providers will participate with CDA in the IPC workshop and offer guidance on how to implement and operationalize the care planning process using person-centered planning principles and the new IPC. Refer to the CAADS Conference Brochure for more details. MORE

Tell the Administration for Community Living What Person-Centered Means to You

APR 5, 2017 | Justice in Aging Health Network Alert

Every person should be able to make choices and to control their own decisions, regardless of their age, disability, or illness. The Administration for Community Living (ACL), in consultation with stakeholders from the aging and disability communities, has drafted a set of principles to guide their work in this area. ACL is seeking feedback on how to make a person-centered approach a reality for programs and services related to serious or advanced illness for older adults and people with disabilities.

Now it’s your turn to share your thoughts. ACL seeks input from older adults, people with dementia, people with all types of disabilities, and the families and caregivers who often support them. They also hope to hear from partners in the aging and disability networks.

The Draft Principles for a Person-Centered Approach to Serious or Advanced Illness are available here.

Send your comments on the Draft Principles to by May 12, 2017.

Don't Erase LGBT Older Adults!

APR 4, 2017 | Justice in Aging Health Network Alert

The Trump Administration, through the Department of Health and Human Services (HHS), has quietly removed important questions about gender identity and sexual orientation from a national survey of older adults receiving services under the Older Americans Act.

HHS uses the results of the National Survey of Older American Act Participants to determine how to allocate resources to groups that work with older Americans. By eliminating questions for LGBT seniors, and the data that the questions generate, the administration is signaling that it will not consider the needs of LGBT older adults.

Tell the administration you think that’s wrong.

The fact is, LGBT seniors disproportionately experience poverty and lifelong discrimination. They must have equitable access to services if they are to age in dignity. See our Special Report and video on the unique legal needs of low-income LGBT older adults.

Advocates worked to get these questions included on the survey so that data would be available about the numbers of LGBT older adults, their needs, and their ability to access critical programs for seniors. Removing these questions from the survey erases this whole population and invites unequal access to assistance to continue. The removal of these questions were the only changes made to this year’s iteration of the survey, and the notice announcing the new survey incorrectly indicated that “no changes” had been made from the previous year.

Advocates for LGBT seniors are fighting back. Our partners at Services & Advocacy for Gay, Lesbian, Bisexual, and Transgender Elders (SAGE) are asking advocates and the public to send a comment to the administration about this change. You can do so here.

Please make a comment and share.

SSA Recently Finalized Two New Sets of Regulations

MAR 27, 2017 | Justice in Aging | Income Network Alert

In the waning days of the Obama Administration, the Social Security Administration (SSA) finalized two new sets of regulations that will have significant impacts on the disability determination process for those applying for Social Security Disability Insurance benefits and those applying for Supplemental Security Income benefits on the basis of disability.

The first set of regulations, Ensuring Program Uniformity at the Hearing and Appeals Council Levels of the Administrative Review Process, was finalized on December 16, 2016 and published at 81 Federal Register 90987. Although the notice says that the rule goes into effect on January 17, 2017, it also states that “compliance is not required until May 1, 2017.”

The second set of regulations, Revisions to Rules Regarding the Evaluation of Medical Evidence, was published on January 18, 2017 at 82 Federal Register 5844. These regulations become effective on March 27, 2017, although many aspects will only apply to claims filed on or after that date. M O R E

Cal Duals Update

MAR 2017 Update (PDF) (Word) | Source: (3/23/2017)

Recording and Handouts Now Available for CAADS Recent Webinar:
How Health Literacy, Plain Language and Teach-Back Support Person Centered Care

MAR 21, 2017 | CAADS | Order Form: Fill-in :: Write-on

The recent CAADS Webinar, How Health Literacy, Plain Language and Teach-Back Support Person Centered Care, was a great success and full of relevant best practice real life examples! If you missed this webinar, you can still obtain the information by ordering the webinar materials. For the same cost as webinar registration, you get the following:

  • Recording
  • PowerPoint Slides
  • Handout: Everyday Words for Public Health Communication
  • Handout: Plain Language: Getting Started or Brushing Up
  • Handout: A Plain-Language Checklist for Reviewing Your Document

Medicare Card Fraud Alert

MAR 15, 2017 | California Health Advocates

Due to Congress' passage of the Medicare Access and CHIP Reauthorization Act (MACRA) in 2015, the Centers for Medicare and Medicaid Services is required to remove Social Security numbers from all Medicare cards, and will do so starting in April 2018. This change is to prevent fraud and protect people's identity. Yet with any new change, scammers take advantage of potential confusion.

We've received several reports of beneficiaries getting calls from such scammers claiming to be from Medicare and asking for payment to receive their new Medicare card, or asking them to verify their Medicare number. This is a scam, as there is no cost to the new cards, AND Medicare will never call to verify someone's number, as they already have it.

To help educate beneficiaries and their families on this matter, we've created a short fraud alert on the upcoming change in their Medicare card and to be aware of scams.

English | Chinese | Farsi | Korean | Russian | Spanish | Tagalog | Vietnamese

Medicaid: A Last Resort for People Needing Long-Term Services and Supports

MAR 13, 2017 | AARP Public Policy Institute | Full Report

Medicaid is a lifeline for millions of children and adults with disabilities and older people who depend on the program for health care and assistance with long-term services and supports (LTSS) such as toileting, bathing, and dressing. Medicaid is the nation’s largest publicly funded health and LTSS insurance program for people with low incomes.

Although most older adults will not rely on Medicaid, it is estimated that nearly one out of five of them will need the program to help pay for LTSS at some time during their lives. For people who need extensive services, the private cost without the program can be extremely high, far beyond what they can afford. For these individuals, Medicaid becomes a program of last resort.

Your Donations Help!

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


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. 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: 2017
CAADS Annual Report: 2016 | 2015
Bylaws | Code of Ethics | Anti-trust Policy

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.


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

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

Everything You Need To Know About Block Grants - The Heart of GOP's Medicaid Plans
California Healthline
Shefali Luthra | 1/25/17

Media Coverage

Living with Alzheimer’s: New California guidelines aim for easier, earlier diagnoses
APR 5, 2017
Sacramento Bee
Claudia Buck
Alzheimer’s disease | Medicare | California Department of Public Health | Alzheimer’s guidelines | community-based programs and services | care-giving needs | California Centers for Alzheimer’s research | new state guidelines

Have a very important conversation
APR 4, 2017
Half Moon Bay Review
Mary Matthiesen
Coastside Adult Day Health Center | “Take Charge! Toolkit

Public, social programs could suffer from Trump’s proposed budget
MAR 26, 2017
Ashiah Scharaga
Peg Taylor Center | adult day care center | Block Grant funding | Meals on Wheels | adult day health care | safety net

Video Help Is On Way For Family Caregivers Who Must Draw Blood Or Give Injections
MAR 23, 2017
California Healthline
Judith Graham
family caregivers | Home Alone Alliance | AARP Public Policy Institute | Family Caregiver Alliance

What Happens to Elder Care With Proposed Caps to Medi-Cal?
MAR 14, 2017
Stephanie O'Neill
Medicare | nursing home | low-income | long-term services and support | Medi-Cal | National Association of Medicaid Directors | the elderly and those with disabilities | per capita caps | Justice in Aging | rationing | California Advocates for Nursing Home Reform

By law, hospitals now must tell Medicare patients when care is ‘observation’ only
MAR 13, 2017
Fierce Healthcare
Susan Jaffe, Kaiser Health News
Medicare patients | observation care | nursing home care | Medicare Rights Center | California Hospital Association | Medicare Part B | pay out-of-pocket

House Health Care Bill Would Hit Low-Income And Elderly Californians Hardest
MAR 10, 2017
California Healthline
A. Martinez, host of the "Take Two" show speaks with Chad Terhune, senior correspondent for California Healthline
Affordable Care Act | Medicaid | Medi-Cal | Covered California | low-income and older consumers | ACA

Some Immigrants, Fearful of Political Climate, Shy Away from Medi-Cal
FEB 16, 2017
California Healthline
Emily Bazar
Medi-Cal | Medicaid | California Department of Health Care Services (DHCS) | Centers for Medicare & Medicaid Services

Advocacy groups warn of 'disastrous' effects of proposed Medicaid cuts
FEB 22, 2017
Fierce Healthcare
Leslie Small
Medicaid funding | vulnerable populations | National Council on Aging | Affordable Care Act | block grants | per capita caps | services to the elderly | people with disabilities | National Association of Councils on Developmental Disabilities

ER Visits Linked To Falls Spike Among California Seniors
FEB 15, 2017
California Healthline
Anna Gorman
California seniors | fall-related ER visits | elderly adults | risk of falling

GOP may boost Medicaid spending in order to slash the program
FEB 15, 2017
Jennifer Haberkorn and Rachana Pradhan
Medicaid | low-income people | Centers for Medicare & Medicaid Services

Hatch Promotes Stronger Care for Veterans with New Bill
FEB 10, 2017 television
Matt Whitlock
Adult Day Health Care Improvement Act of 2017 | adult day health care | S. 324 ''State Veterans Home Adult Day Health Care Improvement Act of 2017'' | adult-day medical model care

New Federal Rules Will Require Home Health Agencies To Do Much More For Patients
FEB 9, 2017
California Healthline
Judith Graham
Medicare | Medicaid | patients’ rights | Patient-Centered Care | care plans | Caregiver Involvement

Protecting Medicaid’s Promise
FEB 6, 2017 / Updated FEB 8
Huffington Post
THE BLOG by Nancy LeaMond
Medicaid | health care and long-term services and support | low-income seniors and people of all ages who have disabilities | “block grant” the Medicaid program | access to care | Alzheimer’s | home and community-based services | adult day-care

Prior Coverage

Videos / Podcasts

Home Alone Alliance
a collaborative from AARP
Mobility Video Series

Preparing Your Home for Safe Mobility
(English :: Spanish)
[3:47 :: 4:05]
Getting from a Car to a Wheelchair
(English :: Spanish)
[2:02 :: 2:10]
What to Do When Someone Falls
(English :: Spanish)
[3:14 :: 3:42]
Using a Walker or Cane and Navigating Stairs
(English :: Spanish)
[3:28 :: 2:55]
Moving from a Walker to Shower or Bed
(English :: Spanish)
[2:46 :: 3:19]


Home Alone Alliance
a collaborative from AARP
Family Caregiver Video Series

Family Caregiver's Video Guide to Managing Medication

Beyond Pills: Eye Drops, Patches & Suppositories
Dealing with Dementia-Related Resistance
Giving Insulin Injections


Bayview Senior Services
David Baker Architects
HOME: The Dr. George W. Davis Senior Center and Residence [2:59 min]
If you like this video, please VOTE for HOME for the People's Choice Award!


South County Adult Day Services (SCADS)
KSBR 88.5 Podcast
Collage: South County Adult Day Services
[30:12 min]
South County Adult Day Services (SCADS) strives to enchance the lives of seniors and disabled adults. KSBR News Director Dawn Kamber wlcomes SCADS Program Director Glen Goldsmith and Executive Director Mallory Vega.


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

[1:36 min]

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.


Insight Memory Care Center
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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