HIGHLIGHTED MEDIA COVERAGE
- Medi-Cal Cuts Undermining Senior Programs, Facilities, Advocates Say | California Healthline, 3/5/14
- State Officials, Advocates at Odds Over Size, Scope, Details of Duals Project | California Healthline, 2/18/14
- State, Stakeholders Work To Renew Community-Based Adult Services | California Healthline, 12/4/13
- State Agency's Penalty Check Payout for Late Hearings Climbs Above $2.7 Million | California Healthline, 10/23/13
- State Opens Adult Day Services Dialogue | California Healthline, 10/22/13
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Associate Members (Vendors, Consultants & Networks)
CCI / Cal MediConnect
March 6, 2014 | Press Release
CAL OPTIMA RESTORES FUNDING FOR CENTERS SERVING FRAIL SENIORS
Thirty local adult day health care centers to receive financial support from CalOptima
CalOptima’s Board of Directors approved an action that strengthens access to daily community-based health care services for more than 3,500 frail seniors in Orange County. CalOptima will absorb a state-imposed budget reduction of $2.2 million to ensure that providers of critical Community-Based Adult Services (CBAS) remain operational. Read more. . .
April 14-16, 2014 | Berkeley, CA
CAADS SPRING CONFERENCE BROCHURE AVAILABLE
Brochure || Registration Form || Sponsorship Opportunities
Adult Day Services providers, Medi-Cal Managed Care Plan representatives and industry vendors are encouraged to join us for Adult Day Services in the Center of Change at the DoubleTree Berkeley Marina Hotel April 14-16, 2014. Check out the excellent line-up of keynote sessions and educational courses, and be sure to register by 5 PM March 21, for "Early" rates!
For exhibiting and sponsorship opportunities contact CAADS at (916) 552-7400 or email us at firstname.lastname@example.org.
March 2014 | Coordinated Care Initiative
DHCS ANNOUNCES UPCOMING CCI STAKEHOLDER WEBINARS
The Department of Health Care Services has scheduled two stakeholder update webinars which will continue to serve as a venue for important monthly updates, allowing for stakeholder questions.
The March 14th webinar will include updates about the Complaint Tracking Module and the implementation of the Cal MediConnect Ombuds Program.
February 27, 2014 | Coordinated Care Initiative Update
REVISED ENROLLMENT MATERIALS, BENEFICIARY NOTICES
DHCS has been working closely with stakeholders to develop notices that will help beneficiaries clearly understand the program and the choices they have, and will continue to seek input on the notices and other guidance documents as the CCI moves forward. All final notice materials, guidebook and choice packets will be available when they are completed. To view completed enrollment notices and documents available, visit the Enrollment Materials page on CalDuals.org.
To help advocates and stakeholders better understand the noticing process -- as well as where the state is in terms of notice development -- several new documents are being released, including:
- A comprehensive inventory of notices that will go to beneficiaries -- from the 90/60/30 day notices for Cal MediConnect and MLTSS to the notice a beneficiary will receive if they disenroll or submit an incomplete choice form. This includes information on when notices were released for stakeholder comment and a status update on where they are in the process of finalization.
- Redlined notices that show how much the final notices changed due to stakeholder and beneficiary feedback.
o 90 Day Cal MediConnect: Original and Redline
o 60 Day Cal MediConnect: Original and Redline
Beneficiaries reviewed the notices last summer in Oakland and Fremont. The health literacy experts at MAXIMUS also reviewed the notices. This work happened prior to the first round of stakeholder comments (there have been two separate rounds of advocate feedback, once last summer and again starting in December 2013). DHCS will continue to seek input on the notices as CCI moves forward.
Also, accessible and translated notices are available upon request. Both large print and braille versions of the Guide book and the 90/60 day notices are available.
Given all of this work, the Cal MediConnect 60 day notices will arrive timely to allow for May 1 passive enrollment. This notice will go to 19,100 new enrollees spread over five plans in three counties: San Diego, San Bernardino and Riverside. DHCS believes this step enables beneficiaries to begin to take advantage of the benefits of Cal MediConnect.
Health Care Options
The new CCI-specific HCO call center opened on February 24. There are now trained customer service representatives available to help beneficiaries with their new choices under the CCI. The representatives are able to help beneficiaries with CCI questions, including notices and materials in alternate formats.
The next important source of information for beneficiaries will be the Cal MediConnect plan websites. Starting March 1, plans will begin to post information on their websites including provider directories, member handbooks and formularies. CMS and the State are working with plans to update websites and provide plan specific detail. To help make it easier for advocates and beneficiaries to compare plans and understand their choices, there will be links to those websites on the new beneficiary-facing page on CalDuals.org. There is also detail on Medicare Plan Finder.
CalDuals website has been updated to reflect the operational phase of the work, as opposed to the policy development phase. The state is eager for feedback on the new beneficiary-centric approach.
To keep stakeholders updated on grassroots education efforts in counties, the State's contractor has started to release weekly updates on education efforts occurring at the county level. You can find past issues on CalDuals.org.
February 27, 2014 | National Senior Citizens Law Center Alert
COORDINATED CARE INITIATIVE 60-DAY NOTICES
Attention CBAS Providers!
Several issues are likely to emerge as the 60-day Cal MediConnect notices drop in Riverside, San Diego, and San Bernardino counties and 60-day cMLTSS notices drop in Los Angeles, Riverside, San Diego, and San Bernardino counties. These notices are scheduled to be received by beneficiaries on March 1. Please forward this NSCLC Alert to any of your staff and colleagues who will be serving beneficiaries.
February 24, 2014 | Senate Budget SubCommittee #1 -- HHS
STAKEHOLDERS SPEAK OUT ABOUT MEDI-CAL PROVIDER RATES
CAADS member Debbie Toth, Rehabilitation Services of Northern California, testifies
Agenda || Video [segment begins at the 54:40 minute mark]
Debbie Toth, a member of the CAADS Board of Directors, and the Chief Executive Officer of Rehabilitation Services of Northern California, testified before the Health and Human Services Senate Budget SubCommittee #1 con February 24, 2014. Ms. Toth joined other panelists who provided testimony on Medi-Cal Provider Rates, and she urged legislators to restore the Medi-Cal reimbursement rate for ADHC providers who were subject to a 10% rate cut during the state's severe budget crisis.
February 21, 2014
ADVOCATES RAISE SERIOUS CONCERNS WITH CCI IMPLEMENTATION TIMELINE
The National Senior Citizens Law Center, California Health Advocates, Disability Rights California, Disability Rights Education & Defense Fund, NHelP, and the Western Center on Law & Poverty jointly sent a letter to CMS and the California Department of Health Care Services to urgently request the suspension of implementation of the Coordinated Care Initiative (CCI) in all counties other than San Mateo until it can be demonstrated that an enrollment process is in place that provides seniors and people with disabilities the information and resources they need to make informed decisions about their Medicare and Medi-Cal benefits. View letter.
February 2014 | Robert Wood Johnson Foundation Issue Brief
LONG-TERM CARE: WHAT ARE THE ISSUES?
The demand for long-term care services will explode as the population ages and more people live longer with chronic conditions. Who will pay for these services and how will they be delivered? Read more. . .
February 18, 2014 | CARF Survey
IMPORTANT INDUSTRY STUDY LAUNCHED TO ASSESS FINANCIAL HEALTH OF ADULT DAY SERVICES PROGRAMS
CAADS encourages all California providers to participate in this important confidential survey being conducted by CARF International, the accrediting body for adult day services, in collaboration with the National Adult Day Services Association (NADSA) and with the support of CAADS.
This 2014 study is intended to apply the recognized accounting analysis of “Financial Ratios as Performance Indicators” to the field of Adult Day Services. If your organization is an Adult Day Services provider, this alert serves as an invitation to participate in this study.
February 18, 2014 | Disability Rights California
FACT SHEETS AVAILABLE REGARDING COORDINATED CARE INITIATIVE
Disability Rights California has prepared basic information for consumers regarding the Coordinated Care Initiative, including county-specific fact sheets. As changes occur, this information will be updated, so please check back periodically.
March 6, 2014: 2 PM to 5 PM | Community Based Adult Services
NEXT CBAS STAKEHOLDER WORKGROUP MEETING
The Department of Health Care Services (DHCS) and the California Department of Aging (CDA) upcoming CBAS Stakeholder Workgroup meetings:
March 6, 2014 | 2-5 PM - Stakeholder Workgroup Meeting c
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. 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.
Public comment will be allowed at each meeting and is encouraged in writing or by phone at any time through April 2014. CDA CBAS contact information: California Department of Aging, 1300 National Drive, Suite 200, Sacramento, California 95834 || Email: CBAScda@aging.ca.gov || Website: www.aging.ca.gov || Telephone: (916) 419-7545.
Is your ADHC in compliance with the "HIPAA Omnibus Rule?"
UPDATED HIPAA MANUAL AVAILABLE FROM CAADS
New Requirements! || Order Form
Don’t forget, as of September 23, 2013, all ADHCs need to be in compliance with the “HIPAA Omnibus Rule” which implements changes required by the HITECH Act of 2009. Failure to have internal guidelines in place that comply with the new Rule can lead to fines and other sanctions. CAADS worked with Allan Jergesen of Hanson, Bridgett to produce a HIPAA Compliance Kit to help you quickly come into compliance with new HIPAA rules.
February 2014 | Coordinated Care Initiative
REVISED CCI BENEFICIARY & PROVIDER OUTREACH PLAN
Updated February 2014
New materials are available as a part of the state's implementation of the CCI beneficiary and provider outreach plan:
- Outreach "toolkit" materials have been updated per stakeholder comment and can be found here.
- CalDuals.org has been refreshed with new materials for beneficiaries and providers.
If you have questions, please email email@example.com.
February 11, 2014 | Community Based Adult Services
CBAS STAKEHOLDER WEBSITE UPDATED, COMMENTS LOG UPDATED
CDA updated the CBAS Stakeholder website to include:
If you need assistance with accessing this material, pleasec contact the CBAS Branch at (916) 419-7545 or firstname.lastname@example.org.
February 6, 2014 | Coordinated Care Initiative
STAKEHOLDERS SPEAK OUT AT JOINT HEARING ON CCI IMPLEMENTATION
CAADS member Carol Lee Thorpe, St. Barnabas Senior Services of Los Angeles, testifies
Agenda || Video [Starts at 19:02 mark] || Thorpe's Written Testimony
On February 6, 2014, the Senate Budget and Fiscal Review Committee and Senate Health Committee held a Joint Hearing on implementation of the Coordinated Care Initiative. The five-hour hearing included testimony from DHCS Director Toby Douglas, DHCS Deputy Director Jane Ogle, and numerous stakeholders and advocacy groups. Although DHCS representatives testified that the state is on track and prepared for implementation in the eight participating counties (Alameda, Los Angeles, Orange*, San Diego, San Mateo, Riverside, San Bernardino and Santa Clara), others testified about numerous concerns with readiness.
*Orange County participation postponed
February 4, 2014 | Coordinated Care Initiative Update
DRAFT TOOLKIT OF EDUCATIONAL MATERIALS AND STAKEHOLDER CALL
As a part of the Coordinated Care Initiative Beneficiary and Provider Outreach Plan, DHCS is developing a toolkit of educational materials. The first set of these materials is now available in draft form for stakeholder review. On February 7, DHCS hosted a call to solicit comments and questions about the materials before they are finalized and distributed. The materials can be found at www.CalDuals.org/outreach-and-education/ and include:
- PowerPoint presentations for beneficiaries, advocates and providers.
- Fact sheets on selected topics, including eligibility, rights & responsibilities, and continuity of care.
- General brochure.
The goal of these materials is to ensure beneficiaries understand their choices.
After incorporating stakeholder feedback, these materials will be posted to CalDuals.org for download by the public, as well as used in outreach and education presentations and other events. The toolkit materials will continue to be updated as needed, and additional materials will continue to be developed as needs are identified.
January 21, 2014 | National Senior Citizens Law Center Health Network Alert
2014 TRANSITION RIGHTS TO MEDICATIONS UNDER MEDICARE PART D
The new plan year for Medicare Part D began January 1 and many beneficiaries, particularly low-income subsidy individuals who were reassigned, are adjusting to new plans or to new rules and formulary changes in their current plans. During the first three months of the plan year, beneficiaries have a limited right to transition supplies of drugs that may not be on their plan formulary or that may be subject to utilization management requirements. Plans also are required to clearly inform members receiving transition supplies about the next steps available to them.
To assist advocates in understanding the transition rights of their clients, NSCLC has prepared a fact sheet.
The Centers for Medicare and Medicaid Services has given high priority to plan performance in offering required transition protections. We urge advocates who encounter transition policy problems to report them to CMS, even if the client is ultimately able to obtain needed medications.
January 15, 2014 | National Senior Citizens Law Center Health Network Alert
ADVOCATES RECOMMEND WAYS TO MEASURE REBALANCING IN MANAGED LTSS AND DUAL ELIGIBLE DEMONSTRATIONS
Consumers, providers, regulators and policymakers generally agree that rebalancing long-term services and supports (LTSS) system towards greater use of home and community-based services versus institutional care is a shared goal as states shift to the use of managed LTSS for those older adults and persons with disabilities with Medicare and Medicaid (dual eligibles) and others with Medicaid alone.
A recent memo from 21 aging and disability organizations to the Centers for Medicare and Medicaid Services (CMS) provides recommendations for consistent metrics states can adopt to evaluate state and federal progress on rebalancing comprehensively both in managed LTSS and in the dual eligible demonstrations. Fortunately, useful rebalancing measures exist in some state programs, and in national guidance, however, they are not consistently applied in a manner that allows for systematic, public evaluation.
Building on CMS guidance and requirements as well as measures in existing state agreements, the memo recommends four measures that can be adopted by all states to evaluate their MLTSS program's impact on rebalancing. The measures will provide greater insight into the state's MLTSS system by looking at the following factors:
- LTSS expenditures, distribution of individuals by LTSS setting;
- Transitions between institutional and community setting, and
- Authorization of personal care services.
Many states are still in the process of developing MLTSS reporting requirements. The memo details recommended measures and the method states currently use to evaluate each element. State regulators and advocates can both use the memo to determine the rebalancing measures that work best in their state.
More information and the memo available here.
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.
Effective January 1, 2015 | US Department of Labor
FINAL RULE ON HOME CARE & DOMESTIC WORKERS
On September 17, 2013, 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.
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!
CAADS Members Only page features Adult Day Services specific information:
- State Budget proposals
- Medi-Cal and Medicare
- Managed Care plans
- CA Dept of Public Health
and ADHC licensing and regulations
- CA Dept of Social Services and ADP licensing and regulations
- Legislative Alerts and Advocacy
- CA Dept of Managed Health Care
- Funding Sources
- Technical Assistance
- Education / Training Materials
of CAADS Members
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.
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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.
MAR 6, 2014
Cal Optima Restores Funding for Centers Serving Frail Seniors
Thirty local adult day health care centers to receive financial support from CalOptima
MAR 5, 2014
Medi-Cal Cuts Undermining Senior Programs, Facilities, Advocates Say
All-Inclusive Care for the Elderly | PACE | 10% Medi-Cal reimbursement cut | Adult day health care | Rehabilitation Services of Northern California | access to care
FEB 18, 2014
State Officials, Advocates at Odds Over Size, Scope, Details of Duals Project
dual eligibles | older Californians who qualify for both Medicare and Medi-Cal | access to care
JAN 31, 2014
More elderly get care from families than paid workers
long-term care provider | adult day centers
JAN 30, 2014
Dual Eligibles Transition Sparks Worries
Cal MediConnect duals demonstration project | Adult Day Health Care program | Community Based Adult Services program | CBAS
JAN 21, 2014
Crisis situation - Adult Day Services in danger of closing
Porterville Adult Day Services | PADS | adult day program | Older Americans Act | OAA | Area Agency on Aging
San Gabriel Valley Times
JAN 21, 2014
Four injured after woman drives van into Arcadia adult day care
Arcadia Adult Day Health Care Center | day care center
Los Angeles Times
San Jose Mercury News
Napa Valley Register
JAN 18, 2014
Vintners invest in health, happiness of local seniors
Dr. Robert Moore
Napa Valley Hospice and Adult Day Services
PBS NewsHour / PBS.org
JAN 13, 2014
Closing the digital divide by helping seniors get online
Mary Jo Brooks
St. Barnabas Senior Center
JAN 8, 2014
Seniors Remain on Frontline in War on Poverty
health care and long-term services and supports | safety net programs
Santa Maria Times
JAN 4, 2014
Senior volunteers bring joy to Wisdom Center participants
Wisdom Center | Santa Maria Wisdom Center | Adult Day Health Care Program | community-based day program
DEC 27, 2013
Antioch adult day health care facility might expand
adult day health care facility | Rehabilitation Services of Northern California | Bedford Center | RSNC | adult day care
Enterprise-Record / chicoer.com
DEC 21, 2013
Peg Taylor Center could use some help
Peg Taylor Adult Day Health Care | Innovative Health Care Services
Record Searchlight / redding.com
DEC 21, 2013
Senior Living: Local resources help caretakers take care of themselves and family members
Dr. Arlen Burger, Mary Burger
Family Caregiver Alliance | Golden Umbrella | Adult Day Care Program
Contra Costa Times
DEC 19, 2013
Photos: Bedford Center in Antioch provides care for growing elderly population
Bedford Center adult day care facility
Santa Cruz Sentinel
DEC 17, 2013
New leader aims to grow Elderday
Elderday Adult Day Health Center | Community Bridges
DEC 12, 2013
More than 8 million use long-term care services in USA
Sharon Jayson, USA TODAY
National Study of Long-Term Care Providers | adult day services centers
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
Quick Link . . .
Videos / YouTube
Marin Adult Day Health Care
JAN 29, 2014
"A Day in the Life":
LifeLong Medical Care's Marin Adult Day Health Care Center
SBSS AGEnts for Change
2014 Video Series
In Home Supportive Services:
This Is Important
Safe and Secure Housing:
We Can Do Better
The Falling Monologues
MAR 7, 2012
Quick Link . . .
To report fraud and
The call is free and you can
THE CAADS STAFF
Lydia Missaelides, MHA
Education & Events Manager
Membership & Communications Director