Visit MEDIA CORNER Highlights for News Coverage of Adult Day Services

ADHC Participants Notified by DHCS of Changes to Medical Necessity and Eligibility Criteria

Posted February 5, 2010
On February 1, 2010, the California Department of Health Care Services sent notice to ADHC Medi-Cal beneficiaries alerting of a possible change in their eligibility to receive adult day health care on or after March 1, 2010. Caregivers and ADHC participants with questions about continued eligibility are directed to contact their ADHC center or Medi-Cal at (916) 636-1980.

Alzheimer's Disease State Plan Digest (Volume 1 - January 2010)
California Takes Lead in Planning for Startling Rise in Alzheimer's Disease

Posted February 5, 2010
The Alzheimer's Disease State Plan Task Force, charged with developing a 10-year public policy roadmap for the state, has published Volume 1 of the Alzheimer's Disease State Plan Digest. Under the auspices of California's Health and Human Services Agency, the 22-members task force will announce a series of key public policy forums focused on health care financing, end of life and palliative care, and workforce training and development issues. To view information and documents on the plan, visit the Web site for the Alzheimer's Association, California Council.

CAADS Winter Meeting Regular Registration Rate Ends 5 PM February 17
Hotel Reservations Cut-Off: February 8

Updated February 5, 2010
Don't miss the Regular Rate deadline of 5 PM February 17. After that, pre-registration will close and you'll be required to register at the event at the Late Registration Rate. Sorry, no extensions to published deadlines for registration rates. February 8 is the deadline to make room reservations at the San Diego / Del Mar Hilton Hotel to receive the discounted group room rate of $110 singe/double occupancy, plus tax. Now is the time to check out low airfares being offered by Southwest and Virgin America from select cities in California. To view event brochure or register, click on the "Meetings" tab at top of this page.

DEFYING GRAVITY: POLICYMAKING NEEDS TO CHANGE -- AND WE NEED TO MAKE THAT HAPPEN -- NOW
Commentary by Marty Omoto

Posted February 3, 2010
Marty Omoto, head of California Disability Community Action Network (CDCAN), and member of the state's Olmstead Advisory Committee, argues forcefully why some cuts such as elimination of ADHC and the IHSS benefit reductions should be taken off the table from the get go.

DHCS Issues Notice to Providers of Changes to ADHC

Posted February 2, 2010
The Department of Health Care Services faxed a one page notice, dated February 1, 2010, to all providers titled, Changes to Medical Necessity and Eligibility Criteria for Authorization of Adult Day Health Care Services. The notice directs readers to the Provider Manual and Medi-Cal website for information about the new criteria and the new Individual Plan of Care and associated instructions.

Alzheimer's Action Day -- February 11 -- California State Capitol

Posted February 2, 2010
Come help prevent further cuts to programs serving families living with Alzheimer's -- ADHC and IHSS! For details or to RSVP, click here.

Obama's Respite Care Plan: Part of the Problem, Not a Solution

Posted February 2, 2010
Kaiser Health News columnist Howard Gleckman, Senior Research Associate at the Urban Institute, examines why the White House initiative is a symptom of all that is wrong with long-term-care policy in the U.S. He writes, "In states such as California, for example, a federal program to promote these services won’t help much if the programs themselves are shuttered—an idea now being debated in Sacramento. And no small federal grant program will save them." To view full article, click here.

Federal Court Hearing Scheduled February 23 on Medi-Cal Cuts to ADHC
Brantley v. David Maxwell-Jolly

Posted January 28, 2010
On August 18, 2009, Disability Rights California challenged in federal court the Medi-Cal budget cuts to the Adult Day Health Care program that temporarily limited beneficiaries to no more than
three days per week attendance, leaving no alternatives for many older Californians with serious
disabilities who needed care four or five days per week (Brantley v. Maxwell Jolly). The judge granted the motion for preliminary injunction on September 10, 2009.

Disability Rights California filed an amended legal brief on December 18, 2009, and a motion for preliminary injunction January 19, 2010, challenging the legality of new ADHC eligibility and medical necessity criteria. Court hearing scheduled for February 23, 2010. Pleadings for the case are:

• Complaint For Injunctive and Declaratory Relief 8/18/2009
• Order Granting Plaintiffs' Motion For Preliminary Injunction 9/10/2009
• First Amended Complaint For Injunctive and Declaratory Relief 12/18/2009
• Notice Of Motion And Motion For Preliminary Injunction; Memorandum Of Points And Authorities In Support 1/19/2010

Now Available! Recording of January 21 Members Only Tele-briefing on Governor's Proposal to Eliminate ADHC

Posted January 27, 2010
A recording of the January 21, 2010 Members Only tele-briefing on the Governor's Proposal to Eliminate ADHC is now available on the Members Only Page under "What's New."

CAADS Advocacy in Action: The First Senate Budget Committee Hearing Posted January 27, 2010 The first Senate Budget Committee hearing on the Governor’s proposal to eliminate adult day health care (ADHC) was held January 26, at the state Capitol. The Department of Health Care Services budget discussion was the first agenda item, followed by 80 minutes of public testimony in support of ADHC by CAADS Executive Director Lydia Missaelides, CAADS members, Lifelong Medical Care participants (pictured), and friends of adult day services. CAADS prepared a Fact Sheet for Budget Item 4260 and submitted it to the Seneate Budget and Fiscal Review Committee. 1/26/2010 CA Senate Committee on Budget and Fiscal Review ♦ View Agenda ♦ View CalChannel broadcast (allow for download time and delayed start of the hearing after you click to view)

LifeLong Medical Care ADHC Advocates at State Capitol

CAADS WINTER MEETING - MARCH 2 & 3
Timely Information and Education You Can't Get Anywhere Else!

Posted January 24, 2010
The Winter Meeting brochure and registration form are now available for the March 2 & 3, 2010 event. Plan to join us at the San Diego / Del Mar Hilton to get the latest on:

• the Governor's proposal to eliminate ADHC as a Medi-Cal Benefit
• new ADHC eligibility and medical necessity criteria
• discharge notification
• federal court decisions affecting rates and criteria
• protecting your legal rights
• fundraising fundamentals

CAADS Now Coordinating Advocacy Efforts Through Regional Captains

Posted January 22, 2010
CAADS Members can view the Regional Captains list on the Members Only Page under "What's New."

ADHC Providers Reminder:
Change in ADHC TAR submission effective February 1, 2010

Posted January 22, 2010
As indicated in the December Medi-Cal Provider Bulletin, all paper TARs submitted on or after February 1, 2010 should be sent to:

         Los Angeles Medi-Cal Field Office
         ADHC TAR Adjudication
         311 South Spring Street, 1st Floor Mail Room
         Los Angeles, CA 90013-1211

ETARs will automatically be directed to Los Angeles.

ACTION NEEDED NOW!
GOVERNOR MOVES TO ELIMINATE ADHC AS A MEDI-CAL BENEFIT ON MARCH 1

Posted January 20, 2010
We need YOU to call your State Legislators at their District and Capitol offices and tell them you oppose the elimination of ADHC because doing so will cost more than it saves! It just doesn't make sense to force ADHC Medi-Cal participants into emergency rooms, hospitals and nursing homes -- all of which cost the state far more than adult day health care.

To find the name and contact information for your State Senator and Assembly Member, visit Project Vote Smart, enter your zip code, press "Go" and then scroll down to the "State Legislative" section.

Support the California Adult Day Services Advocacy Fund with your donation or pledge today.

MEDI-CAL BULLETIN ANNOUNCES NEW MEDICAL NECESSITY CRITERIA,
NEW MANUAL ISSUED FOR TRACKING COSTS FOR REIMBURSEMENT

Posted January 20, 2010
The January Medi-Cal Bulletin announces March 1, 2010 as the effective date for meeting new Adult Day Health Care medical necessity criteria. The state has also issued a new manual, "Adult Day Health Care (ADHC) Centers: Tracking Costs for Reimbursement Purposes." The new manual should be reviewed carefully and all centers should be using those instructions and recording their separately billable services every day. The department is no longer accepting time studies or sampling methods. Please direct any questions to your local Medi-Cal Field Office.

The Outpatient Medi-Cal Manual Part 2 now contains:

• New Instructions -- Adult Day Helath Care (ADHC) Centers: TAR, IPC and H&P Form Completion (adu tar jpc) [31 pages]
• New Form -- ADHC Individual Plan of Care (IPC) form (adutaripcform) [15 pages]
• New Manual -- Adult Day Health Care (ADHC) Centers: Tracking Costs for Reimbursement Purposes (adu track) [43 pages]

The January 19, 2010 CAADS Members Only ALERT on these topics now appears on the Members Only Page under "What's New."

DHCS A&I ISSUES NEW NOTICE ON ANNUAL ADHC COST REPORT FILING

Posted January 17, 2010
To view the new Department of Health Care Services Audits & Investigations notice about annual ADHC cost report filing, click here.

Governor Releases 2010-11 Budget that Devastates Health Care
ADULT DAY HEALTH CARE ONCE AGAIN PROPOSED FOR ELIMINATION

Posted January 8, 2010
The Governor released his budget at 11:30 AM today and has called for an emergency budget session to close a $20 billion budget deficit estimated over the next 18 months. Adult Day Health Care is scheduled for elimination as a optional Medi-Cal benefit on March 1, 2010, but savings are not budgeted until June 2010. CAADS Members may now view the January 8, 2010 CAADS Members Only ALERT and narrative of the Governor's Budget Summary on the Members Only Page under "What's New."

Watch for California Hospital / Uninsured Care Demonstration Project
Section 1115 Waiver Stakeholders Advisory Committee Meeting Summary

Posted January 8, 2010
The California Department of Health Care Services Section 1115 Waiver Stakeholder Advisory Committee met on January 7, 2010, in Sacramento. A meeting summary will be posted on the DHCS Waiver Renewal Website approximately one week after the date of the meeting.

CAADS submitted comments on the inclusion of ADHC services for Seniors and Persons with Disabilities within the managed care proposal contained in the 1115 Waiver Concept Paper that the Department of Health Care Services sent to CMS in December 2009.

Federal Court Accuses Representatives of the Administration and Attorney General's Office of Misleading Judges in Medi-Cal Provider Rate Cut Case

Posted December 29, 2009
Mary Omoto, California Disability Community Action Network (CDCAN), writes in the December 26, 2009 issue of California Progress Report:

"In a major victory for disability and senior advocates, a three judge panel of the US 9th Circuit Court of Appeals on Monday (December 21) issued a stunning and strongly worded rebuke against the Schwarzenegger Administration and Attorney General Jerry Brown accusing their representatives of lying to the court in 'clear violation' of California State Bar rules against misleading judges."

To view or download a copy of the December 21, 2009 US 9th Circuit Court of Appeals order, visit the CDCAN website at www.cdcan.us.

CAADS and A.L.E. Issue 2009 Annual Reports

Posted December 11, 2009
The California Association for Adult Day Services (CAADS) and the Alliance for Leadership and Education (A.L.E.) have issued their 2009 Annual Reports. To view, click on the links below:

• CAADS - 2009 Annual Report
• A.L.E. - 2009 Annual Report

California DHCS Releases Medical Necessity Criteria Comparison Chart and Draft Individual Plan of Care Encompassing the New Criteria

Posted November 23, 2009
The Department of Health Care Services recently released two documents regarding the new “medical necessity” and eligibility criteria for adult day health care. These new criteria were included in AB 4x 5, a Fiscal Year 2009-10 budget trailer bill. The new criteria take effect only upon the written declaration by the Director of the Department of Health Care Services that the department is ready to implement the new criteria. This is not expected to occur until March 1, 2009 at the earliest.

1. A chart comparing the prior criteria with the new criteria.
2. A draft 16 page Individual Plan of Care (IPC) that encompasses the new criteria.

CAADS leadership is preparing comments and questions for a meeting with DHCS on December 1, 2009 to discuss implementation of the new criteria and IPC. The Department has requested that public comments be submitted by December 1, 2009.

By email: navid.sabati@dhcs.ca.gov

Via U.S. mail:
Navid Sabati, RN
Department of Health Care Services
Medi-Cal Benefits, Waiver Analysis, and Rates Division
1501 Capitol Avenue, Suite 71-4001, MS 4600
Sacramento, CA, 95899-7417

1115 Waiver to Improve Medical Care Coordination for Seniors
and Persons with Disabilities in the Medi-Cal Program

Posted November 23, 2009
The state is required to submit a proposal by August 2010 to the Centers for Medicare and Medicaid on how it plans to improve medical care coordination for seniors and persons with disabilities in the Medi-Cal program in order to improve access, improve quality and reduce cost. CAADS has submitted comments to the Department of Health Care Services about this concept and will continue to provide input and monitor the process. This mandate was created as part of the 2009-10 budget negotiations. The proposal will be included within the 1115 waiver renewal for hospital refinancing and will likely include mandatory enrollment into managed care and a “medical home” component for areas of the state without Medi-Cal managed care. Learn more:

• Enhanced Medical Home for Medi-Cal's SPD Population
  Prepared for State of California, Department of Health Care Services September 2009


• State of California Concept for a Comprehensive Section 1115 Waiver to Replace the Current Medi-Cal Hospital/Uninsured Care Demonstration Project
  DRAFT October 19, 2009


• Enhanced Medical Home for Adults with Disabilities in Medi-Cal Fee for Services Comments and Recommendations on Department of Health Care Services 1115 Waiver Concepts
  Prepared by CAADS November 11, 2009

Irma Marin Receives 2009 CAADS Quality Award
at CAADS Annual Conference in Long Beach

Posted November 23, 2009
The California Association for Adult Day Services has awarded Irma Marin, Falls Prevention Coordinator with Alzheimer's Family Services Center (AFSC), the 2009 CAADS Quality Activities / Program / Services Award for her amazing work on the Partners in Preventing Falls Project funded by the Archstone Foundation. Now employed with AFSC for 10 years, Irma leads by example when conducting balance and mobility classes. This innovative project was the first of its kind in the adult day health care setting, with Irma being one of the initial instructors trained to implement the balance and mobility classes. Congratulations Irma!

H1N1 FLU UPDATES

Posted November 4, 2009
For H1N1 flu updates, vaccination supply status and clinical guidance, visit the Centers for Disease Control website which is updated regularly.

CAADS ADHC "GRANDFATHERING" AMENDMENT INCLUDED
IN HOUSE VERSION OF HEALTH CARE REFORM LEGISLATION

Posted October 29, 2009
The House of Representatives finished its work to consolidate three versions of health care reform legislation into one bill. Speaker Pelosi released HR 3962 on October 29, 2009 and scheduled a floor vote for the following week.

CAADS ADHC "grandfathering" amendment is included in the House legislation, pages 1081-1082 [SEC. 1735. ADULT DAY HEALTH CARE SERVICES]. CAADS has been leading a coalition of states to obtain this amendment in federal law to permit ADHC to continue to operate as a State Plan benefit under Medicaid rules. The Senate still needs to merge two bills into one piece of legislation that can garner enough votes to pass on its floor. Once the Senate and House pass their versions of health care reform a final single bill will be hammered out in a conference committee.

CAADS members may view the October 29, 2009--10 AM CAADS Members Only ALERT available on the Members Only page under "What's New."

CLARIFICATION ON SB 117 - CORBETT
This Bill Did Not Alter Medical Necessity

Posted October 21, 2009
There appears to be some confusion about why new medical necessity criteria appears in SB 117, signed recently by the Governor. For a full explanation of the technical change made in SB 117 to correct a drafting error contained in ABX4 5, the health budget trailer bill, CAADS members may view the October 21, 2009--2 PM CAADS Members Only ALERT available on the Members Only page under "What's New."

IHSS Cuts Blocked by Federal Court
310,000 Beneficiaries Get Relief

Posted October 20, 2009
On October 19, 2009 a federal judge ordered the state to stop issuing Notices of Action to 130,000 beneficiaries receiving In Home Supportive Services (IHSS) whose benefits were scheduled to be eliminated or reduced on November 1, 2009. To learn more about what the preliminary injunction ruling means for adult day services participants and thousands of others across the state, CAADS members may view the October 20, 2009--10 AM CAADS Members Only ALERT available on the Members Only page under "What's New."

Governor Acts on CAADS Sponsored Bills

Posted October 13, 2009
SB 117 (Corbett) has been signed by the Governor. This CAADS sponsored bill delays the unbundling of the ADHC reimbursement rate.

Also signed by the Governor was AB 292 (Yamada) which allows the Alzheimer's disease donation 'check-off box' to continue to be included on the California State Individual Tax form.

Vetoed by the Governor was AB 369 (Yamada) which would have allowed two ADHCs, owned and operated by the California Department of Veterans Affairs, to become certified for Medi-Cal payment.

More information is included in the October 12, 2009--2 PM CAADS Members Only ALERT available on the Members Only page under "What's New."

IHSS "All County Letters" on Implementation of the In Home Supportive
Services Reductions and New Fingerprinting Requirements

Posted October 7, 2009
The Department of Social Services has released the following "All County Letters" on implementation of the In Home Supportive Services reductions and new fingerprinting requirements for IHSS providers of care.

Recipients of IHSS will be receiving a Notice of Action describing any changes to their IHSS benefit, which could range from elimination of the IHSS benefit to reduction or elimination of the "domestic" services portion of their total IHSS hours.

This Notice of Action will be only provided in four languages: English, Spanish, Armenian and Chinese.

There are appeal rights. Here are some websites to view for more information:

• www.disabilityrightsca.org
• www.udwa.org

1. ALL COUNTY LETTER (ACL-09-56) IHSS BUDGET REDUCTIONS
   View the All County Letter from the Department of Social Services that provides instructions and guidance to the counties on how to implement the budget reduction that uses the "functional index scores," that will determine (effective November 1st) whether a person is eligible for any services under IHSS (there are some exemptions to this).
   
   The All County Letter also provides guidance and instructions to the counties on use of "functional index rankings" that now will be used, effective November 1, 2009, to determine eligibility for any specific domestic and related service under IHSS (there are exemptions to this).
   
   
2. ALL COUNTY LETTER (ACL-09-52) IHSS PROVIDER (WORKER) ENROLLMENT REQUIREMENTS AND IHSS PROVIDER ENROLLMENT FORM
   
   
3. ALL COUNTY INFORMATION NOTICE (I-69_09) ON IHSS PROVIDER ENROLLMENT REQUIREMENTS AND IHSS PROVIDER ENROLLMENT FORM [Note: be sure to look at the All County Letter on this same Subject -- All County Letter 09-52]

UCLA Health Policy Research Brief Issued
California Budget Cuts Fray the Long-Term Care Safety Net

Posted October 2, 2009
The UCLA Center for Health Policy Research has just released a report titled, California Budget Cuts Fray the Long-Term Care Safety Net. The paper states that "disabled older adults with low incomes will find it harder to access services, and ultimately, harder to live safely at home." ADHC, ADCRC and IHSS are featured prominently and a "key informant" example is a 5-day per week ADHC participant who also relies on IHSS to remain living at home.

Major In Home Health Supportive Services (IHSS) Eligibility Changes
Loss of IHSS Could Impact Need for ADHC/ADP

Posted October 1, 2009
The recently enacted state budget revisions include significant reductions in the In Home Supportive Services (IHSS) program. These changes could adversely impact your participants and may lead to a change in their assessed need for ADHC or ADP.

A CAADS Members Only ALERT with further details is available on the Members Only page under "What's New."

IMPORTANT!
TAR Instructions: DHCS Procedure to Convert 3-Day Cap TARs to 4 and 5 Days

Posted September 17, 2009
CAADS has clarified the process to modify TARs. A CAADS Members Only ALERT, issued September 17, 2009 at 2:00 PM, is now available on the Members Only page under "What's New."

Make Up Days and Carry Over Days for ADHC Beneficiaries

Posted September 17, 2009
A CAADS Members Only ALERT, issued September 16, 2009 at 4:30 PM, is now available on the Members Only page under "What's New."

California Department of Public Health Issues Letter Regarding H1N1 Influenza Virus Informational Resources

Posted September 3, 2009
In partnership with the federal Centers for Disease Control and Prevention (CDC) and local health officers in our state, the California Department of Public Health (CDPH) has developed a wide range of informational material about the novel H1N1 influenza virus. View August 25, 2009 CDPH letter. Visit CDPH Web site.

Posted August 19, 2009
Three elderly and disabled Medi-Cal beneficiaries, currently receiving ADHC services five days per week, filed a lawsuit August 18, 2009 in the United States Northern District Court in Oakland alleging violations of the Americans with Disabilities Act (ADA) and federal Medicaid law. The lawsuit challenges the legality of two aspects of the cuts which are contained in ABx4 5, one of a number of bills enacted in response to California's budget crisis. First, on August 27, the maximum number of days Medi-Cal will fund ADHC services for all participants will be reduced from five to three per week regardless of the seriousness of the participant's health problems. Second, if the State allows the maximum number of days to return to five per week, new restrictive eligibility criteria will be triggered, which will make untold thousands of current participants permanently ineligible for any ADHC services.

AARP Foundation Litigation, Disability Rights California, and the National Senior Citizens Law Center, representing the plaintiffs, describe the lawsuit and plaintiffs in a media release.

A CAADS Members Only ALERT regarding this legal action was issued August 19, 2009 at 10 AM and may be viewed on the Members Only page under "What's New."

CAADS AMENDMENT PASSES KEY CONGRESSIONAL COMMITTEE!
First Step Toward Getting Protection from CMS Accomplished

Posted August 7, 2009
The House Energy and Commerce Committee accepted an amendment offered by Representative Matsui (D-Sacramento) and Representative Green (D-TX) to continue to allow adult day health care to be offered as an optional benefit in the State Medicaid Plan of any state currently offering ADHC in this manner. CAADS has been working since 2005 to get such an amendment approved. Contact your congressional representative and state senators representing California and urge them to pass health care reform now! Members may view the July 31, 2009 ALERT on the Members Only page under What's New.

U.S. 9th Circuit Court Rules in Favor of ADHC and Other Providers in 10% Medi-Cal Rate Case!

Posted July 10, 2009
The United States 9th Circuit Court of Appeals in San Francisco issued its long-awaited decision upholding a lower federal court's order from August 18, 2008 that blocked the Schwarzenegger Administration from implementing a 10% reduction to reimbursement rates for ADHC and other Medi-Cal providers. The 9th Circuit Court also ordered the state to pay back the 10% deduction from the reimbursements issued to ADHC providers and other plaintiffs between July 1 and August 18, 2008. We do not yet know what process or timing the state will use to comply.

CAADS Legal Fund is $25,000 short of its 2009 fundraising goal. To make a contribution, please complete the CAADS Legal Fund Pledge/Donation form or call CAADS at 916-552-7400.

CDA Requirements for ADHC Centers Planning to Reduce Days and Hours of Operation

Posted July 8, 2009
According to a July 3, 2008 memorandum to all Adult Day Health Care centers from Denise Peach, acting chief of the Adult Day Health Care Branch, California Department of Aging, ADHC centers may make written request to CDA for approval to operate less than five days per week and six hours per day. At a minimum, ADHC centers must operate three days per week and four hours per day.

To reduce center days and/or hours of operation per Section 54221, Title 22, California Code of Regulations, the provider must:

• Submit a written request to CDA. The request must specify the proposed days and hours the ADHC center wishes to operate.
• Obtain written approval from CDA prior to reducing days and/or hours of operation.
• Discharge, refer, or reschedule participants as their needs dictate.
• Not exceed the center's licensed capacity.
• Continue to meet all other ADHC program requirements during the time of reduced days and/or hours of operation.

Centers enrolling participants discharged from another center should be aware that they must continue to comply with all requirements for participant assessment and enrollment.
If you have questions, please contact CDA at (916) 419-7545. View CDA memorandum.

Important Notice for Adult Day Health Care Medi-Cal Beneficiaries

Posted June 19, 2009
Notice of Reduction of Services of Medi-Cal Benefits to Medi-Cal Beneficiaries to announce the elimination of certain "Optional Benefits." The notice is available in 13 languages on the DHCS website.

The Department of Health Care Services has Implemented a New Medi-Cal Provider Agreement for all Providers Wanting to Participate in the Medi-Cal Program Effective Immediately

Posted June 4, 2009
Kathleen Billingsley, R.N., Deputy Director, Center for Health Care Quality, California Department of Public Health, today issued a notice to district managers / administrators regarding Medi-Cal Agreement (Institutional Provider) Form DHCS 9098 and Instruction Page. The Medi-Cal Provider Agreement will replace the Medi-Cal Provider Data Form MC-802.  The MC-803 is now obsolete; please discontinue use of the MC-803.

The Licensing & Certification Program will be responsible for disseminating the agreements to all new applicants applying for Medi-Cal and providers requesting change of ownership who are currently participating in Medi-Cal.

You may obtain the Medi-Cal Provider Agreement form DHCS 9098 and Instruction Page through:

    L&C's website under "miscellaneous forms intranet/internet."
    http://www.cdph.ca.gov/pubsforms/forms/Pages/LicensingandCert.aspx

    OR

    The Central Applications Unit website under "Applications for Licensing
    and/or Certification of a Health Facility."
    http://www.cdph.ca.gov/pubsforms/forms/Pages/HealthFacilities.aspx

Once the agreement has been completed and returned to the L&C District Office, the L&C District Office will forward the agreement in the initial certification kit or change of ownership kit to the Provider Certification Section. If you have any questions please contact the Provider Certification Section at 916-552-8619.

Facts about Alzheimer's in California

Posted April 30, 2009
An Alzheimer's Association Report released February 25, 2009 outlines the growth and impact of Alzheimer's disease on the state of California in the next 20 years. Key findings:

• Trends among California's diverse population are changing the face of Alzheimer's disease
• Deaths from Alzheimer's disease continue to rise
• 1.1 million Californians now provide unpaid care for people with Alzheimer's
• One in eight California Baby Boomers who reach age 55 will develop Alzheimer's disease
• Financial impacts will affect all Californians

State Files Appeal with U.S. Supreme Court in ADHC Case
Donations Still Needed!

Posted April 16, 2009
The fight is not over! The success CAADS has achieved to date, through our legal actions to stop the 10% ADHC Medi-Cal rate cut in August 2008 and the 5% rate cut in March 2009, has been nothing short of remarkable; however, on April 1, 2009, the State of California filed a petition with the United States Supreme Court to appeal the Ninth Circuit Court of Appeals published opinion that laid the legal groundwork for our success. Read more, help with a donation or pledge today.

ADHC Medi-Cal Reimbursement Rate Increases

Posted March 6, 2009
No public notice has yet been issed by the state in a provider bulletin or update on the Medi-Cal web site, but CAADS has confirmed with state staff that a rate increase is in effect. CAADS Members can get more details in the What's New section on the Members Only page.

CAADS SUES STATE OF CALIFORNIA AGAIN...
This Time to Stop the March 1, 2009 Medi-Cal Rate Cut

Posted February 2, 2009
Pharmacy, Adult Day Health Care and Medi-Cal Beneficiaries filed a lawsuit on January 29, 2009 in U.S. District Court Central District of California (Document # CV09-0722 CAS), seeking emergency relief from the 5% cut to Medi-Cal reimbursements set to begin March 1, 2009. The case has been assigned to Judge Christina Snyder, the Judge in ILC v. Shewry who issued the original injunction on the 10% cuts to Medi-Cal in the summer of 2008. The 2008 lawsuit successfully stopped the 10% Medi-Cal cut from taking effect.

Separately Billable Services (SBS) for Adult Day Health Care

Posted September 22, 2008
SBS Frequently Asked Questions -- FAQs 2008-09-19
CAADS Clinicial Work Group has now released FAQs regarding separately billable services for ADHCs. Additional questions may be submitted by email to caads@caads.org. Please include "SBS" and your center name in the subject line. Then, check back here for updates.

Revised Guidance Paper now with PT and OT web links and correct calculation for driver's time example presented in Transportation section. (Areas where changes have been made are denoted by a vertical line in the left margin.)

Revised Monthly Summary Worksheet with RDA column removed.

Posted 2008-08-22; Updated 2008-09-22
SBS Guidance Paper and Service Logs Available from CAADS! (View ALERT)
This best practice guidance paper is a strongly recommended source of information on how to correctly identify and count separately billable units of service for the new DHCS cost report.

SBS Guidance Paper - Revised 2008-09-16 (49 pages)
Supplemental Data Collection for Adult Day Health Care Cost Analysis and Rate  Development, Separately Billable Services Definitions and Service Log Requirements. (Areas where changes have been made are denoted by a vertical line in the left margin.)

SBS Service Logs -- INSTRUCTIONS (2 pages)
Instructions for Separately Billable Services Logs - Be sure to download and printout instructions before using the sample logs and worksheets.

Participant Monthly Treatment Flow Sheet -- EXAMPLE (1 page)
This flow sheet example displays one day of service to illustrate how the flow sheet works with the daily log.

Daily Physical Therapy Log -- EXAMPLE (1 page)
This log shows how to properly record and calculate units of service for the appropriate therapy modalities incluidng individual, concurrent and group.

Monthly Physical Therapy Summary Worksheet -- EXAMPLE (1 page)
This summary worksheet illustrates how to correctly summarize and convert minutes to display as hours and fractions of hours using the formula provided, and summarize units of service.

BLANK SAMPLE SBS Logs / Worksheet Forms:

• PT Daily Log
• PT Monthly Summary Worksheet
• OT Daily Log
• OT Monthly Summary Worksheet
• SLP Daily Log
• SLP Monthly Summary Worksheet
• MH Daily Log
• MH Monthly Summary Worksheet
• RD Daily Log
• RD Monthly Summary Worksheet for SBS (Rev 2008-09-05)

Report on Economic Benefit of Adult Day Health Care

Posted October 17, 2007
The report, "Adult Day Health Care Services: Serving the Chronic Health Needs of Frail Elderly Through Cost-Effective, Non-Institutional Care," has been issued by the Washington D.C. policy and research firm Health Management Associaties. Commissioned by CAADS, the report includes a description and comparison of six states that provide adult day health care as a Medicaid Optional Benefit under their respective State Plan. The report offers an economic perspective on the benefits of adult day health care in light of the demographics of an aging population. The United States Census Bureau estimates that by the year 2030, the number of individuals age 65 and older will double, totaling 70 million. The U.S. Department of Health and Human Services estimates that 50-80% of these individuals will need some type of long term care. View the Issue Brief. View the full Report.

30 Years of Adult Day Services History

Posted October 18, 2007
The California Association for Adult Day Services describes key events in the 30-Year History of Adult Day Services, a special paper prepared to commemorate the Association's 30th Anniversary.

Moratorium on Medi-Cal Certification Remains in Effect for New ADHCs

Posted July 23, 2007; Updated July 8, 2008
Due to the State's fiscal considerations the Department of Health Care Services will not exercise its discretion to make exceptions to the moratorium on Medi-Cal certification for new adult day health care facilities. The moratorium, which took effect August 16, 2004, and was extended by the State Legislature until June 30, 2009, continues to remains in effect under the authority and discretion of the director of the Department of Health Care Services. CAADS members can view the moratorium language or ADHC Utilization Data by County.

Attention ADHC Providers: SB 144 Requires Food Safety Certification

Updated January 13, 2008
ADHC providers are required to obtain ServSave(tm) certification. CAADS has prepared Excerpts from SB 144 (Chapter 23, Statutes of 2006) The California Retail Food Code. Effective July 1, 2007, an owner or employee at each ADHC site must hold a food safety certification from an organization accredited by the American National Standards Institute as meeting the requirements of the Conference for Food Protection's "Standards for Accreditation of Food Protection Manager Certification Programs." ServSafe(tm) is one of three such accredited programs and is the program we selected as appropriate for our industry. CAADS  members may view SB 144 (CURFC) on the Members Only page.

SB 1755 - ADHC Reform Bill

Updated August 23, 2007
SB 1755 contains the elements of reform required by the federal Centers for Medicare and Medicaid Services while enabling ADHC to continue as a Medi-Cal State Plan benefit. CAADS has developed a summary of the legislation for its members and will continue to provide updates on implementation. View Summary of SB 1755.

U.S. Department of Health and Human Services Report Highlights Adult Day Services

The Office of Disability, Aging and Long-Term Care Policy (DALTCP) in the U.S. Department of Health and Human Services has posted on-line its July 2006 report, Adult Day Services: A Key Community Services for Older Adults. This report, written by Janet O'Keefe and Kristin Siebenaler, provides a brief overview of the research on adult day services and various state approaches to regulating adult day services for elderly persons. The report points out that adult day services complement and support informal caregiving, a necessary resource that helps family caregivers and delays or prevents expensive nursing home placement. The report states, "Informal caregivers are the backbone of the nation's long-term care system." For more information, visit: Office of Disability, Aging and Long Term Care Policy (DALTCP).

Participants Say It All!

Meet adult day services participants and hear what they have to say about their center's services, activities and staff. Click on the picture below to view a video clip from the California Association for Adult Day Services' video entitled "Human Kindness -- it just flows around here." (Note: Real Player required to view clip... Download Real Player)

The three-part video was commissioned in 2002 to commemorate CAADS 25th Anniversary. It is a retrospective of adult day services in California, honoring the industry's pioneers and providers, who continue to serve individuals, families, and communities with compassion.

To purchase the complete anniversary video print out the video order form. (A limited number of complimentary videos are available for airing on local access television.) For more information, call CAADS: 916-552-7400.

Special thanks to producer Bob Andruszkiewicz, ABUZZ Media, the Alliance for Leadership and Education, and those whose generous contributions made this video possible.

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 2007 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

Among the key benefits available to CAADS members on the Members-Only page are:

• State Budget Information - updated frequently!
• Medi-Cal Updates
• Licensing Updates
• Laws & Regulations for ADHC, ADP, and ADCRC
• Advocacy & Legislative Alerts
• Funding Sources
• Technical Assistance
• Membership 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 2007 A.L.E. Annual Report summarizes the year's grant activities and initiatives focused on Quality of Care, Public Education and Information.