CAADS - California Association for Adult Day Services

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CAADS Webinar -- Oral Health and Older Adults: Risks and Access

FEB 2, 2017 | 2:30 PM to 3:30 PM (Pacific) | A CAADS Members-Only Webinar
CAADS Members, please register on the Members Only page.

CAADS Spring Conference & Membership Meeting

Conference artworkTransforming the Continuum of Care
April 25-27, 2017 | DoubleTree Berkeley Marina Hotel | Sponsorship Opportunities | Exhibitor Invitation | Exhibitor Contract

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

What's New . . . JANUARY 24, 2017

Alzheimer's: Every Minute Counts
New Documentary Film Premieres January 25, on PBS

JAN 25, 2017, 10:00 PM (Eastern) | Check your local PBS TV schedule HERE

Alzheimer's: Every Minute Counts addresses what experts say is an oncoming "health care tsunami" and a "the biggest epidemic in medical history."

The one-hour documentary will be accompanied by community engagement, education and social media initiatives that will extend its reach and impact beyond the broadcast, as well as educate the public about the crisis and provide support to help those who already have Alzheimer’s.

Maggie "Dee" Dowling, Longtime Disability and Senior Rights Advocate, Passes Away

JAN 22, 2017 | California Disability-Senior Community Action Network (CDCAN) and California Person Centered Advocacy Partnership

Maggie “Dee” Dowling, a widely respected longtime disability and senior rights advocate, with a distinctive strong and uncompromising gravelly voice, passed away Saturday morning, January 21, 2017, at age 77 years. Advocates across the State who learned of her passing – from San Diego to Los Angeles, the Bay Area and Sacramento – expressed deep sadness at her passing.

Known to her friends, fellow advocates and policymakers at the State Capitol as "Maggie Dee," she was a constant presence at stakeholder meetings. She was successful in her fight against major reductions to SSI/SSP (Supplemental Security Income/State Supplemental Payment) grants and Medi-Cal in the early 1990’s, in federal class action lawsuits filed on her behalf by longtime friend and disability advocate attorney Lynn Carman. With others, she was a party to other federal lawsuits that stopped major cuts to Medi-Cal and In-Home Supportive Services (IHSS) in recent years.

Dowling was facing significant health issues over the past several years, including difficulty in breathing, that limited her ability to participate in disability and senior stakeholder meetings and budget hearings at the State Capitol.

What to do if you're wrongfully billed for Medicare costs
Know your rights as a Qualified Medicare Beneficiary

JAN 18, 2017 | Stacy Canan and Tim Engelhardt

A just-released consumer advisory from the Consumer Financial Protection Board and the Medicare-Medicaid Coordination Office will help advocates assist Medicare/Medicaid qualified beneficiaries resolve improper billing practices. A downloadable two-page flyer gives consumers three simple instructions on what to do if a Medicare provide improperly bills them for Medicare charges.

Coordinated Care Initiative Update

JAN 19, 2017 | DHCS Health Care Delivery Systems

Released last week, the Governor's 2017-18 budget proposes to continue Cal MediConnect and Managed Long-Term Services and Supports (MLTSS) until 2020.

The State and DHCS are committed to increasing and improving the coordination of care for dual-eligible individuals. The budget reflects the Administration's commitment to the principles of the Coordinated Care Initiative (CCI) and making the necessary changes in order to make the Cal MediConnect program stronger.

When created, the CCI contained a provision requiring the Department of Finance to determine if the CCI program is cost effective each January, and if not, the entire program would be discontinued the following year.

The Budget estimates that CCI will not be cost effective, thereby triggering a process that ceases all statutory provisions related to CCI as of January 1, 2018. Until then, DHCS is taking this opportunity to restructure parts of the program to make it cost effective.

Based on the lessons learned from CCI, the Budget proposes to extend the Cal MediConnect program, continue mandatory enrollment of dual-eligibles, and continue to integrate long-term services and supports (except IHSS) into managed care for two years. Some of the pieces of the CCI were found to be cost-effective and have the potential to improve the quality of care for those enrolled, and help keep individuals in their homes and communities, thereby leading to likely long term cost reductions.

To read the full post discussing budget implications, click here. Any questions or comments can be sent to

Alzheimer's Greater Los Angeles to Receive The Rosalinde and Arthur Gilbert Foundation Policy and Advocacy Award for
Dementia Cal MediConnect Project

JAN 18, 2017 | Family Cargiver Alliance (FCA)

For the ninth consecutive year, organizations with outstanding programs that meet the needs of caregivers for people with Alzheimer's disease have won the Rosalinde Gilbert Innovations in Alzheimer's Disease Caregiving Legacy Awards. The winning programs for 2016, selected nationally, each receive $20,000.

The 2016 Awards were announced to the winners and applicants in late December by Family Caregiver Alliance (FCA) and The Rosalinde and Arthur Gilbert Foundation in three categories: Creative Expression, Diverse/Multicultural Communities, and Policy and Advocacy.

"This year's applicants, from over 70 nonprofit organizations, again impressed us with their dedication to inventive and interesting approaches to Alzheimer's disease caregiving. We feel the winning programs are extraordinary and they truly represent the intent of the Awards," said Kathleen Kelly, FCA executive director.

Representatives of the winning organizations will receive their awards at a reception held during the 2017 Aging in American Conference in Chicago, March 20 to 24. The reception will take place on Wednesday, March 22, 6 p.m. to 8 p.m., at the Hyatt Regency Chicago. The reception is open to the public.

2016 winners:

Detailed information on the winning programs is available HERE.

To see an online scrapbook of past awardees click HERE.

The Rosalinde and Arthur Gilbert Foundation invests in programs that promote education, tolerance, social services, healthcare, and the arts. In the area of Alzheimer's disease The Rosalinde and Arthur Gilbert Foundation focuses its grant-making on the advancement of research by junior investigators in the United States and Israel and investments in Alzheimer's disease caregiving.

Family Caregiver Alliance and its National Center on Caregiving offer local and national programs to support and sustain the important work of families and friends caring for loved ones with chronic, disabling health conditions. A wealth of online caregiving support and advice, resource listings, fact sheets, newsletters, research reports, and policy updates can be found at Call (800) 445-8106 for more information.

Letter from National Groups to President-Elect Donald J. Trump:
Protect and Improve Programs for Older Adults

JAN 10, 2017 | Leadership Council of Aging Organizations (LCAO)

Dozens of national groups have called for the incoming Administration and Congress to protect and improve programs for older Americans. A letter from the Leadership Council of Aging Organizations (LCAO) to President-Elect Donald J. Trump outlines priorities in the areas of health care, community services, and retirement security.

The National Adult Day Services Association is a member of the LCAO. For a complete list of LCAO member organizations, click here.

Deadline Extended to February for California Adult Day Services Centers to Participate in National Study of Long-Term Care Providers (NSLTCP)

JAN 4, 2017

The U.S. Centers for Disease Control and Prevention (CDC) National Center for Health Statistics (NCHS) is fielding its third wave of the NSLTCP survey of Adult Day Services centers nationwide to compile national data about the characteristics of Adult Day Service centers and their participants. California Adult Day Services providers are strongly encouraged to respond to the NSLTCP Adult Day Services Center Questionnaire to assist in this national effort and ensure that information obtained for California is as accurate as possible. Please refer below for additional information.

Have you completed and returned the 2016 National Study of Long Term Care Providers (NSLTCP) questionnaire?

Informed decisions can only be made with accurate data. Adult day centers in California have an opportunity to provide input about the characteristics of adult day services centers and the participants they serve by responding to a brief federal survey that is a valuable resource to state and federal policymakers, providers and researchers.

The U.S. Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS) encourages all directors of adult day services centers that received a 2016 NSLTCP Adult Day Services Center questionnaire to complete and submit it by web, or by mailing in a hard-copy version as soon as possible. The original November 2016 deadline has been extended to February 2017.

As of December 19, NCHS has accounted for only 39% of adult day services centers surveyed in California. NCHS needs a sufficient number of adult day services centers to submit completed questionnaires in order to report on the characteristics of the adult day services sector in each state and across the nation. Participation is voluntary. The power of this survey depends on participation. In order to ensure that the adult day services sector in California is represented in future NSLTCP products, please submit your 2016 Adult Day Services Center questionnaire as soon as possible.

NCHS has contracted with RTI International, an independent, nonprofit research organization, to collect 2016 NSLTCP data. If you have questions about completing the questionnaire, or received a questionnaire packet in the mail but no longer have it or cannot find it, please contact the NSLTCP Help Desk today at 1-866-245-8078. For more information please visit the NSLTCP website:

Please contact CDA if you have any questions: (916) 419-7545;

Cal Duals Update

DEC 2016 Update (PDF) (Word) | Source: (12/20/2016)
NOV 2016 Update (PDF) (Word) | Source: (11/28/2016)
OCT 2016 Update (PDF) (Word) | Source: (10/28/2016)

Safety Net at Risk: Be Wary of Bills that Cut Social Security

DEC 22, 2016 | Justice in Aging Health Network Alert

All of the programs that alleviate and prevent poverty among older adults will be threatened in the first days of the 115th Congress. While the Affordable Care Act will be under attack first, which will impact both Medicaid and Medicare, we must also remain vigilant against any threats to the benefits administered by the Social Security Administration.

Despite the fact that Americans are overwhelmingly in favor of expanding, not cutting Social Security benefits, Rep. Sam Johnson (R-TX) just introduced a bill in the 114th Congress that would cut Social Security benefits to roughly 70% of older adults. Though Congress won’t be taking action on this now, it’s a good indication of the types of legislation that will be put forth in the next session under the guise of fiscal responsibility—all of which will result in cuts to benefits.

Here’s what the Johnson bill proposes:

  • Increasing the retirement age from 67-69
  • Decreasing (or in some cases eliminating) the Cost of Living Adjustment
  • Limiting maximum benefits for spouses and children of retired and disabled workers
  • Reducing benefits for those with shorter or sporadic work histories, like women who are family caregivers, or those who are self-employed.

Read our blog for an overview on how much and for whom these proposals will cut benefits. We’ll provide updates on threats to the Social Security program and alert you to actions you can take to fight back.

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 | 2016
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

New PGS Film Addresses Alzheimer's, The 'Biggest Epidemic in Medical History'
JAN 23, 2017
Robin Seaton Jefferson
Alzheimer's | Alzheimer's Association | Alzheimer's: Every Minute Counts | Medicare | Medicaid | Alzheimer’s Genome Project | Cure Alzheimer's Fund | age-related disease | FDA | NIH | The Forgetting: A Portrait of Alzheimer's

$1.9 billion error adds to California deficit projection
JAN 18, 2017
San Francisco Chronicle
Jonathan J. Cooper
Medi-Cal budget | Coordinated Care Initiative | Medi-Cal and Medicare | seniors and people with disabilities

VADS working on becoming a health day care center
JAN 9, 2017
The Porterville Recorder
Myles Barker
Valley Adult Day Services (VADS) | adult health day care center | Americans with Disabilities Act (ADA) | long-term care | Medi-Cal | adult day program | Blue Shield of California | UnitedHealthcare | Alzheimer’s Foundation of America

Column Not rich, not poor, and not ready for the cost of growing old
JAN 6, 2017
Los Angeles Times
Steve Lopez
dementia | old age | failing health | safety nets | Obamacare | Medicare and Medicaid | UCLA | Department of Community Health Sciences | the hidden poor | SCAN Foundation

Keeping Lonely Seniors Company Can Help Keep Them Healthy
JAN 5, 2017
California Healthline
Anna Gorman
isolation | seniors | University of California, San Francisco | 2012 study: Loneliness in older persons: a predictor of functional decline and death. (JUL 23, 2012)

Diagnosing Alzheimer's: Medicare now pays doctors to stop and assess memory loss
JAN 4, 2017
The Mercury News
Tracy Seipel
Alzheimer's | Medicare | Alzheimer's Association of Northern California and Northern Nevada | California Academy of Family Physicians | UsAgainstAlzheimer's | Centers for Medicare & Medicaid Services

Prior Coverage

Videos / Podcasts

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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