CAADS - California Association for Adult Day Services

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Next CAADS Webinar | JUNE 15

Save-the-Date and watch for topic to be announced!

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 . . . MAY 19, 2017

What Adult Day Services Providers Need to Know to be in Compliance

CAADS May 18 Webinar Recording & Handouts Now Available


CCI Update - New CalDuals Website

MAY 2, 2017 | Health Care Delivery Systems, CA Department of Health Care Services

The Department of Health Care Services (DHCS) is pleased to announce an updated and improved program website for the Coordinated Care Initiative (CCI),

As part of the comprehensive strategy announced in 2016, DHCS has been making program improvements to the CCI and Cal MediConnect. One of the areas of improvement includes updating the program website, In October, we formed a workgroup to solicit stakeholder feedback to help guide these changes and make the best end-product possible.

This revamped website has a more user-friendly design and navigation, particularly catering to beneficiaries. Thank you to the California Collaborative for Long Term Services and Supports and to the CalDuals website workgroup members for their help on this project.

The updated site will continue to be an important source of educational resources about the CCI, highlight outreach events on our public calendar, and be a mechanism for stakeholder feedback. Notable changes include: a simplified sitemap with fewer pages; an archive section for policy and founding documents; and distinct landing pages for specific audiences with tailored menus.

Please visit our new and familiarize yourself with the new features. We hope these changes will improve your ability to serve California's dual eligible population. Any questions or feedback about the website can be sent to

Save the Date

To hear more about the new website and other program updates, join our May stakeholder call on May 18 at 10:00 am. To register for the call, CLICK HERE.

Cal Duals Update

APR 2017 Update PDF :: Word | Source: (4/26/2017)

Two of OC’s most prominent senior care organizations join forces to provide more support for the county’s at-risk seniors

Irvine, Calif., April 13, 2017- Alzheimer’s Orange County (“AOC”) and Acacia Adult Day Services (“Acacia”) announced the merger of the two organizations. The merger, currently in process, will bring Acacia under AOC’s programs, combining both organizations’ resources and allowing them to serve more individuals and families in need. Following a strategic split from a national association in 2015 that freed AOC from previous service restrictions, AOC embarked on a plan to provide more in-person care to families by expanding into the adult day services and respite care territory. AOC took over operations of South County Adult Day Services last year, moving it into a new 11,000-square-foot building in Laguna Woods, revamping the program’s standards, and increasing program census by 28 percent in 13 months. M O R E

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

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.

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.

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

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

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

Like Hunger Or Thirst, Loneliness In Seniors Can Be Eased
MAY 18, 2017
California Healthline
Judith Graham
older adults | seniors

Aging at Home Will Be Harder With Medicaid Cuts
Home- and community-based services are vulnerable
MAY 17, 2017
Next Avenue
Beth Baker
Part of the Transforming Life as We Age Special Report
Alzheimer’s | Medicaid | American Health Care Act | long-term care | home- and community-based services | Affordable Care Act | dual eligible | adult day care and day health-care services

LA County to lose millions in state funding for services to the elderly, blind, disabled
MAY 15, 2017
89.3 KPCC
Michelle Faust
Coordinated Care Initiative | elderly, blind, or disabled citizens who might otherwise be in a nursing facility

Medi-Cal enrollees in Santa Clara Family Health Plan have trouble finding doctors
MAY 13, 2017
The Mercury News
Tracy Seipel, Bay Area News Group
Medi-Cal | Santa Clara Family Health Plan | shortage of Medi-Cal doctors | Affordable Care Act | Obamacare | Medicaid | managed care plans | low reimbursements, payment delays and “administrative hassles’’

When caring for elders, don't go at it alone
MAY 12, 2017
ABC 10
Sarah Moore, KXTV
Eskaton adult day center | dementia | caregivers | Adult day care | Eskaton Adult Day Health Center in Carmichael | Medi-Cal

'Cuts are coming,' Jerry Brown says as he releases revised budget plan
MAY 11, 2017
Sacramento Bee
Capitol Alert
Jim Miller and Christopher Cadelago
home-care services | Affordable Care Act | share of costs for home-care services for the old and disabled | Medicaid | Medi-Cal provider rates

VA may close more than 1,100 facilities to privatize more medical care
MAY 4, 2017
Fierce Healthcare
Ilene MacDonald
Department of Veterans Affairs | Choice Program to allow veterans to seek medical care from private doctors and hospitals

Healthcare groups: Revised GOP healthcare bill ‘even worse’
APR 28, 2017
Fierce Healthcare
Joanne Finnegan
healthcare bill | Affordable Care Act (ACA) | American Health Care Act | Medicaid funding | Medicare

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

Prior Coverage

Videos / Podcasts

Home Alone Alliance
a collaborative from AARP
2017 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


Family Caregiver Alliance
SafeAtHome Video Series

SafeAtHome, a Caregiver's Guide
1 Introduction
2 ABC Method
3 Kitchen Safety
4 Bathroom Safety
5 Bedroom Safety
6 Living Room Safety
7 Hallway Safety
8 Stairway Safety
9 Conclusion


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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