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Next CAADS Webinar | APR 13
Next CAADS Conference | APR 25-27
2:30 PM to 4:00 PM (Pacific) | PRESENTER: Joe Rodrigues, State Long Term Care Ombudsman, California Department of Aging | Watch for registration details coming soon.
TRANSFORMING THE CONTINNUM OF CARE
HELP II Loan Program -- Affordable Capital
CAADS Spring Conference & Membership Meeting | Berkeley, CA
Register by APRIL 12, to avoid "On-Site" rates
DoubleTree Berkeley Marina Hotel | Event Brochure | Registration Form: Fill-in :: Write-on | CE Order Form: Fill-in :: Write-on | Be a Sponsor | Be an Exhibitor :: Exhibitor Contract
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 www.treasurer.ca.gov/chffa/programs/help.
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 . . . MARCH 23, 2017
NADSA ALERT: Urge Your Representatives to VOTE NO on AHCA Today!
MAR 23, 2017 | NADSA ALERT
Today the House of Representatives is planning to vote on a bill that takes the first steps toward repealing the Affordable Care Act and shifting Medicaid to a per-capita cap structure. Last week, the Congressional Budget Office estimated that the bill would cut $880 billion from Medicaid and cause up to 24 million people to lose their health insurance coverage.
NADSA opposes the American Health Care Act (AHCA) as it is written because it does not adequately address the issues we raised in our recent webinar and goes beyond ACA-related provisions to fundamentally undermine federal support for Medicaid, weakening this key health and long-term care safety net for older adults.
If you haven’t done so already (or even if you have!), we encourage all NADSA members and allies to reach out to your Members of Congress immediately to share your concerns with this legislation.
Congress must hear from local ADS/ADHC providers and other stakeholders about the value of the life-saving home and community-based services in Medicaid. They need to hear from aging advocates about how this bill would negatively impact seniors by increasing the cost of health insurance for older adults not yet on Medicare. Members of Congress need to understand the value of the Prevention and Public Health Fund (PPHF) to older adults who are receiving falls prevention or chronic disease self-management classes that the AHCA would eliminate. M O R E
CAADS SPRING CONFERENCE:
Transforming the Continuum of Care
April 25-27, 2017 | Doubletree Berkeley Marina Hotel
Register by APRIL 12, to avoid "On-Site" Rates
Extreme Measures Author Dr. Jessica Zitter to Speak at General Session April 26
Dr. Zitter is featured in the 2017 Oscar Nominated short documentary Extremis, which won top honors at the Tribeca and San Francisco International Film Festivals and is now streaming on Netflix. Her book, Extreme Measures, charts Dr. Zitter's journey from wanting to be one kind of hero to becoming another—a doctor who prioritizes the patient's values and preferences over all other factors. Books will be available for purchase throughout the conference, and Dr. Zitter will be available for book signing following her presentation Wednesday morning.
Join us at the DoubleTree Berkeley Marina Hotel for a great line-up of educational sessions and networking opportunities as we explore the conference theme, Transforming the Continuum of Care.
Brochure | Registration Form: Fill-in :: Write-on | CE Order Form: Fill-in :: Write-on
Sponsorship Opportunities | Exhibitor Invitation & Contract
Cal Duals Update
MAR 2017 Update (PDF) (Word) | Source: CalDuals.org (3/23/2017)
ACTION ALERT: House Vote To Repeal The ACA Is This Week
Our programs and participants are in danger of losing Medi-Cal services!
MAR 21, 2017 | CAADS ACTION ALERT
Repeal of the ACA is moving quickly! Our programs and participants and families are in danger of losing Medi-Cal services if the ACA is repealed and replaced. It cannot be overstated how critical this week is! Contact your Congressional representative and say Vote "No" to the AHCA / TrumpCare bill.
A number of amendments were made recently to the AHCA bill to appease the conservative members of the House Freedom Caucus, including adding work requirements for Medicaid and offering states the option for block grants instead of only per capita cap grants to cut federal Medicaid funding by 25%.
The House is expected to vote on Thursday, March 23rd. If AHCA passes the House, it goes to the Senate. The Senate hopes to move it straight to the Senate floor for a vote without markup or hearings! M O R E
CALL TO ACTION!
Help Meals on Wheels Speak Out for Seniors
MAR 21, 2017 | Meals on Wheels | Take Action, Advocate
Budget Response Toolkit: Word :: PDF
Following the release of the President's proposed Budget last week, Meals on Wheels programs nationwide have been placed in the national spotlight, so it's time to put this extra public attention to good use. This week, as Meals on Wheels programs from across the country participate in Community Champions Week, it's more important than ever for you to get out there and enlist elected officials, local celebrities and other prominent community figures to deliver meals, speak out for seniors and raise awareness to ensure that seniors are not hungry, forgotten or left behind.
ANYONE who cares about senior meals can be an advocate -- just refer to the Budget Response Toolkit (Word :: PDF), and the six (6) Action bullet points below:
- Call the President and Members of Congress
- Stay Active on Social Media
- Check Out Media Coverage for Your Use
- Share National Talking Points
- Understand the FY 2018 Appropriations Process
- Support Advocacy with Fact Sheets
Recording and Handouts Now Available for CAADS Recent Webinar:
How Health Literacy, Plain Language and Teach-Back Support Person Centered Care
MAR 21, 2017 | CAADS | Order Form: Fill-in :: Write-on
The recent CAADS Webinar, How Health Literacy, Plain Language and Teach-Back Support Person Centered Care, was a great success and full of relevant best practice real life examples! If you missed this webinar, you can still obtain the information by ordering the webinar materials. For the same cost as webinar registration, you get the following:
- PowerPoint Slides
- Handout: Everyday Words for Public Health Communication
- Handout: Plain Language: Getting Started or Brushing Up
- Handout: A Plain-Language Checklist for Reviewing Your Document
Medicare Card Fraud Alert
MAR 15, 2017 | California Health Advocates
Due to Congress' passage of the Medicare Access and CHIP Reauthorization Act (MACRA) in 2015, the Centers for Medicare and Medicaid Services is required to remove Social Security numbers from all Medicare cards, and will do so starting in April 2018. This change is to prevent fraud and protect people's identity. Yet with any new change, scammers take advantage of potential confusion.
We've received several reports of beneficiaries getting calls from such scammers claiming to be from Medicare and asking for payment to receive their new Medicare card, or asking them to verify their Medicare number. This is a scam, as there is no cost to the new cards, AND Medicare will never call to verify someone's number, as they already have it.
To help educate beneficiaries and their families on this matter, we've created a short fraud alert on the upcoming change in their Medicare card and to be aware of scams.
English | Chinese | Farsi | Korean | Russian | Spanish | Tagalog | Vietnamese
New Issue Brief on Nursing Facility Admissions
MAR 14, 2017 | Justice in Aging
The revised federal nursing facility regulations that went into effect in late November 2016 mean many changes for residents, family members, advocates, and others. These regulations govern most aspects of nursing facility operations, and apply nationwide to any nursing facility that accepts Medicare and/or Medicaid reimbursement.
This issue brief, Admissions, goes over the types of waivers that are no longer allowed during the admission process, talks about new prohibitions on financial guarantees and arbitration agreements, and outlines what facilities are required to disclose to prospective residents. This is the fifth issue brief in a series about the revised regulations that Justice in Aging, along with the National Consumer Voice for Quality Long-Term Care, and the Center for Medicare Advocacy has released. All of the briefs can be found here.
Also, the same three organizations are presenting a webinar tomorrow that will discuss how the revised regulations address admission, visitation, and rehabilitation services.
Registration information is available here.
Deciphering The CBO Estimates On The GOP Health Bill
MAR 13, 2017 | California Healthline | Julie Rovner | Original Article
The Congressional Budget Office is out with its estimate of the effect that the Republican health bill, “The American Health Care Act,” would have on the nation’s health care system and how much it would cost the federal government. The GOP plan is designed to partially repeal and replace the Affordable Care Act passed during the Obama administration.
Here are some of the CBO highlights:
—$337 billion reduction in the deficit. That’s CBO’s estimate over the next decade. That takes into account both decreased government spending in the form of less help to individuals to purchase insurance and lower payments to states for the Medicaid program. It also includes decreased revenues from the repeal of the taxes imposed by the ACA to pay for the new benefits.
—24 million more people without insurance in a decade. The federal budget experts estimate that people will lose insurance and that drop will begin quickly. In 2018, they say 14 million more people would join the ranks of the uninsured. It would reach the 24 million by 2026, when “an estimated 52 million people would be uninsured, compared with 28 million who would lack insurance that year under current law.”
—15 to 20 percent increase in 2018 premiums, but relief would follow. Monthly costs for insurance would go up at first, due to the elimination of the requirement for most people to have insurance or else pay a tax penalty. After 2018, CBO estimates that average premiums would actually drop by 10 percent by 2026 compared to current law. That is because the lower prices for younger people would encourage more to sign up. By contrast, the law would “substantially [raise] premiums for older people.”
—$880 billion drop in federal Medicaid spending over the decade. That comes primarily by imposing, for the first time, a cap on federal contributions to the program for those with low incomes.
—14 million fewer Medicaid enrollees by 2026. That’s 17 percent fewer than projected under current law. The projection includes people who are currently eligible and would lose coverage, as well as people who might have become eligible if more states, as expected, expanded coverage under the ACA. CBO projects that is unlikely to happen now.
—95 percent of people who are getting Medicaid through the health law’s expansion would lose that enhanced federal funding. The CBO estimates that only 5 percent of enrollees in the expansion program would remain eligible for the higher federal payments by 2024 since the bill would phase out those payments to states as patients cycle in and out of eligibility.
—15 percent of Planned Parenthood clinic patients would “lose access to care.” These patients generally live in areas without other sources of medical care for low-income people. The Republican bill would cut out Medicaid funding for Planned Parenthood for a year.
This story was produced by Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.
CBO Report confirms low-income older adults will suffer greatly under the GOP’s healthcare plan and lasting damage to Medicaid and Medicare will impact future generations
MAR 14, 2017 | Justice in Aging
The Congressional Budget Office (CBO) released its analysis of the American Health Care Act (AHCA) today. Here is a statement by Kevin Prindiville, executive director of Justice in Aging.
“Yesterday’s CBO report on the American Health Care Act confirms that lower income older adults will suffer the most if this bill becomes law.”
“According to the report, by 2026 24 million Americans who would have had coverage under the Affordable Care Act will be uninsured. A disproportionately large number of the newly uninsured will be people between 50 and 64 who will not be able to afford the much higher premiums in this bill. For example, a single 64-year old with an income of $26,500 would have to pay a staggering $14,600 a year in premiums, more than half of what he has available to live on. That, compared to $1,700 a year under the Affordable Care Act, is an increase of more than 750%.”
“In addition to raising premiums and cutting subsidy levels for lower income people, the CBO report finds that the AHCA cuts Medicaid spending by $880 billion over 10 years. These draconian cuts will necessarily force states to cut enrollment, deny services that are critical to older adults in need of long- term care, and squeeze provider payments, making it harder for older adults to find providers and receive needed services.”
“Older adults cannot afford what amounts to a 25% cut in Medicaid spending. Medicaid provides vital health care and long-term services and supports for over six million seniors, and plays a key role to help families afford quality care for their loved ones. Six out of ten nursing home residents rely on Medicaid.”
“Further, AHCA tax cuts for the wealthiest Americans will decrease Medicare revenues by $117 billion, according to the CBO report. This will shorten the life of the Medicare Trust Fund and put health care for older adults in jeopardy.”
“The CBO analysis confirms that the AHCA would be a disaster for older adults.”
Justice in Aging – Vanessa Barrington: 510-256-1200, firstname.lastname@example.org
Act Now to Save Health Care & LTSS
MAR 13, 2017 | California Collaborative for Long-Term Services & Supports | Action Alert
Fourteen people have the power to change your life. Who are they? The Republican members of the California Congressional delegation:
- Doug LaMalfa (R-Richvale, contact here)
- Tom McClintock (R-Elk Grove, contact here)
- Paul Cook (R-Yucca Valley, contact here)
- Jeff Denham (R-Atwater, contact here)
- David Valadao (R-Hanford, contact here)
- Devin Nunes (R-Tulare, contact here)
- Kevin McCarthy (R-Bakersfield, contact here)
- Steve Knight (R-Palmdale, contact here)
- Ed Royce (R-Fullerton, contact here)
- Ken Calvert (R-Corona, contact here)
- Mimi Walters (R-Laguna Niguel, contact here)
- Dana Rohrabacher (R-Costa Mesa, contact here)
- Darrell Issa (R-Vista, contact here)
- Duncan D. Hunter (R-Lakeside, contact here)
With Republican majorities in both houses, these Congressional Representatives are pivotal in the debate on the future of health care in our country. Their vote on the American Health Care Act (Trumpcare), which would repeal the Affordable Care Act and make draconian cuts to Medicaid, are all important.
How much does it matter? If Trumpcare passes, 24 million Americans will lose health insurance and Medicaid will be cut by $880 billion dollars over the next ten years (details here). The state’s fiscal stability will be jeopardized, home and community-based services will be dramatically cut, and fewer providers will participate in Medi-Cal (see more here and here). Many, many vulnerable seniors and people with disabilities will lose rights, services and access to care. There will be nothing to take their place. M O R E
Medicaid: A Last Resort for People Needing Long-Term Services and Supports
MAR 13, 2017 | AARP Public Policy Institute | Full Report
Medicaid is a lifeline for millions of children and adults with disabilities and older people who depend on the program for health care and assistance with long-term services and supports (LTSS) such as toileting, bathing, and dressing. Medicaid is the nation’s largest publicly funded health and LTSS insurance program for people with low incomes.
Although most older adults will not rely on Medicaid, it is estimated that nearly one out of five of them will need the program to help pay for LTSS at some time during their lives. For people who need extensive services, the private cost without the program can be extremely high, far beyond what they can afford. For these individuals, Medicaid becomes a program of last resort.
Coordinated Care Initiative Stakeholder Call March 16
MAR 13, 2017 | Department of Health Care Services, Health Care Delivery System
Please join the Department of Health Care Services (DHCS) for the next Coordinated Care Initiative (CCI) Stakeholder Update Call on March 16th, from 10:00 AM to 11:00 AM (Pacific).
During the call, we will review the latest Cal MediConnect enrollment information, report on the progress of the comprehensive strategy, share new resources, and discuss other timely topics. We also would like to hear your feedback and answer any questions or concerns.
To register, click here. Please send questions and comments to email@example.com. As always, thank you for your interest and engagement as we work on this important initiative.
Alzheimer's Disease Facts and Figures - 2017
MAR 10, 2017 | Alzheimer's Association | REPORT | INFOGRAPHIC
THE WEEK IN HEALTH CARE DEFENSE
MAR 10, 2017 | Justice in Aging
House Repeal and Replace Plan Fundamentally Undermines the Medicaid Program By Imposing Per Capita Caps
Republican leadership introduced a repeal and replace plan, the American Health Care Act, on Monday evening. The proposal fundamentally changes the Medicaid program by converting Medicaid federal funding to a per capita cap system and imposes dramatic funding cuts to states. It also freezes Medicaid expansion as of 2020, reduces and changes the structure of ACA tax credits and effectively creates an "age tax” by allowing insurers to charge older adults more than 5 times as much for their care.
On Thursday, both the House Energy and Commerce and House Ways and Means Committees voted to approve the bills and send them out of committee. They will proceed to the House Budget Committee next Wednesday.
Justice in Aging issued a statement by Executive Director Kevin Prindiville, expressing our grave concerns about this proposed legislation, and today sent a letter to Capitol Hill to share how this bill will harm older adults. A myriad of organizations, including AARP, the American Medical Association, the American Hospital Association, and many more, also came out strongly against the proposed legislation.
Make Your Voice Heard
You can make your voice heard in Washington D.C. to express your concerns about how changes to the health care system will affect the older adults in your life. Take action now to contact your members of Congress through our website! ICYMI, our Tuesday webinar on how Medicaid Caps Would Harm Older Americans included advocacy tips – you can see the slides and watch the recording here. Need some resources to help you? Check out our health care defense webpage.
Medicaid Caps and Cuts Harm Older Women: New Fact Sheet
Justice in Aging released a new fact sheet yesterday, produced in partnership with our friends at the National Partnership for Women and Families, on how Medicaid caps and cuts harm older women. Please share!
MAR 9, 2017 | California Department of Aging CBAS Branch
Don’t Miss Upcoming Training Opportunities for CBAS Providers and Managed Care Plans!
- California Association for Adult Day Services (CAADS) Spring Conference, “Transforming the Continuum of Care”, April 25-27, 2017, at the Doubletree Berkeley Marina Hotel, Berkeley, CA.
- Justice in Aging webinar, “Older Adults and Health Care Decision-Making in Clinical Settings”, Wednesday, March 22, 2017, 10a.m. to 11a.m. PDT
CAADS Spring Conference & Membership Meeting - REGISTER NOW!
Early Registration Ends March 15th
Registration is underway for the CAADS Spring Conference 2017, scheduled for April 25-27, 2017 at the DoubleTree Berkeley Marina Hotel, Berkeley, CA. Hotel and conference registration information is posted on the CAADS website or call/e-mail CAADS: 916-552-7400; firstname.lastname@example.org.
The conference theme is Transforming the Continuum of Care. Kevin Prindiville, Executive Director at Justice in Aging, will provide the keynote address, “High Stakes for Older Adults in 2017.” A range of practical workshops will be offered for both Adult Day Programs and ADHC/CBAS centers including motivational interviewing, mindfulness based dementia-care, meaningful activities for persons with a dementia, honoring choice in dementia care while mitigating risk, high-risk medications and interactions in the elderly, quality measures and metrics for CBAS centers, and more. A panel of managed care plan partners will end the conference discussing innovative practices and partnerships to improve services for persons needing long term services and support. M O R E
New Fact Sheet: SSI Essential for Older Adults
MAR 7, 2017 | Justice in Aging Income Network Alert | New SSI Fact Sheet
Millions of seniors and people with disabilities rely on Supplemental Security Income (SSI) to make ends meet. There are people relying on SSI to survive in every community in the country. The majority of SSI recipients are women, and the program is especially beneficial for people of color and people with limited English proficiency. It’s also an essential safety net for older adults who do not receive sufficient Social Security income because they worked in low-wage or seasonal jobs, or stayed home from work to care for family members.
With leaders in Congress intent on cutting safety net benefits, it’s critical that advocates proactively educate lawmakers, the media, and fellow advocates about the important role SSI plays in ensuring that some of the most vulnerable people in our communities can meet their basic needs for shelter, food, and other necessities.
Please use this new Justice in Aging SSI fact sheet that shows who relies on SSI, why it’s important, and the dangers cuts to the program would pose for low-income families and communities.
New Fact Sheet: Medicare Part D - 2017 Transition Rights
FEB 8, 2017 | Justice in Aging Health Network Alert | Fact Sheet
The Centers for Medicare and Medicaid Services (CMS) requires that sponsors of Medicare Part D prescription drug plans provide beneficiaries with access to transition supplies of needed medications to protect them from disruption and give adequate time to move over to a drug that is on a plan’s formulary (medication list), file a formulary exception request or, particularly for Low Income Subsidy (LIS) recipients, enroll in a different plan.
Transition rules apply to stand-alone Medicare Prescription Drug Plans (PDPs), Medicare Advantage Plans with Prescription Drug Coverage (MA-PDs), and Medicare-Medicaid Managed Care Plans participating in the Dual Eligible Financial Alignment Demonstrations.
Transition rules are particularly important for low-income beneficiaries who were automatically reassigned to new plans, which may or may not cover their medications.
In addition, all plans change their formularies each year, so even people who remain in the same plan may find that their plan no longer covers their medications or has newly imposed utilization management requirements.
To assist advocates with transition issues, this fact sheet sets out the CMS minimum requirements for all plans.
For further information, contact Georgia Burke, email@example.com.
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.
Your Donations Help!
Three (3) great opportunities to further support Adult Day Services:
- CAADS STATE ADVOCACY FUND
- CAADS MANAGED CARE CONSULTING FUND
- ALE NINA M. NOLCOX SCHOLARSHIP FUND
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
The 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.
NATIONAL ADULT DAY SERVICES ASSOCIATION (NADSA)
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.
CARING FOR A VETERAN?
For help, call the VA Caregiver Support Line (toll-free):
Mon - Fri 8 AM - 11 PM (EST) || Sat 10:30 AM - 6 PM (EST)
TO REPORT FRAUD AND ABUSE
Call DHCS Medi-Cal Fraud Hotline:
The call is free and you can remain anonymous.
FREE FRAUD PREVENTION EDUCATION
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 www.cahealthadvocates.org, for more information on ways to protect yourself from healthcare fraud and how to detect it.
If you come across any suspicious activity,
PLEASE REPORT IT AT
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California Association for Adult Day Services
1107 9th Street, Suite 701 || Sacramento, CA 95814–3610
T: (916) 552-7400 || F: (866) 725-3123