CAADS - California Association for Adult Day Services

Highlighted Media Coverage

JUN 25, 2015 | California Healthline
Brown Signs $167.7B Budget With Few Line-Item Vetoes

JUN 2, 2015 | California Healthline
Protest Rises Over Medi-Cal Rates

MAR 31, 2015 | California Healthline
SCOTUS: Providers Cannot Sue Over Low Medicaid Reimbursements

What's New . . .

CalDuals Outreach Update

JUL 21, 2015

SSI Restoration Act

JUL 29, 2015 | HR 2442 / S 1387 (identical) | SOURCE: Justice in Aging

The Supplemental Security Income (SSI) Restoration Act of 2015, which was introduced in Congress on May 19, 2015, is gaining traction in both the Senate and the House. Visionary leaders in Congress are stepping up and showing their commitment to taking the first step to reduce senior poverty in our lifetimes. Every time another lawmaker signs on, it fuels our push to get additional Senators and Representatives from both parties behind this effort.

There are currently ten Senators and more than 30 Representatives signed on as cosponsors.

The Act, if passed, will make much needed updates to this crucial safety net program that has seen few changes since it was signed into law in 1972.

Now is a good time for your Senators and Representatives to hear from you.

For more information on the Act and what it would do, click here. If you donít see the lawmakers who represent you on this list, call or write and ask Senators to sign on to S 1387 and House members to sign on to HR 2442 today. Find your Representative and your Senators here. No time to write a letter? Feel free to use the sample letter we created, which can be downloaded here .

The Dual Eligible Demonstrations at Five: Justice in Aging Toolkit on Design and Implementation

JUL 28, 2015 | Outreach and Enrollment Materials in States Implementing a Demonstration | SOURCE: Justice in Aging

On Thursday, weíll celebrate the 50th anniversary of the day that two of the most successful anti-poverty programs became law: Medicare and Medicaid. Today, over 10 million low-income individuals, known as dual eligibles, receive care and services under both programs. In 2010, under a provision of The Affordable Care Act (Pub. Law 111-148, Section 2602), the Centers for Medicare and Medicaid Services (CMS) created a new office to focus exclusively coordinating the two programs. The new entity, the Medicare-Medicaid Coordination Office, began working with states across the country to better align Medicare and Medicaid benefits through state-run dual eligible demonstrations.

Five years later, states and CMS are in the early stages of evaluating the demonstrations and also looking at mid-course corrections and improvements based on experiences to-date. At the same time, advocates and policymakers are contemplating future health care delivery system reforms, as part of a broader reform effort to pay for value and outcomes, instead of volume.

To contribute to these efforts, Justice in Aging has created a toolkit of design and implementation resources. The toolkit consists of:

  • A new tool for advocates comparing different state outreach and enrollment materials to highlight effective models to use when reaching vulnerable populations. The new tool includes two appendices: Appendix 1, a working chart with links to outreach materials in different states. Appendix 2, accessible from the Outreach and Notices tab on this page, includes examples of notices currently in use in states, and our comments on strengths and areas of improvement.
  • Resources on appeals procedures, designing enrollment notices, care continuity, and ensuring consumer protections in integrated models. These resources were developed earlier by Justice in Aging to influence the demonstrationís design to ensure consumer protections were a focus of new managed care delivery systems. They are assembled together for the toolkit and linked from this page.

New Version of 20 Common Nursing Home Problems and How to Resolve Them Just Released

JUL 2015 | Request Report (Free) | SOURCE: Justice in Aging

Family Caregiving Report, Valuing the Invaluable: 2015 Update, Now Available

JUL 2015 | Report by Susan C. Reinhard, Lynn Friss Feinberg, Rita Choula, and Ari Houser, AARP Public Policy Institute | SOURCE: AARP

California Adult Day Services State Advocacy Fund

Please Help Support Efforts to Pass AB 1261 and Restoration of Medi-Cal Funds!
Donate Now (Contributions NOT tax deductible) | SOURCE: CAADS

What's Trending . . .

California State Budget

JUL 16, 2015 | SOURCE: Press Release, Assemblymember Marc Levine, District 10

Today Assemblymember Marc Levine (D-San Rafael) introduced legislation to close a funding gap for Medi-Cal and other vital health services, bringing a needed solution to the legislative extraordinary session on health funding.

This fix would preserve $1.1 billion in federal matching funds that were threatened after the federal government rejected a sales tax on Medi-Cal plans that California had previously used to provide its share of Medicaid funding. Resolving the problem is vital to implementation of the Affordable Care Act. AB 4 (Levine) 2nd Ext. also provides needed funding for in-home support services and developmental services. M O R E


Impact on California's Older Adults and People with Disabilities

MAY 28, 2015 | Fact Sheet: | SOURCE: The SCAN Foundation

Health Homes

CAADS Submits Comments on DHCS' Health Homes for Patients with Complex Needs Concept Paper Version 2.0
MAY 1, 2015 | CAADS Letter | DHCS California Concept Paper Version 2.0 (Draft 4/10/2015) | SOURCE: CAADS & CA Department of Health Care Services


Notice  |  Get CAADS Updated HIPAA Manual for ADHC! | SOURCE: CAADS


JAN 7, 2015 | Update | SOURCE: NSCLC


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

CAADS Bylaws

CAADS Code of Ethics

CAADS Anti-trust Policy

CAADS 2014 Annual Report

The CAADS Members Only page features information and technical assistance specific to Adult Day Services:

  • State Budget Proposals
  • CBAS Waiver
  • Medi-Cal Issues
  • Medicare and Medi-Cal Dual Beneficiaries News
  • Managed Care Health Plans
  • Coordinated Care Initiative (CCI) and CalDuals Updates
  • CA Dept of Managed Health Care Updates
  • CA Dept of Public Health Licensing & Regulations for ADHC / CBAS Centers
  • CA Dept of Social Services Licensing & Regulations for ADP Centers
  • Legislative Alerts and Advocacy
  • Funding Sources
  • Education / Training Materials / Webinar Recordings
  • CAADS Membership Roster

Membership Information


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.


Donate Today!

Photo of Nina Nolcox
Nina Martine Nolcox, RN, PHN
1965 - 2014
Forever In Our Hearts

The Alliance for Leadership and Education (ALE), a subsidiary of CAADS, has established the Nina M. Nolcox Scholarship Fund to inspire nurse leaders in the community.

Application is open to ADHC and ADP Nurses (LVN or RN licensed staff) working in CAADS Member Centers. Application Deadline: 5 PM August 17, 2015.


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
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.


Photo of Lydia Missaelides

Lydia Missaelides, MHA
Executive Director


Photo of Pamela Amundsen

Pamela Amundsen
Education & Events Manager


Photo of Kathryn Atkinson

Kathryn Atkinson
Membership & Communications Director


Photo of Coni Segretto-Ricci

Coni Segretto-Ricci
Office Assistant

Phyliss Regino
Office Assistant
not pictured)



California Association for Adult Day Services
1107 9th Street, Suite 701 || Sacramento, CA 95814-3610
T: (916) 552-7400 || F: (866) 725-3123

Quick Links. . .

Alliance for Leadership & Education (ALE)

Associate Member Vendors, Consultants, Networks & Health Plans

Community Based Adult Services (CBAS)

Coordinated Care Initiative (CCI/Cal MediConnect)

Legal Updates

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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.

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Recent Media Coverage

Quick Links. . .

Videos | Past Coverage

Orange County Register
JUL 29, 2015
The silver tsunami
Key Words:
South County Senior Summit | Age Well Senior Services | adult day care | CalOptima

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California Healthline
JUL 23, 2015
Calif. Gives Homeless No-Cost IDs To Increase Social Services Access
Key Words:
AB 1733 | homeless individuals | social services | mental health care

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California Healthline
JUL 23, 2015
Study: Calif. Caregivers Provided $57B in Unpaid Care in 2013
Key Words:
Family caregivers | AARP | California Caregiver Act

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California Healthline
JUL 20, 2015
Medi-Cal Enrollment Growth Could Strain California's Budget
Key Words:
Medi-Cal | Affordable Care Act's expansion | California Enrollment | Medi-Cal reimbursement rates | health plan tax

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Assemblymember Marc Levine, District 10
JUL 16, 2015
Press Release
Assemblymember Levine Proposes Funding Fixes for Vital Health Care Services
Key Words:
AB 4 (Levine) 2nd Ext. | Medi-Cal | Affordable Care Act | Managed Care Organization (MCO) | Medi-Cal reimbursement rates | In-Home Supportive Services (IHSS) | California Association for Adult Day Services

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California Healthline
JUL 9, 2015
Study: Medi-Cal Beneficiaries See Gaps in Access to Health Care
Key Words:
Medi-Cal beneficiaries | access to care | Medi-Cal managed care plans | unmet medical needs

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California Healthline
JUL 7, 2015
Capitol Desk
State's Rate Review Shows Fewer Dental Providers Take Medi-Cal Patients
David Gorn
Key Words:
rate structure for Medi-Cal dental coverage | access to care | how rates affect access

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California Healthline
JUL 6, 2015
Capitol Desk
Special Session on Health Spending Opens
David Gorn
Key Words:
health care funding | Medi-Cal provider rate increases | managed care organization tax | MCO tax | In-Home Supportive Services hours

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California Healthline
JUN 25, 2015
Brown Signs $167.7B Budget With Few Line-Item Vetoes
Key Words:
Medi-Cal | health care implications | In-Home Supportive Services providers | Medi-Cal provider reimbursement rates | ways to increase Medi-Cal reimbursements

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JUN 23, 2015
Opinion | Columnist
Elder care a challenge for whole county
Joyce Hayes
Key Words:
Humboldt Senior Resource Center | older adults and frail elderly | Medi-Cal | Multipurpose Senior Services Program (MSSP) | Redwood Coast PACE | Adult Day Health Center

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California Healthline
JUN 22, 2015
Capitol Desk
Governor Calls for Special Legislative Session To Address Health Spending
David Gorn
Key Words:
Financing the Medi-Cal program | managed care organization tax | 10% Medi-Cal provider rate reduction

Prior Coverage


Easter Seals Supports Employment of Veterans
PSA Video Series
What to Wear
Morning Routine
The Bank

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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.

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"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.

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San Ysidro Health Center, Inc.
Caring for Our Greatest Generations
Celebrating SYHC's 45th Anniversary

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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"

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PBS NewsHour
Innovating technology for the needs and health of elders
Featuring Institute on Aging

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Marin Adult Day Health Care
"A Day in the Life": LifeLong Medical Care's Marin Adult Day Health Care Center

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The Falling Monologues
Full Length
The Falling Monologues
The Ladder
The Bus
The Sidewalk
Scatter Rug
Don't Ask
Please Direct Questions and Comments to

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