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Health, Hope and Healing: The Promise of Adult Day Services

Join us May 1-3, at the Doubletree Berkeley Marina Hotel in Berkeley CA.
Invitation to Exhibit | Sponsorship Opportunities | Registration Brochure coming soon!

Adult Day Health Care: An Unbelievable Cost Containment Resource that Is Underfunded and Underutilized

For those who think Adult Day Health Care (ADHC) is just day care…think again! Read Russell D. Foster's featured article in MAZARS USA HEALTHCARE TRENDS,Sept 2017.

The Effect of Adult Day Program Attendance on Emergency Room Registrations, Hospital Admission and Days in Hospital: A Propensity-Matching Study

Research by Ronald Kelly, PhD finds a decreased reliance on costly health care services by seniors who attend adult day programs. Read Abstract and Full Article | JUN 2017 | The Gerontologist, Volume 57, Issue 3, Pages 552–562.

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 . . . FEBRUARY 23, 2018

Issue Brief: Advance Beneficiary Notices, Fees, and Dual Eligibles

FEB 18, 2018 | Georgia Burke and Denny Chan | Justice in Aging | Issue Brief

Federal law prohibits charging Qualified Medicare Beneficiaries (QMBs) with Medicare cost-sharing for covered services. Depending on state law, other beneficiaries who are fully eligible for both Medicare and Medicaid–full benefit dual eligibles–may also be protected from being billed for co-payments or other forms of cost sharing.

However, QMBs and other dual eligibles may still be responsible for certain charges or fees. A new Justice in Aging Issue Brief: Advance Beneficiary Notices, Administrative Fees, and Dual Eligibles explains for advocates the situations under which these types of beneficiaries may be responsible for charges.

Read the brief to learn what protections QMBs have and what charges they may have to pay.

Additional Justice in Aging resources on improper billing can be found here.

Justice in Aging Statement on Proposed 2019 Budget

FEB 14, 2018 | Justice in Aging

President Trump’s proposed FY 2019 Budget is yet another attack on the health and economic security of older adults and people with disabilities. After using the latest tax bill to give away trillions of dollars in tax cuts to America’s wealthiest, the Administration is attempting to pay for those tax cuts by slashing critical programs that keep older adults in their homes, allow them to visit their doctors, and ensure they can meet their basic needs.

This budget would take us backwards by increasing poverty and making it harder for people to get the health care they need. It goes against what Congress wants and what the public wants. In its 2018 budget, Congress recently increased spending for important and popular programs. Those gains would disappear in 2019 under this budget.

The American people do not want cuts to Medicaid or the repeal of the ACA, yet this budget renews calls for slashing Medicaid by more than $1.4 trillion over the next decade through block grants and per capita caps, as well as repealing and replacing the Affordable Care Act (ACA). As we have explained, such cuts would be devastating to low-income older adults who rely on Medicaid to support their health care needs and ability to stay in their homes, leave millions without coverage, and weaken consumer protections.

The President promised the American people he wouldn’t touch Medicare, yet his proposed budget for the next ten years calls for over $490 billion in cuts to a program that every American will need.

The budget also would make it harder for older adults to pay rent, put food on the table, and meet their basic needs. The budget proposes significant cuts of over $83 billion to Social Security, primarily through cuts to Social Disability Insurance (SSDI) and the Supplemental Security Income (SSI) programs. These programs are there for people who have no or little income and are the difference between home and a life on the streets for many.

Additionally, the budget proposes dramatic cuts to nutrition assistance, eliminates funding for home heating and cooling assistance for about 6 million low-income households, and calls for the complete elimination of the Legal Services Corporation, which provides vital legal help for low-income older adults and their families.

This budget is a true window into the misplaced priorities of this President and his Administration. On the heels of a massive tax cut that will increase income inequality, this budget proposes to make life even more difficult for America’s poor older adults and people with disabilities.

By joining together we have fought back successfully against previous attempts to cut the programs older adults and their families rely on, and we will continue to fight for justice for us all as we age.

California Gubernatorial Forum on Long Term Care

FEB 8, 2018 | Facebook Live hosted by SEIU 2015

Panel of experts discuss the challenges facing our long term care system. Then at minute 54:45 the candidates for Governor outline their plans for our state's aging population.

Teresa Favuzzi, aka "Fearless Favu," Transitions

FEB 7, 2018 | California Foundation for Independent Living Centers (CFILC)

To friends and colleagues in the national Disability Rights movement, Teresa M. S. Favuzzi, aka "Fearless Favu," was an intrepid leader who made the fight for justice, equality and inclusion her life's focus. On Monday morning, February 5, Teresa passed away quietly at home with her beloved wife, Carol Bradley, by her side. She was 56.

Click to visit the CFILC website to read Teresa's complete obituary.

Services have not yet been scheduled. CFILC will host a Celebration of Life in Sacramento, CA in June. Additional details to follow. In lieu of flowers, contributions can be made online to the Teresa Favuzzi Mobilization Fund, or via mail, checks made to the address of CFILC in memory of Teresa Favuzzi, 1000 G Street, Suite 100 Sacramento, CA 95814.

Cal Duals CCI Monthly Update

PDF | Word

Legitimate CMS Communications to Beneficiaries

JAN 2, 2018 | California Health Advocates, Senior Medicare Patrol

The Senior Medicare Patrol is sharing two very important announcements regarding CMS legitimate communication:

  1. Medicare is sending emails about new Medicare cards coming:

    It was brought to our attention by our Stanislaus SMP liaison, that Medicare is sending emails to beneficiaries with a subscription informing them about New Medicare cards coming in 2018 and asking everyone to update their address with Social Security. We have confirmed with our CMS contacts that these emails are legitimate. The email is from Medicare ( with Subject: New Medicare cards coming in 2018 and Subject: Update your information. Per CMS, they are trying to ramp up their Medicare email efforts in advance of the card mailings. This listserve currently has 300+K on it, and folks will be able to sign up from the homepage after December 20th.

  2. CMS is sending mail containing a survey:

    It was brought to our attention by the Alameda HICAP, about a letter being sent to beneficiaries informing them about a "Medicare Provider Experience Survey" they will be receiving in the mail. According to the letter, a beneficiary's response is voluntary; whether or not he/she take the survey has no effect on his/her Medicare benefits. The survey itself is being sent by nrc Health. For more information, you may visit

Congress: Protect Americans who need the most care.

DEC 11, 2017 | AARP

The National Adult Day Services Association (NADSA) was asked and agreed to be a signatory urging the House-Senate tax conference committee to retain the Medical Expense Deduction in any final tax restructuring bill. The ad appeared in Politico on Thursday of the past week and was sponsored by AARP on behalf of the signatories.

Politico is a daily publication “with a focus upon Congress and issues that make Washington tick.” It is delivered free to all Capitol offices and available to the public at several other locations in DC.

CMS Temporarily Suspends Improvements in QMB Notices

DEC 8, 2017 | Justice in Aging | Fact Sheet

On October 2, 2017, the Centers for Medicare and Medicaid Services (CMS) initiated changes in the Provider Remittance Advice and the Medicare Summary Notice (MSN) to show more clearly that Qualified Medicare Beneficiaries (QMBs) may not be charged for Medicare deductibles and co-insurance. Unfortunately, CMS will be temporarily suspending these system changes as of December 8 because of significant unforeseen issues affecting provider payments. CMS is working to address the problem and reinstate the new systems sometime in 2018.

The temporary suspension of the system improvements does not affect the rights of QMBs. QMBs do not owe deductibles and co-insurance for any Medicare Part A or Part B services.

The suspension also does not affect another change, instituted in November, that enables providers to confirm QMB eligibility before serving individuals, using the same systems through which they check other insurance coverage.

To learn more about these developments, read our fact sheet.

For more information on QMB protections, see the CMS QMB Program webpage. For tools that advocates can use to assist QMB clients who have been improperly billed, go to Justice in Aging’s Improper Billing page.

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. 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.
Learn more about CAADS


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

CAADS 40th Anniversary logo

Videos / Podcasts

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.

Seniors and Children Find Inspiration Together at a Day Care With a Heartwarming New Approach
FEB 2, 2018
Time Magazine
Megan McCluskey
Featuring ONEgeneration

What is an Adult Day Health Care Center? One of San Diego's Best Kept Secrets...
APR 18, 2017
Featuring Kathryn Holt, Owner, Poway Adult Day Health Care Center, and her mother Lois Knowlton, the Center's Administrator

More Videos / Podcasts

Media Coverage

Governor Brown’s Proposed Budget Has Only Modest Boost For Health Care
Kenny Goldberg | 1/10/18

What Are Adult Day Centers -- Besides The Basis For Political Insults?
Howard Gleckman | 10/11/17

Media Coverage

Friendship Center Feels the Love at 19th Annual Festival of Hearts Fundraiser
FEB 14, 2018
Rochelle Rose
Friendship Center’s HEART (Help Elders At Risk Today) Program | adult day services | caregivers | licensed by Community Care Licensing as a social model adult day care center

Contra Costa Today Ep 014: Debbie Toth Talks Choice in Aging
FEB 13, 2018
Contra Costa Today
Choice in Aging | The Bedford Center | Adult Day Health Services | Alzheimer's Disease | California Department of Public Health | California Department of Aging | caregivers | Medi-Cal | Medicare |

CalOptima expanding all-inclusive senior care program to Anaheim, Laguna Woods and Santa Ana
FEB 12, 2018
Orange County Register
Louis Casiano
CalOptima | adult health care centers | Programs for All-Inclusive Care for the Elderly | PACE | CBAS (community-based adult services) centers | Acacia Adult Day Services | South County Adult Day Services |

Health Plan coordinates medical care, housing
Program aims to keep older residents in communities, out of nursing facilities
JAN 27, 2018
San Mateo Daily Journal
Samantha Weigel
Health Plan of San Mateo’s Community Care Settings Program | Coordinated Care Initiative | Medicaid | Institute on Aging | adult day care center

CPMC to shut down Alzheimer’s program; residents scramble for alternatives
JAN 21, 2018
San Francisco Chronicle
Catherine Ho
Alzheimer's | Swindells day program for dementia patients | Institute of Aging

More Media Coverage
Please Direct Questions and Comments to


Photo of Lydia Missaelides

Lydia Missaelides, MHA
Executive Director

Photo of Kathryn Atkinson

Kathryn Atkinson
Membership & Communications Director

Pam Amundsen

Pam Amundsen
Education & Events Manager

Photo of Coni Segretto-Ricci

Coni Segretto-Ricci
Office Assistant

(not pictured)

Phyliss Regino
Office Assistant

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