HIGHLIGHTED MEDIA COVERAGE
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Associate Members (Vendors, Consultants & Networks)
CAADS Annual Meeting & Fall Conference
CCI / Cal MediConnect
Coordinated Care Initiative (CCI)
OCT 20, 2014 | CCI Outreach Weekly Update | CalDuals Enrollment Data Online | CalDuals
Early Rate Registration Deadline for CAADS Conference: 5 PM OCT 22
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Alzheimer's Association Submits Letter to CMS Regarding Anticipated HCBS Guidance on Non-Residential Care Settings
OCT 15, 2014 | Alzheimer's Association Letter to CMS | CA Council of the Alzheimer's Association
The California Council of the Alzheimer’s Association, on behalf of a coalition of the five chapter offices in California, has submitted a letter to CMS to share their perspective on the discussions that CMS has been having with stakeholder groups and state agencies regarding implementation of the new Home and Community-Based Services (HCBS) regulations. The letter addresses the anticipated CMS Guidance on Home and Community-Based Services, Non-Residential Settings. Read letter. . .
CAADS Letter to DHCS Urges HCBS Rules that Support Access and Safety for Alzheimer's Patients Voluntarily Attending Adult Day Programs
OCT 16, 2014 | CAADS Letter to DHCS
In a letter to Toby Douglas, Director of the California Department of Health Care Services (DHCS), CAADS provided input regarding California's draft Home and Community-Based Services (HCBS) Statewide Transition Plan developed as a result of the new Federal Home and Community-Based Setting requirements, CMS 2249-F and CMS 2296-F affecting 1915(i) and 1915(c) waivers.
The letter emphasizes that the rules should adequately address the needs of the population with Alzheimer’s and other types of dementia and allow them the broadest possible access to community-based services with a customized, individualized and personalized approach.
CAADS urges the state’s plan support HCBS programs that ensure the safety and well-being of this population while participating in voluntary day programming by allowing for time-delayed egress devices and secured perimeter fences, consistent with the protections and provisions that exist in current law California Health and Safety Code 1569.698 – 1569.6991. Read letter. . .
CDPH Issues All Facilities Letter on Ebola Virus Disease Information and Preparedness
OCT 15, 2014 | CDPH | AFL 14-22
All Facilities Letter (AFL) 14-22, issued by the California Department of Public Health, is intended to notify all primary care clinics about recent recommendations from the Centers for Disease Control and Prevention (CDC) regarding Ebola Virus Disease information, detection protocols, and facility and provider preparedness. On October 2, 2014, the CDC issued a Health Advisory Alert informing healthcare personnel and health officials about evaluating patients for possible Ebola Virus Disease (the Alert is available at http://emergency.cdc.gov/han/han00371.asp).
San Ysidro Health Center, Inc. Video Celebrates Organization's 45th Anniversary of "Caring for Our Greatest Generations"
OCT 2014 | SYHC | Caring for Our Greatest Generations (video 7:22 min)
CDA Issues All Center Letter on CBAS Training at CAADS Conference
OCT 7, 2014 | ACL # 14-07 | CDA
The California Department of Aging (CDA) and California Department of Health Care Services (DHCS) issued an All Center Letter to inform CBAS providers and their staff of upcoming CBAS training opportunities at the California Association for Adult Day Services (CAADS) Annual Meeting and Fall Conference in Long Beach, November 17-19, 2014.
On Tuesday, November 18, from 1:15 PM to 2:45 PM, at the Westin Hotel Long Beach, CDA and DHCS will provide an education course titled CBAS 101: Understanding the Basics of the CBAS Program Model and Program Requirements. This course is for CBAS center staff, owners, board members, managed care plans and others who want a basic introduction to the CBAS program and benefit, CBAS provider standards for certification, and the status of the CBAS Waiver Amendment submitted in June 2014 to the Centers for Medicare & Medicaid Services. This training should be especially beneficial to those who are new to CBAS. To register, use the CAADS Conference registration form. To view the CAADS Conference brochure, click here.
CAADS 2014 Annual Meeting and Fall Conference
Adult Day Services: In the Center of Change
November 17-19, 2014
Long Beach, California
Be a part of the CAADS Fall Conference -- here's how:
Westin Hotel Reservation Deadline: OCT 24, 2014 | 5 PM
Mention "CAADS" for Group Rate: $149 single/double occupancy (offered NOV 12-21, 2014)
Room Reservations by Phone: (562) 436-3000 or (800) 937-8461
Room Reservations Online: Westin Group Room Reservations
CDA and DHCS to Provide CBAS Training at Conference
The California Department of Aging (CDA) and California Department of Health Care Services (DHCS) will provide an education course titled CBAS 101: Understanding the Basics of the CBAS Program Model and Program Requirements, as recently announced in CDA All Center Letter # 14-07. The training is scheduled for Tuesday, November 18, from 1:15 PM to 2:45 PM, at the Westin Hotel in Long Beach. Register using the CAADS Conference Registration form.
CAADS to Launch 'CLINICAL PROTOCAL CERTIFICATE PROGRAM' at Conference
A T T E N T I O N N U R S E S !
Participate in Medication Reconciliation: Ensuring effective responses through standardized medication reviews, a specialized training for nurses on Monday, November 17, from 4 PM to 6 PM, at the Westin Hotel in Long Beach. Separate registration required; CAADS Conference registration encouraged but not required.
For more information about the conference or certificate program, contact Pam Amundsen: (916) 552-7400 | Pam@caads.org
L.A. Care to Accept Cal MediConnect Passive Enrollment Starting January 2015
OCT 2, 2014 | L.A. Care Health Plan
L.A. Care Health Plan, the nation’s largest publicly operated health plan, has learned the results of the annual Medicare Star Ratings, which indicate that L.A. Care’s Medicare Part D Star Rating has improved for 2015. With this new rating, L.A. Care will begin accepting passive enrollment into the Cal MediConnect program starting January 2015.
Cal MediConnect offers members a coordinated care model within a single health plan to help foster better health outcomes and improved quality of life. In light of Cal MediConnect, L.A. Care has made the decision to close its Medicare D-SNP on December 31, 2014. Read full announcement . . ..
Adult Day Services: A Model of Person- and Family-Centered Care
OCT 2, 2014 | BLOG by Lynn Friss Feinberg | AARP
The AARP Public Policy Institute has released a new blog post on adult day services (ADS). Lynn Friss Feinberg writes that ADS provides supportive services for both the adult with functional limitations and their family caregiver. With more consumers rejecting nursing homes in favor of home and community-based services, ADS can help build a better person-and family-centered system of long-term services and supports in the community. Access the blog and more on the CAADS Publications page.
Governor Brown Vetoes AB 1552 (Lowenthal) CBAS Preservation Bill
Calls it “Premature” in Advance of Waiver Amendments
SEPT 30, 2014 | CAADS Response
AB 1552 was an opportunity for the Governor to welcome in a new era, acknowledge the Legislature's unanimous support, and demonstrate the state's commitment to the CBAS program and to California's poor elderly, disabled and vulnerable citizens who need access to good healthcare. While we are heartened by the veto statement acknowledging the importance of CBAS to "help many thousands of frail adults remain independent," we are very disappointed that Governor Brown chose to veto AB 1552 and miss that opportunity.
THE NEW POLST: 6 Things You Should Be Doing To Prepare
SEPT 24, 2014 | Polst California | Coalition for Compassionate Care of California
Here are 6 things you should be doing right now to prepare for the new form.
- Order new POLST forms from Med-Pass
- Familiarize yourself with the new form: download a copy in English
- Learn about key changes to the form -- Read “Key Talking Points for Healthcare Providers” (1 Minute); Watch a recording of the “Changes to POLST in 2014” webinar for an in-depth look at the changes to POLST (1 Hour)
- Spread the word among your colleagues
- Replace old forms. Previous versions of POLST will still be honored after the 2014 form goes into effect; however, it is best practice to complete a 2014 version of POLST—and void older versions of the form—when a patient’s POLST is updated
- Download the 2014 POLST form in other languages -- Ask the responsible staff person to download all copies of POLST in other languages and have these forms ready for when you ned them. Get copies of the forms at http://capolst.org/2014polst. Order POLST in braille by sending a request to email@example.com.
Get more information about POLST by contacting your local POLST Coalition, or contact the Coalition for Compassionate Care of California at (916) 489-2222 or info@caPOLST.org.
Medicare Part D Open Enrollment Fast Approaching!
AUG 18, 2014
Open enrollment is an opportunity for beneficiaries to review and update their Part D prescription drug coverage. New healthcare plans become available each year that may offer better coverage or save money, so it’s important for participants to take the time to carefully review their options. This year, open enrollment starts on Wednesday, October 15 and closes on Sunday, December 7.
Download Part D Open Enrollment Toolkit -- Share this tool kit with patients, constituents and stakeholders. With a wide variety of prescription drug plans to choose from, Medicare Part D has a plan that will fit any patients’ needs.
Medicare Part D saves and improves patient lives at a low cost, expanding access to treatment for patients in a dramatic way. With an 86 percent patient satisfaction rate according to a recently released survey and total costs coming in at $349 billion, 45 percent less than 10-year projections, it’s an American success story.
To learn more about the prescription drug plans that are available in your area, check out the Medicare Plan Finder at www.medicare.gov/find-a-plan. You can also call Medicare at 1-800-MEDICARE (1-800-633-4227) or visit www.medicare.gov to enroll.
Balance Billing Dual Eligibles Violates Federal and State Law
AUG 8, 2014 | NSCLC
Advocates continue to report attempts by providers, particularly physicians, to ”balance bill” dual eligible beneficiaries (those who qualify for both Medicare and Medi-Cal) for charges not covered by Medicare or Medi-Cal. Balance billing violates both federal and state law. Providers may not balance bill any Medi-Cal patient who presents a Medi-Cal card. In other words, a provider must accept as payment in full whatever amount the provider receives from Medicare, other insurance (if any), and Medi-Cal.
The balance billing protection remains even if Medi-Cal pays nothing to the provider. The only exception is that providers may bill Medi-Cal beneficiaries who have a monthly share of cost obligation, but only until that obligation is met for the applicable month. If a provider bills a patient in error, the provider must stop immediately upon proof of Medi-Cal enrollment and must call off any collection efforts that have begun. Upon receiving proof of Medi-Cal eligibility, debt collection agencies and/or providers also must correct any erroneous information sent to credit reporting agencies.
Providers also are prohibited from asking a beneficiary to enter into a private pay agreement or otherwise waive balance billing protection. Advocates who encounter balance billing issues may find that, in some cases, providers are genuinely confused about their obligations and unaware of procedures for processing crossover Medicare claims through Medi-Cal.
The following resources can be helpful in addressing these situations:
- Physician’s Toolkit
A new resource prepared by the California Department of Health Care Services particularly around the Coordinated Care Initiative but containing explanations that apply to providers and advocates in non-CCI counties as well. Look especially at “Physician services and payment under the CCI” and “FFS Medicare and the CCI”, both of which explain the prohibition and assist providers in understanding how they can properly process claims with Medi-Cal.
- Crossover Only Provider Authorization Information
Advocates can direct providers to this page on the DHCS website where they can complete an abbreviated form in order to submit crossover claims to Medi-Cal without enrolling as full Medi-Cal providers.
If you are seeing balance billing issues for your clients, please let NSCLC know. Contact Georgia Burke, firstname.lastname@example.org.
Updated HIPAA Manual Available From CAADS
Is your ADHC in compliance with the "HIPAA Omnibus Rule?"
New Requirements! || Order Form
Don’t forget, as of September 23, 2013, all ADHCs need to be in compliance with the “HIPAA Omnibus Rule” which implements changes required by the HITECH Act of 2009. Failure to have internal guidelines in place that comply with the new Rule can lead to fines and other sanctions. CAADS worked with Allan Jergesen of Hanson, Bridgett to produce a HIPAA Compliance Kit to help you quickly come into compliance with new HIPAA rules.
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. CAADS member-centers 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 advocacy, timely information, analysis, technical assistance, education, and networking opportunities for member organizations. CAADS members agree to abide by the Association's Bylaws and Code of Ethics. For more information on CAADS Membership click here!
CAADS Members Only page features Adult Day Services specific information:
- State Budget Proposals
- Medi-Cal Issues
- Medicare and Medi-Cal Dual Beneficiaries News
- Medi-Cal Managed Care Health Plans
- Coordinated Care Initiative (CCI) and CalDuals Updates
- CA Dept of Managed Health Care Updates
- CA Dept of Public Health ADHC Licensing & Regulations
- CA Dept of Social Services ADP Licensing & Regulations
- Legislative Alerts and Advocacy
- Funding Sources
- Technical Assistance
- Education / Training Materials / Webinar Recordings
- CAADS Membership Roster
The Alliance for Leadership and Education (A.L.E.) is a non-profit 501(c)(3) public benefit arm of CAADS. The A.L.E. 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. The organization is governed by the 7-member A.L.E. Board of Directors.
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California Association for Adult Day Services
1107 9th Street, Suite 701 || Sacramento, California 95814-3610
TEL: (916) 552-7400 || FAX: (866) 725-3123 || EMAIL: email@example.com