FEATURED NEWS COVERAGE

State can't cut Medi-Cal payments to hospitals
San Francisco Chronicle, March 4, 2010 By Bob Egelko

Court rules against Calif. social, medical cuts
San Jose Mercury News, March 3, 2010 By Judy Lin

California -- Golden State, Once a Health Care Innovator, Now Slashes Medi-Cal -- Crumbling health care
AARP Bulletin Today, March 1, 2010, By Jane E. Allen

ANOTHER LEGAL VICTORY FOR ADHC PARTICIPANTS AND PROVIDERS!
Federal Court Rules Against State's Cut To Medi-Cal Reimbursement Rates

Posted March 4, 2010
On March 3, 2010 a federal court ruled that the Governor and Legislature can't cut reimbursement rates to health professionals who treat low-income Californians solely to save money. United States Court of Appeals, Ninth Circuit case number 09-55532 was argued and submitted January 19, 2010 in Pasadena, California. Lloyd Bookman, attorney for the California Association for Adult Day Services and other plaintiffs in the case, stated that cutting Medi-Cal rates -- already among the nation's lowest -- for doctors and other health care providers is both illegal and harmful to the providers and their patients. View Court Order.

Preliminary Injunction Ordered by Federal Court in Brantley v. David Maxwell-Jolly Stops New ADHC Medical Necessity Criteria From Taking Effect

Posted February 25, 2010
On February 24, 2010, a federal court stopped new ADHC medical necessity criteria from taking effect March 1, 2010 as approved in the 2009-10 state budget trailer bill (AB4X 5). The state is also ordered to provide notice to ADHC Medi-Cal beneficiaries. On August 18, 2009, Disability Rights California challenged in federal court the Medi-Cal budget cuts to the Adult Day Health Care program that temporarily limited beneficiaries to no more than three days per week attendance, leaving no alternatives for many older Californians with serious disabilities who needed care four or five days per week (Brantley v. Maxwell Jolly). The judge granted the motion for preliminary injunction on September 10, 2009. An amended legal brief was filed by Disability Rights California on December 18, 2009, and a motion for preliminary injunction January 19, 2010, challenging the legality of new ADHC eligibility and medical necessity criteria. Pleadings for the case:

• Complaint For Injunctive and Declaratory Relief 8/18/2009
• Order Granting Plaintiffs' Motion For Preliminary Injunction 9/10/2009
• First Amended Complaint For Injunctive and Declaratory Relief 12/18/2009
• Notice Of Motion And Motion For Preliminary Injunction; Memorandum Of Points And Authorities In Support 1/19/2010
• Order Granting Plaintiffs' Motion for Preliminary Injunction 2/24/2010

UCLA Center for Health Policy Outlines Potential Impact of Governor’s Proposed Budget Cuts

Posted February 17, 2010
UCLA Center for Health Policy released a Policy Note commissioned by the SCAN Foundation that outlines the potential impact of the proposed cuts in the Governor’s budget, noting the proposal turns the clock back 30 years to a time when 5.4 % of seniors residing in a nursing home, compared with 2.7 % today. This decline in is attributed to IHSS and ADHC. Key points are:

Governor Schwarzenegger’s 2010-2011 budget proposal recommends deep cuts to long-term services and supports available to low-income seniors and younger adults with disabilities.

The impacts of these proposed cuts could be devastating to some of the most vulnerable Californians. In particular:

• Deep cuts to In-Home Supportive Services (IHSS) will leave almost 93% of all seniors currently enrolled without services; almost 87% of enrolled seniors who will lose benefits are cognitively impaired
• 37,000 seniors currently receiving Medi-Cal funded Adult Day Health Care (ADHC) will lose this benefit
• Cuts to the Supplemental Security Income/State Supplementary Program (SSI/SSP) move this benefit for low-income Californians who are aged, blind or disabled to their lowest level in the history of the program, covering less than half of the basic cost of living for a single adult in the state
• Over 7,600 ADHC employees will lose their jobs and benefits and as many as 370,000 IHSS caregivers will lose their jobs and benefits or have their hours substantially reduced.

These cuts represent a substantial reversal in state policy emphasizing community-based long-term services and supports. If implemented, the result of these cuts will be:

• an increase in the number of vulnerable seniors and people with disabilities who have no reliable source for care in the community, forcing many to seek care in institutional settings who might have otherwise lived successfully in their own homes
• expected financial savings from these cuts will likely be eroded due to the increased use of safety net health services (e.g., emergency rooms), inpatient care, and nursing home care
• nursing homes and residential care facilities can absorb less than 10% of those who face losing their community-based benefits due to these cuts – there is a risk that there will not be enough nursing home beds for those who would need them as a result of the proposed cuts
• family and friends, already stretched in many directions, will have to make significant sacrifices to help fill the gap in services these budget cuts will make.

DHCS Commits Serious Privacy Breach as Nearly 50,000 ADHC Beneficiaries Receive Notice of Eligibility Changes with SSN on Outside of Envelope

Posted February 8, 2010
ADHC Medi-Cal beneficiaries and their family members now have another threat to worry about - identity theft and Medi-Cal fraud. Envelopes containing a DHCS notice of changes in medical necessity and eligibility criteria for adult day health care services inexplicably placed the recipient's Social Security number on the outside of the envelope, in violation of state and federal privacy laws.

Today [February 8, 2010] CAADS hand-delivered a letter to the Governor calling his Administration's February 1, 2008 notice of eligibility changes to 49,352 ADHC Medi-Cal beneficiaries and their family members unintelligible, illegal and unnecessarily frightening. In a follow-up letter to ADHC beneficiaries, DHCS listed steps to minimize identity theft, but for frail elders and those challenged by Alzheimer's, chronic medical conditions or mental illness, the process will be difficult, time-consuming and stressful.

Appalled by the fiasco, CAADS Executive Director Lydia Missaelides said, "This entire mess could have been avoided. The state is only required to provide legally adequate notice to beneficiaries who will be terminated from ADHC services -- a majority of participants won't even be affected by the changes in program eligibility. DHCS failed to consider how participants would react to the first letter, and now the second letter about disclosure of social security numbers is creating even greater panic among participants and family members, and sending center staff into overdrive to assist them."

Participants and family members with questions about continued eligibility for ADHC services are directed to contact their ADHC center or Medi-Cal at (916) 636-1980.

Alzheimer's Disease State Plan Digest (Volume 1 - January 2010)
California Takes Lead in Planning for Startling Rise in Alzheimer's Disease

Posted February 5, 2010
The Alzheimer's Disease State Plan Task Force, charged with developing a 10-year public policy roadmap for the state, has published Volume 1 of the Alzheimer's Disease State Plan Digest. Under the auspices of California's Health and Human Services Agency, the 22-members task force will announce a series of key public policy forums focused on health care financing, end of life and palliative care, and workforce training and development issues. To view information and documents on the plan, visit the Web site for the Alzheimer's Association, California Council.

DEFYING GRAVITY: POLICYMAKING NEEDS TO CHANGE -- AND WE NEED TO MAKE THAT HAPPEN -- NOW
Commentary by Marty Omoto

Posted February 3, 2010
Marty Omoto, head of California Disability Community Action Network (CDCAN), and member of the state's Olmstead Advisory Committee, argues forcefully why some cuts such as elimination of ADHC and the IHSS benefit reductions should be taken off the table from the get go.

DHCS Issues Notice to Providers of Changes to ADHC

Posted February 2, 2010
The Department of Health Care Services faxed a one page notice, dated February 1, 2010, to all providers titled, Changes to Medical Necessity and Eligibility Criteria for Authorization of Adult Day Health Care Services. The notice directs readers to the Provider Manual and Medi-Cal website for information about the new criteria and the new Individual Plan of Care and associated instructions. Need more training? Register for the CAADS Winter Meeting March 2 & 3, 2010 at the Hilton San Diego / Del Mar.

Obama's Respite Care Plan: Part of the Problem, Not a Solution

Posted February 2, 2010
Kaiser Health News columnist Howard Gleckman, Senior Research Associate at the Urban Institute, examines why the White House initiative is a symptom of all that is wrong with long-term-care policy in the U.S. He writes, "In states such as California, for example, a federal program to promote these services won’t help much if the programs themselves are shuttered—an idea now being debated in Sacramento. And no small federal grant program will save them." To view full article, click here.

Now Available! Recording of January 21 Members Only Tele-briefing on Governor's Proposal to Eliminate ADHC

Posted January 27, 2010
A recording of the January 21, 2010 Members Only tele-briefing on the Governor's Proposal to Eliminate ADHC is now available on the Members Only Page under "What's New."

CAADS Advocacy in Action: The First Senate Budget Committee Hearing Posted January 27, 2010 The first Senate Budget Committee hearing on the Governor’s proposal to eliminate adult day health care (ADHC) was held January 26, at the state Capitol. The Department of Health Care Services budget discussion was the first agenda item, followed by 80 minutes of public testimony in support of ADHC by CAADS Executive Director Lydia Missaelides, CAADS members, Lifelong Medical Care participants (pictured), and friends of adult day services. CAADS prepared a Fact Sheet for Budget Item 4260 and submitted it to the Seneate Budget and Fiscal Review Committee. 1/26/2010 CA Senate Committee on Budget and Fiscal Review ♦ View Agenda ♦ View CalChannel broadcast (allow for download time and delayed start of the hearing after you click to view)

LifeLong Medical Care ADHC Advocates at State Capitol

ADHC Providers Reminder:
Change in ADHC TAR submission effective February 1, 2010

Posted January 22, 2010
As indicated in the December Medi-Cal Provider Bulletin, all paper TARs submitted on or after February 1, 2010 should be sent to:

         Los Angeles Medi-Cal Field Office
         ADHC TAR Adjudication
         311 South Spring Street, 1st Floor Mail Room
         Los Angeles, CA 90013-1211

ETARs will automatically be directed to Los Angeles.

ACTION NEEDED NOW!
GOVERNOR MOVES TO ELIMINATE ADHC AS A MEDI-CAL BENEFIT ON MARCH 1

Posted January 20, 2010
We need YOU to call your State Legislators at their District and Capitol offices and tell them you oppose the elimination of ADHC because doing so will cost more than it saves! It just doesn't make sense to force ADHC Medi-Cal participants into emergency rooms, hospitals and nursing homes -- all of which cost the state far more than adult day health care.

To find the name and contact information for your State Senator and Assembly Member, visit Project Vote Smart, enter your zip code, press "Go" and then scroll down to the "State Legislative" section.

Support the California Adult Day Services Advocacy Fund with your donation or pledge today.

Medi-Cal Bulletin Announces NEW Medical Necessity Criteria:
NEW Manual Issued for Tracking SEPARATELY BILLABLE COSTS
for Reimbursement

Posted January 20, 2010
The January Medi-Cal Bulletin announces March 1, 2010 as the effective date for meeting new Adult Day Health Care medical necessity criteria. The state has also issued a new manual, "Adult Day Health Care (ADHC) Centers: Tracking Costs for Reimbursement Purposes." The new manual should be reviewed carefully and all centers should be using those instructions and recording their separately billable services every day. The department is no longer accepting time studies or sampling methods. Please direct any questions to your local Medi-Cal Field Office.

The Outpatient Medi-Cal Manual Part 2 now contains:

• New Instructions [31 pages]
  Adult Day Health Care (ADHC) Centers: TAR, IPC and H&P Form Completion (adu tar jpc)



• New Form [15 pages]
  ADHC Individual Plan of Care (IPC) form (adutaripcform)



• New Manual [43 pages]
  Adult Day Health Care (ADHC) Centers:
  Tracking Costs for Reimbursement Purposes (adu track)

SBS Frequently Asked Questions -- FAQs 2008-09-19
CAADS Clinicial Work Group has released FAQs, logs and worksheets regarding separately billable services for ADHCs. Additional questions may be submitted by email to caads@caads.org. Please include "SBS" and your center name in the subject line. Then, check back here for updates.

CAADS SBS Service Logs -- INSTRUCTIONS (2 pages)
Instructions for Separately Billable Services Logs - Be sure to download and printout instructions before using the sample logs and worksheets.

CAADS Participant Monthly Treatment Flow Sheet -- EXAMPLE (1 page)
This flow sheet example displays one day of service to illustrate how the flow sheet works with the daily log.

CAADS Daily Physical Therapy Log -- EXAMPLE (1 page)
This log shows how to properly record and calculate units of service for the appropriate therapy modalities incluidng individual, concurrent and group.

CAADS Monthly Physical Therapy Summary Worksheet -- EXAMPLE (1 page)
This summary worksheet illustrates how to correctly summarize and convert minutes to display as hours and fractions of hours using the formula provided, and summarize units of service.

CAADS BLANK SAMPLE SBS Logs / Worksheet Forms:

• CAADS PT Daily Log
• CAADS PT Monthly Summary Worksheet
• CAADS OT Daily Log
• CAADS OT Monthly Summary Worksheet
• CAADS SLP Daily Log
• CAADS SLP Monthly Summary Worksheet
• CAADS MH Daily Log
• CAADS MH Monthly Summary Worksheet
• CAADS RD Daily Log
• CAADS RD Monthly Summary Worksheet for SBS (Rev 2008-09-05)

DHCS A&I ISSUES NEW NOTICE ON ANNUAL ADHC COST REPORT FILING

Posted January 17, 2010
To view the new Department of Health Care Services Audits & Investigations notice about annual ADHC cost report filing, click here.

Governor Releases 2010-11 Budget that Devastates Health Care
ADULT DAY HEALTH CARE ONCE AGAIN PROPOSED FOR ELIMINATION

Posted January 8, 2010
The Governor released his budget at 11:30 AM today and has called for an emergency budget session to close a $20 billion budget deficit estimated over the next 18 months. Adult Day Health Care is scheduled for elimination as a optional Medi-Cal benefit on March 1, 2010, but savings are not budgeted until June 2010. CAADS Members may now view the January 8, 2010 CAADS Members Only ALERT and narrative of the Governor's Budget Summary on the Members Only Page under "What's New."

Watch for California Hospital / Uninsured Care Demonstration Project
Section 1115 Waiver Stakeholders Advisory Committee Meeting Summary

Posted January 8, 2010
The California Department of Health Care Services Section 1115 Waiver Stakeholder Advisory Committee met on January 7, 2010, in Sacramento. A meeting summary will be posted on the DHCS Waiver Renewal Website approximately one week after the date of the meeting.

CAADS submitted comments on the inclusion of ADHC services for Seniors and Persons with Disabilities within the managed care proposal contained in the 1115 Waiver Concept Paper that the Department of Health Care Services sent to CMS in December 2009.

Federal Court Accuses Representatives of the Administration and Attorney General's Office of Misleading Judges in Medi-Cal Provider Rate Cut Case

Posted December 29, 2009
Mary Omoto, California Disability Community Action Network (CDCAN), writes in the December 26, 2009 issue of California Progress Report:

"In a major victory for disability and senior advocates, a three judge panel of the US 9th Circuit Court of Appeals on Monday (December 21) issued a stunning and strongly worded rebuke against the Schwarzenegger Administration and Attorney General Jerry Brown accusing their representatives of lying to the court in 'clear violation' of California State Bar rules against misleading judges."

To view or download a copy of the December 21, 2009 US 9th Circuit Court of Appeals order, visit the CDCAN website at www.cdcan.us.

CAADS and A.L.E. Issue 2009 Annual Reports

Posted December 11, 2009
The California Association for Adult Day Services (CAADS) and the Alliance for Leadership and Education (A.L.E.) have issued their 2009 Annual Reports. To view, click on the links below:

• CAADS - 2009 Annual Report
• A.L.E. - 2009 Annual Report

California DHCS Releases Medical Necessity Criteria Comparison Chart and Draft Individual Plan of Care Encompassing the New Criteria

Posted November 23, 2009
The Department of Health Care Services recently released two documents regarding the new "medical necessity" and eligibility criteria for adult day health care. These new criteria were included in AB 4x 5, a Fiscal Year 2009-10 budget trailer bill. The new criteria take effect only upon the written declaration by the Director of the Department of Health Care Services that the department is ready to implement the new criteria. This is not expected to occur until March 1, 2009 at the earliest.

1. A chart comparing the prior criteria with the new criteria.
2. A draft 16 page Individual Plan of Care (IPC) that encompasses the new criteria.

CAADS leadership is preparing comments and questions for a meeting with DHCS on December 1, 2009 to discuss implementation of the new criteria and IPC. The Department has requested that public comments be submitted by December 1, 2009.

By email: navid.sabati@dhcs.ca.gov

Via U.S. mail:
Navid Sabati, RN
Department of Health Care Services
Medi-Cal Benefits, Waiver Analysis, and Rates Division
1501 Capitol Avenue, Suite 71-4001, MS 4600
Sacramento, CA, 95899-7417

1115 Waiver to Improve Medical Care Coordination for Seniors
and Persons with Disabilities in the Medi-Cal Program

Posted November 23, 2009
The state is required to submit a proposal by August 2010 to the Centers for Medicare and Medicaid on how it plans to improve medical care coordination for seniors and persons with disabilities in the Medi-Cal program in order to improve access, improve quality and reduce cost. CAADS has submitted comments to the Department of Health Care Services about this concept and will continue to provide input and monitor the process. This mandate was created as part of the 2009-10 budget negotiations. The proposal will be included within the 1115 waiver renewal for hospital refinancing and will likely include mandatory enrollment into managed care and a "medical home" component for areas of the state without Medi-Cal managed care. Learn more:

• Enhanced Medical Home for Medi-Cal's SPD Population
  Prepared for State of California, Department of Health Care Services September 2009


• State of California Concept for a Comprehensive Section 1115 Waiver to Replace the Current Medi-Cal Hospital/Uninsured Care Demonstration Project
  DRAFT October 19, 2009


• Enhanced Medical Home for Adults with Disabilities in Medi-Cal Fee for Services Comments and Recommendations on Department of Health Care Services 1115 Waiver Concepts
  Prepared by CAADS November 11, 2009

CAADS ADHC "GRANDFATHERING" AMENDMENT INCLUDED
IN HOUSE VERSION OF HEALTH CARE REFORM LEGISLATION

Posted October 29, 2009
The House of Representatives finished its work to consolidate three versions of health care reform legislation into one bill. Speaker Pelosi released HR 3962 on October 29, 2009 and scheduled a floor vote for the following week.

CAADS ADHC "grandfathering" amendment is included in the House legislation, pages 1081-1082 [SEC. 1735. ADULT DAY HEALTH CARE SERVICES]. CAADS has been leading a coalition of states to obtain this amendment in federal law to permit ADHC to continue to operate as a State Plan benefit under Medicaid rules. The Senate still needs to merge two bills into one piece of legislation that can garner enough votes to pass on its floor. Once the Senate and House pass their versions of health care reform a final single bill will be hammered out in a conference committee.

CAADS members may view the October 29, 2009--10 AM CAADS Members Only ALERT available on the Members Only page under "What's New."

CLARIFICATION ON SB 117 - CORBETT
This Bill Did Not Alter Medical Necessity

Posted October 21, 2009
There appears to be some confusion about why new medical necessity criteria appears in SB 117, signed recently by the Governor. For a full explanation of the technical change made in SB 117 to correct a drafting error contained in ABX4 5, the health budget trailer bill, CAADS members may view the October 21, 2009--2 PM CAADS Members Only ALERT available on the Members Only page under "What's New."

Governor Acts on CAADS Sponsored Bills

Posted October 13, 2009
SB 117 (Corbett) has been signed by the Governor. This CAADS sponsored bill delays the unbundling of the ADHC reimbursement rate.

Also signed by the Governor was AB 292 (Yamada) which allows the Alzheimer's disease donation 'check-off box' to continue to be included on the California State Individual Tax form.

Vetoed by the Governor was AB 369 (Yamada) which would have allowed two ADHCs, owned and operated by the California Department of Veterans Affairs, to become certified for Medi-Cal payment.

More information is included in the October 12, 2009--2 PM CAADS Members Only ALERT available on the Members Only page under "What's New."

UCLA Health Policy Research Brief Issued
California Budget Cuts Fray the Long-Term Care Safety Net

Posted October 2, 2009
The UCLA Center for Health Policy Research has just released a report titled, California Budget Cuts Fray the Long-Term Care Safety Net. The paper states that "disabled older adults with low incomes will find it harder to access services, and ultimately, harder to live safely at home." ADHC, ADCRC and IHSS are featured prominently and a "key informant" example is a 5-day per week ADHC participant who also relies on IHSS to remain living at home.

Make Up Days and Carry Over Days for ADHC Beneficiaries

Posted September 17, 2009
A CAADS Members Only ALERT, issued September 16, 2009 at 4:30 PM, is available on the Members Only page under "What's New."

Lawsuit Filed in United States District Court

Posted August 19, 2009
Three elderly and disabled Medi-Cal beneficiaries, currently receiving ADHC services five days per week, filed a lawsuit August 18, 2009 in the United States Northern District Court in Oakland alleging violations of the Americans with Disabilities Act (ADA) and federal Medicaid law. The lawsuit challenges the legality of two aspects of the cuts which are contained in ABx4 5, one of a number of bills enacted in response to California's budget crisis. First, on August 27, the maximum number of days Medi-Cal will fund ADHC services for all participants will be reduced from five to three per week regardless of the seriousness of the participant's health problems. Second, if the State allows the maximum number of days to return to five per week, new restrictive eligibility criteria will be triggered, which will make untold thousands of current participants permanently ineligible for any ADHC services.

AARP Foundation Litigation, Disability Rights California, and the National Senior Citizens Law Center, representing the plaintiffs, describe the lawsuit and plaintiffs in a media release.

A CAADS Members Only ALERT regarding this legal action was issued August 19, 2009 at 10 AM and may be viewed on the Members Only page under "What's New."

Important Notice for Adult Day Health Care Medi-Cal Beneficiaries

Posted June 19, 2009
Notice of Reduction of Services of Medi-Cal Benefits to Medi-Cal Beneficiaries to announce the elimination of certain "Optional Benefits." The notice is available in 13 languages on the DHCS website.

Facts about Alzheimer's in California

Posted April 30, 2009
An Alzheimer's Association Report released February 25, 2009 outlines the growth and impact of Alzheimer's disease on the state of California in the next 20 years. Key findings:

• Trends among California's diverse population are changing the face of Alzheimer's disease
• Deaths from Alzheimer's disease continue to rise
• 1.1 million Californians now provide unpaid care for people with Alzheimer's
• One in eight California Baby Boomers who reach age 55 will develop Alzheimer's disease
• Financial impacts will affect all Californians

U.S. Department of Health and Human Services Report Highlights Adult Day Services

The Office of Disability, Aging and Long-Term Care Policy (DALTCP) in the U.S. Department of Health and Human Services has posted on-line its July 2006 report, Adult Day Services: A Key Community Services for Older Adults. This report, written by Janet O'Keefe and Kristin Siebenaler, provides a brief overview of the research on adult day services and various state approaches to regulating adult day services for elderly persons. The report points out that adult day services complement and support informal caregiving, a necessary resource that helps family caregivers and delays or prevents expensive nursing home placement. The report states, "Informal caregivers are the backbone of the nation's long-term care system." For more information, visit: Office of Disability, Aging and Long Term Care Policy (DALTCP).

Participants Say It All!

Meet adult day services participants and hear what they have to say about their center's services, activities and staff. Click on the picture below to view a video clip from the California Association for Adult Day Services' video entitled "Human Kindness -- it just flows around here." (Note: Real Player required to view clip... Download Real Player)

The three-part video was commissioned in 2002 to commemorate CAADS 25th Anniversary. It is a retrospective of adult day services in California, honoring the industry's pioneers and providers, who continue to serve individuals, families, and communities with compassion.

To purchase the complete anniversary video print out the video order form. (A limited number of complimentary videos are available for airing on local access television.) For more information, call CAADS: 916-552-7400.

Special thanks to producer Bob Andruszkiewicz, ABUZZ Media, the Alliance for Leadership and Education, and those whose generous contributions made this video possible.

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!

The 2007 CAADS Annual Report highlights the Associations efforts to build state relationships, pursue legislation, and provide education, training and public awareness.

CAADS Members-Only Online Benefits

Among the key benefits available to CAADS members on the Members-Only page are:

• State Budget Information - updated frequently!
• Medi-Cal Updates
• Licensing Updates
• Laws & Regulations for ADHC, ADP, and ADCRC
• Advocacy & Legislative Alerts
• Funding Sources
• Technical Assistance
• 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.

The 2007 A.L.E. Annual Report summarizes the year's grant activities and initiatives focused on Quality of Care, Public Education and Information.

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