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NEXT CAADS WEBINAR - FEB 21 | 2:30 PM - 4:00 PM
New CalFresh Benefits for SSI Recipients & Medi-Cal Share of Cost: Overview of the New Benefits and Understanding Common Issues
Non-members: $139 -- Details :: Registration Form Write-On :: Fill-In
CAADS Members: No Charge -- Please register on the Members Only page
Past webinar recordings / handouts order form: Fill-In :: Write-On

CAADS CONFERENCE: Advancing Excellence Together | APR 29-MAY 1 | Berkeley
Watch for course offerings and registration information coming in March...

NEW HISTORY & PHYSICAL FORM — A CDA-Approved Standardized Tool
New Frequently Asked Questions | Order Form Fill-in : Write-on

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 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. Abstract and Full Article | JUN 2017 | The Gerontologist, Volume 57, Issue 3, Pgs 552–562.

What's New . . . FEBRUARY 15, 2019

Governor Newsom's State of the State Address Calls for New Master Plan on Aging, and Launches Alzheimer's Prevention and Preparedness Task Force

FEB 12, 2019 | Governor's Press Office | Full State of the State Address

Today, Governor Newsom highlighted the need for a new Master Plan on Aging, and announced the launch of the Alzheimer's Prevention and Preparedness Task Force. The following are excerpts from his State of the State Address as prepared for delivery:

New Master Plan on Aging

The Golden State is getting grayer. We need to get ready for the major demographic challenge headed our way.

For the first time in our history, older Californians will outnumber young children. Over the next decade, our statewide senior population will increase by 4 million. In 25 years, it will double. And more than half will require some form of long-term care.

Growing old knows no boundaries – aging doesn’t care what race you are, your economic status, or if you’re single with no other family support.

I’ve had some personal – and painful – experience with this recently. I lost my father over the holidays, after years of declining physical health and dementia. He was determined to live out his days with dignity. He also happened to be a retired public official with a pension and a support circle of family and friends.

Even with all those advantages, it was a daily challenge to meet his needs so he could live in place and maintain a good quality of life. Millions of Californians share a similar story, and the numbers will only grow.

It’s time for a new Master Plan on Aging. It must address: person-centered care, the patchwork of public services, social isolation, bed-locked seniors in need of transportation, the nursing shortage, and demand for In-Home Supportive Services that far outpaces its capacity.

Alzheimer's Prevention and Preparedness Task Force

And we can’t talk about aging without focusing on Alzheimer’s.

Too many of us have seen the crushing grip this disease has on our loved ones – and especially on our wives and mothers – two-thirds of new Alzheimer’s cases are women.

Today, I am launching the Alzheimer’s Prevention and Preparedness Task Force, bringing the most renowned scientists and thinkers together to develop first-of-its-kind research in this area. It will be headed by a leading advocate for families dealing with Alzheimer’s, our former first lady, Maria Shriver. She is here today and we are grateful for her continued service.

For the complete text of the State of the State Address, click here.


Biggest ever map of human Alzheimer's brain published

FEB 4, 2019 | | Full Article

A study of the differences between healthy brains and those with Alzheimer's Disease has produced largest dataset of its type ever. And the data, developed by a team of researchers led by Dr. Richard Unwin at The University of Manchester, is now freely available online for any scientist to use.

The team included researchers from the Universities Manchester, Bristol, Liverpool and Auckland. The development is an important advance for scientists researching Alzheimer's.

The team also show that one region of the brain previously thought to be unaffected by the disease, the cerebellum, displayed a series of changes which they think might protect it from damage caused by Alzheimer's. MORE


OPICA Adult Day Programming & Counseling Center Receives Respite Care Services Grant

JAN 30, 2019 | Alzheimer's Family Foundation (AFA)

AFA awarded a total of $75,000 in grant funding to 15 of its member organizations to help fund respite care programs and services for families affected by Alzheimer's disease. Funding was provided through AFA's Milton and Phyllis Berg Respite Care Grant Program.

Congratulations to CAADS member OPICA Adult Day Programming & Counseling Center, one of the 15 award recipients.

AFA provides several grant opportunities to its member organizations to help further AFA's mission of providing support, services and education to individuals, families and caregivers affected by Alzheimer’s disease and related dementias nationwide. Click here to learn more about AFA grant programs.


Cal Duals Coordinated Care Initiative
Monthly Update: January 2019

JAN 29, 2019 | Cal Duals

The Cal Duals Coordinated Care Initiative Monthly Update: December 2019 is now available.


Webinar Recording and Slides Now Available for
Federal and State Environment Affecting Adult Day Services

CAADS Members: No charge (On Members Only page via Quick Links to EVENT HANDOUTS)
Non-members: $199 (available by contacting
Presented by: Lydia Missaelides, MHA, CAADS Executive Director | Christin Hemann, CAADS Associate Director

This 90 minute webinar focuses on the federal and state environment affecting adult day services providers and participants. Presenters address questions such as:

  • Will the federal government shut down continue through January?
  • What is the current status of the Affordable Care Act?
  • Is replacing Medicaid expansion with a block grant system still a threat in 2019?
  • Do aging and adult day services have a champion with Governor Newsom?
  • What have advocates been doing to persuade the new governor about developing a Master Plan for an Aging California?


CMS finalizes New Medicare Card distribution ahead of deadline, accelerating fight against Medicare fraud and abuse

New Medicare cards offer better identity protection for millions of Americans

JAN 16, 2019 | CMS Press Release

The Centers for Medicare & Medicaid Services (CMS) recently completed a large-scale effort to provide new Medicare cards without Social Security numbers to people with Medicare. The new cards support the agency’s work to protect personal identity and reduce fraud and abuse. Over the past nine months, CMS sent new cards to more than 61 million people with Medicare across all U.S. states and territories, completing the mailing ahead of schedule.

“Safeguarding our beneficiaries’ personal information continues to be one of our top priorities,” said CMS Administrator Seema Verma. “The Trump Administration is committed to modernizing Medicare and has expedited this process to ensure the protection of Medicare beneficiaries and taxpayer dollars from the potential for fraud and abuse due to personal information that existed on the old cards. All beneficiaries should continue to use these new cards as a valuable resource when seeking care. These new cards will not only be easier for beneficiaries, but also provide the Medicare program with essential protections due to the new unique identifier on the cards.”

In April 2018, CMS began mailing the new Medicare cards, each of which features a unique, randomly assigned Medicare number known as a Medicare Beneficiary Identifier (MBI). MORE


New Fact Sheet on Medicare Enrollment Changes

JAN 8, 2019 | Justice in Aging

The Centers for Medicare and Medicaid Services (CMS) issued new rules that limit enrollment and disenrollment from Medicare Advantage and Part D prescription drug plans for low-income Medicare beneficiaries. Previously, dual eligibles – individuals with Medicare and Medi-Cal coverage – and beneficiaries who receive the low-income subsidy (LIS) to make Part D prescription drug coverage more affordable could make enrollment changes any time throughout the year. The new rule, which became effective January 1, 2019, limits enrollment changes to once per quarter.

Justice in Aging has created a factsheet that explains these changes in detail and how they impact low-income Medicare beneficiaries in California.


2019 Cal MediConnect Stakeholder Process

JAN 4, 2019 | California Department of Health Care Services (DHCS)

As the Department of Health Care Services (DHCS) and Centers for Medicare & Medicaid Services (CMS) continue to work toward approval of a three-year extension to Cal MediConnect (CMC), we are pleased to announce an opportunity for stakeholders to help think creatively about ways to continue to strengthen and improve the demonstration program.

Stakeholders are invited to propose new ideas for how Cal MediConnect can provide a better member experience or otherwise improve care and care coordination.* Examples include programmatic improvements identified via best practices from other integrated programs, or via SCAN evaluation findings, additional topics for DHCS Cal MediConnect plan best practices meetings or strategies to continue to improve coordination with long-term services and supports providers or behavioral health providers. As much as possible, we are looking for new, CMC-specific proposals that are cost-neutral to the state and do not require changes to CMC rates.

DHCS and CMS will be accepting comments between now and February 15th through Please use this form to submit your proposal.

DHCS and CMS will review and compile those suggestions for release in March 2019 in conjunction with a webinar to review the suggestions in dialogue with stakeholders. DHCS and CMS anticipate announcing new CMC improvement initiatives in the spring of 2019, along with a timeline for implementation. Send any questions regarding this proposal to

Click here for more information.

*Please note that the "in lieu of services" proposal is currently under consideration at DHCS as a part of a broader initiative looking at care coordination across the Medi-Cal program, and will not be considered as a part of this CMC-specific process.


Your Donations Help!

Three (3) great opportunities to further support Adult Day Services:

  • CAADS | State Advocacy Fund
  • CAADS | New Improved Website 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. 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.

California representatives currently serving on the NADSA Board of Directors:

Corinne Jan, RN, PHN (NADSA Chair)
CEO, Family Bridges / Hong Fook Centers

Lydia Missaelides, MHA (NADSA Treasurer)
Executive Director, CAADS

Amanda Sillars, MSW, LCSW
CEO, Total ADHC Solutions, Inc.
Thousand Oaks


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.


Use the California Department of Public Health's Cal Health Find website
call, write, fax the Center for Health Care Quality,
Licensing and Certification District Office nearest you.


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

We Stand With Seniors logo

CAADS Stands With Seniors
Join the campaign!


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.

Could adult daycare centers be one solution to providing lower cost care for Alzheimer's patients?
DEC 14, 2018
Danielle Prieur
Listen To The Story

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



California’s senior population is growing faster than any other age group. How the next governor responds is crucial
Los Angeles Times
Melanie Mason
OCT 7, 2018

This is What Life Without Retirement Savings Looks Like
The Atlantic
Alana Semuels
FEB 2018



Commentary: California has a broken system of long-term care. Here’s what’s needed
FEB 11, 2019
Napa Valley Register
Nancy McPherson and April Verrett
older adults | caregivers | long-term services and supports | people with disabilities | California Senate’s Select Committee on Aging and Long-Term Care | AARP | Medi-Cal | Medicare | California Aging and Disability Alliance (CADA)

[CAADS is a member of CADA]

Seniors, Want to Know If Medicare Will Pay for Your Treatment? There’s an App for That!
FEB 11, 2019
Physicians News Network
Centers for Medicare & Medicaid Services (CMS) | Original Medicare | Medicare Part A, B and D

State Commission Calls For $3 Billion To Avert Health Care Worker Crisis
FEB 8, 2019
Santa Rosa Press Democrat
Martin Espinoza
health care | California Future Health Workforce Commission | Dignity Health | shortages in doctors, nurses, medical assistants, mental health care workers and home care workers

Merger of Dignity Health and Catholic Health Initiatives is approved
FEB 1, 2019
VC Star
Michele Chandler, Redding Record Searchlight
Dignity Health | CommonSpirit Health | California Department of Justice | Catholic Healthcare West

Insured SF General patients on the hook for pending bills despite new policy
FEB 1, 2019
San Francisco Chronicle
Heather Knight
San Francisco General Hospital | health insurance | Department of Public Health | “balance billing” | charity care | Medi-Cal | Medicare | out of network

Why 19,000 Sacramento-area residents will get abrupt notice their doctor is changing
JAN 31, 2019
Sacramento Bee
Cathie Anderson
Molina Healthcare | Golden Shore Medical Group | Medi-Cal | WellSpace Health | managed-care insurer | Medicare | FQHC’s | Department of Managed Health Care | AltaMed Health Services | low-income patients

Walmart to pull pharmacies from CVS Health network
JAN 16, 2019
Fierce Healthcare
Tina Reed
Managed Medicaid retail pharmacy networks | Medicaid | patient care

Senior Emergency Unit Opens In UCSD La Jolla Hospital
JAN 11, 2019
Susan Murphy
geriatric rooms | seniors | patients over the age of 65 | accredited geriatric wing | geriatric medicine | best practices in geriatric emergency care

The Anti-Alzheimer's BOLD Act Isn't. But It Could Be A Step In The Right Direction.
JAN 9, 2019
Howard Gleckman
BOLD Infrastructure for Alzheimer’s Act | dementia | caregiver support | Alzheimer’s Association | vascular dementia | Lewy Body disease | respite care

MORE Media Coverage
Please Direct Questions and Comments to


Photo of Lydia Missaelides

Lydia Missaelides, MHA
Executive Director

Christin Hemann

Christin Hemann
Associate 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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