CAADS - California Association for Adult Day Services

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NEW History & Physical Form — A CDA-Approved Standardized Tool — Now Available!

CAADS Members: No Charge - visit the Members Only Page for details
Non-members: $99 - Order Form Fill-in : Write-on

DEC 13 | CAADS WEBINAR: New Medicare Advantage Contracting Opportunities

2:30 PM - 4:00 PM (Pacific) | Watch for details to come . . .

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

What's New . . . NOVEMBER 14, 2018

New SSA Phone Scam

OCT 31, 2018 | Justice in Aging

There's a new phone scam targeting Social Security beneficiaries that advocates for older adults should be aware of. The Federal Trade Commission is warning that scammers are engaging in a caller ID trick called "spoofing" to make it appear that they are calling from the Social Security Administration (SSA).

These phony callers claim to work for SSA and ask for personal information—such as the individual's Social Security Number—supposedly in order to process a benefit increase. These scam artists have also tried to get this information by claiming that the person's benefits will be cut off if the personal information isn't provided. Read the FTC's warning to learn more, including where to report such calls, and what people should do if they get one of these calls.

If you or your organization directly serve older adults, please make this information available widely in your community.


Protecting Immigrant Families - A Call to Action!

OCT 29, 2018 | Justice in Aging

Protecting Immigrant Families is focusing this week on how the federal proposed Public Charge rule affects seniors, people with disabilities! Along with partner Justice In Aging, this week's public advocacy is focused on trying to get as many people and organizations as possible to leave unique comments against the proposed Public Charge rule. The “public charge” rule change is in some cases literally a matter of life and death, interfering with the immigration status of people who use life-saving programs like #Medicaid.

In addition to the content in the Protecting Immigrant Health digital toolkit, here are suggested talking points for comments, public messaging and social media outreach:

  • The “public charge” regulation denies the contributions older adults and threatens their health and well-being of millions. We must reject it.
  • The Trump Administration’s “public charge” proposal would allow the government to discriminate against people with preexisting health conditions or disabilities and seniors.

For social media please see this toolkit and view Justice in Aging graphics and resources online here.

If you want to join in, there’s tweetstorm between 11 and noon Pacific on Wednesday.


Cal Duals Coordinated Care Initiative
Monthly Update: October 2018

OCT 25, 2018 | Cal Duals

The Cal Duals Coordinated Care Initiative Monthly Update: October 2018 is now available.


New Final Rule from VA Impacts Needs-Based Programs

OCT 24, 2018 | Justice in Aging | Fact Sheet

The Department of Veterans Affairs published a final rule that went into effect on October 18, 2018. These new regulations significantly affect the VA Pension, the Aid & Attendance benefit, and other needs-based benefit programs. Advocates serving veterans who might apply for needs based benefits should be aware of these new changes so they can properly advise their clients.

A Justice in Aging Fact Sheet provides statutory details. Advocates should be aware that the new rule impacts the following eligibility requirements:

  • Net Worth
  • Asset transfers
  • Deductible Medical Expenses
  • Income and Asset Exclusions
  • Medicaid-covered Nursing Home Care


HHS Names New Medicaid Director

OCT 19, 2018 | Justice in Aging

On Monday, the Trump Administration named Mary Mayhew as the new deputy administrator and director of the Center for Medicaid and CHIP Services. Mayhew, who is filling the position Brian Neale vacated in January, was formerly the commissioner of Maine's Department of Health and Human Services. While in that role under Governor LePage, she opposed the ballot measure that passed to expand Medicaid.


New Public Charge Resources for Older Adults

OCT 17, 2018 | Justice in Aging

The Trump Administration’s proposed “public charge” rule would make it harder for families to stay together and for the older adults in our families and communities to receive the care they need because it would put immigration status at risk if an immigrant accesses or is likely to access programs that support health, nutrition, and economic stability.

The rule targets low-income immigrant seniors by greatly expanding the types of benefits that would lead to someone being classified as a “public charge.” Under the rule, seniors who ever used, sought help from, or were likely to seek help from such programs as Medicaid, the Medicare Part D Low-Income Subsidy (“Extra Help”) or the Supplemental Nutrition Assistance Program (SNAP) would be considered likely “public charges” and could be denied a visa or permanent residency. Confusion about the changes may lead to older adults forgoing needed services out of fear of potential immigration consequences.

The rule is published on the Federal Register and open for public comment until December 10, 2018. Justice in Aging has created a number of materials to help advocates fight back, counsel their older adult clients, and comment on the rule.

Our Public Charge webpage houses all of our public charge resources. You can:

  • sign up for our [NOV 14] webinar on public charge
  • get tools to comment on the rule
  • read our fact sheets
  • on social media, use the hashtag #ProtectFamilies and our social media graphics available on our Public Charge webpage

We have until December 10 to fight back! Learn more and take action now!


Millions of seniors pushed into povertyWe Stand with Seniors logo

JUN 28, 2018 | Capitol Weekly | Shelley Lyford and Bruce A. Chernof | Article

It is no secret that Californians are living longer, but not necessarily better.

By 2030, the state’s senior population will increase by 4 million people, yet the state is woefully unprepared to care for this growing and financially unstable demographic. The lack of any strategy or organized master plan has pushed millions of seniors into poverty, unable to access high-quality, affordable healthcare, dental care, housing and supportive services.

Our lawmakers and next governor need to set aside partisan differences and collaborate on the creation of a state master plan for aging that recognizes three important pillars: the ability to age with independence; a healthcare system that responds to the individual not an institution; and affordable housing. MORE


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.

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!

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

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


Media Coverage

Here’s why Meals on Wheels is asking elderly Californians about their LGBT status
OCT 23, 2018; Updated OCT 27, 2018
Sacramento Bee
Micahel McGough and Cassie Dickman
AB 959 | AB 677 | California’s LGBT Disparities Reduction Act | Department of Aging | health disparities | departments of Health Care Services, Public Health and Social Services | seniors | Older Americans Act | Area Agencies on Aging

As Billions In Tax Dollars Flow To Private Medicaid Plans, Who's Minding the Store?
OCT 18, 2018
California Healthline
Chad Terhune
Medicaid | low-income Americans | managed care | Centene | Affordable Care Act | patient care | managed care plans | Centers for Medicare & Medicaid Services

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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