Promoting the availability, accessibility, cost effectiveness and quality of adult day services in North Carolina

May 10—Advocacy Day at NC General Assembly

Adult day services supporters are encouraged to participate in Advocacy Day at the NC General Assembly on May 10, 2016, sponsored by the NC Coalition on Aging.  The event offers opportunity to visit with legislators and/or speak as topic experts while helping man one of eight pre- self-selected tables. The 1300 quadrant of the NC Legislative Building at 16 West Jones Street, Raleigh, NC, has been reserved on Tuesday, May 10, from 8:00am-4:00pm for use by the NC Coalition on Aging. Tables will be set up by 8:30 am until 2:00 pm. Representatives from Coalition member organizations (aka “Topic Experts”) are asked to self-select their “expert” topic(s) and schedule representative(s) to help man the tables addressing questions from visitors while also promoting their organizations.  Topic experts may stay for the duration or staff the tables in shifts.  Talking points related to the alignment of the Coalition’s legislative priorities and the table topic would be provided prior to the event.  Teresa Johnson is chairing the event on behalf of NCADSA. For more information or to volunteer to make legislative visits and/or be a topic expert, email Teresa Johnson at

Federal Legislation Allows Piloting New Options for PACE Programs

President Obama signed the PACE Innovation Act (PIA) into law on November 5, 2015.  The new law will allow the Centers for Medicare  & Medicaid Services (CMS) to develop pilot projects based on the successful Programs of All-Inclusive Care for the Elderly (PACE) model of care. NC legislators Senator Richard Burr and Representative Renee Elmers co-sponsored the legislation.  Currently the PACE model is limited to people aged 55 and older who meet state-specified criteria for needing a nursing home level of care. The PIA will allow expansion to more populations—including younger individuals, people with multiple chronic conditions and disabilities, seniors who do not yet meet the nursing home level of care.  Twelve PACE programs currently operate in North Carolina.

NC General Assembly Approves Overnight Respite Services in Adult Day Programs

In its recent budget approval, the NC General Assembly approved overnight respite in adult day centers beyond the pilot which was established in 2011, but the pilot will continue as is until the Medical Care Commission adopts rules.  Once the rules are adopted, any provider can apply for licensure to provide overnight respite.  Session Law 2011-104 authorized the Department of Health and Human Services to pilot an overnight respite program and to evaluate its success.  Access the report:

NCADSA Works Toward More Equitable Public Reimbursement

The NC Adult Day Services Association is working toward laws modifying laws to allow calculated rates instead of the current maximum reimbursement rates for the Home and Community Care Block Grant (HCCBG) and State Adult Day Care Fund (SADCF). Changes will allow for differences such as in service levels, hours of operation, regional economies. The North Carolina Adult Day Services Association (NCADSA) extends an invitation to every certified adult day center and adult day home in North Carolina to participate in a Cost Analysis Project to help review the impact of the potential changes. To participate, complete the highlighted cells in the Cost Analysis Tool based on your most recently completed fiscal year and return the spreadsheet to by August 21, 2015.

NC Delegates Request Support in D.C.

North Carolina Adult Day Services Association was well represented as delegates joined providers from across the U.S. to request support for current federal legislation which favors adult day centers and other home and community-based services.

Our Message to Legislators: "Support Seniors and People with Disabilities"

NCADSA members and staff visited the NC General Assembly with about 100 advocates who serve older adults and people with disabilities in North Carolina. The day in March was organized by the NC Coalition on Aging. We emphasized to NC legislators that adult day centers need their support. Restoring nearly $1 million that was cut from Home and Community Care Block Grant in the 2014 budget is one of the ways they can help support senior adults and people with disabilities.

North Carolina Department of Health and Human Services Responds to CMS Final Rule on Home and Community Based Services

The Centers for Medicare & Medicaid Services (CMS) published a final rule for Medicaid Home and Community Based Services effective March 17, 2014. The rule allows beneficiaries access to the benefits of community living and receiving services in the most integrated setting and provides alternatives to institutions. The rule will impact all adult day centers in North Carolina receiving Medicaid home and community-based waiver services, e.g. Medicaid CAP-DA, Innovations Supports, Innovations Supported Employment. Read more...

CarePartners Adult Day Services Recognized at 2014 National Conference in Charlotte

CarePartners Adult Day Services in Asheville, NC, was recognized as an Outstanding Adult Day Center in the national awards competition. The program is recognized as a model from which others can learn from its "best practices." The National Adult Day Services Association, in partnership with the North Carolina Adult Day Services Association hosted the National Conference in Charlotte, North Carolina, on October 9-11, 2014.