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...

NC General Assembly Publishes Final Report on Overnight Respite Services

Session Law 2011-104 authorized the Department of Health and Human Services to pilot an overnight respite program in four facilities that provide adult day care and directed the Program Evaluation Division to evaluate its success. Stakeholders perceive the pilot as successful, but only one of the facilities consistently provided overnight respite. PED found the legislative mandate for the pilot and its implementation by DHHS only met two of ten recommended components of a well-designed pilot program. In addition, the legislative prohibition against using state or Medicaid funding for the pilot hindered its effectiveness. Furthermore, no organization affiliated with respite care maintains data on the need for the service. The General Assembly should allow the pilot program authorizing overnight respite at adult day care facilities to expire on June 1, 2015, and require state agencies and institutions initiating pilot projects to adhere to standards established by UNC's School of Government.  Access the report:

 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.

Senior Adults and People with Disabilities Matter!

NCADSA members, adult day services participants and their family care providers convened at the NC General Assembly on Tuesday, June 2 to speak out against the Senate Budget that proposes funding and services for vulnerable people who may be forced into more expensive care alternatives outside their homes.  NCADSA is one of about 30 members of the NC Coalition on Aging.  Over 100 advocates showed solidarity and spoke up at the event.  People who could not attend in person were asked to call and email their legislators. 

Adult Life Programs Executive Director Mark Bumgarner talks with Representative Hollo about maintaining funding and services for senior adults and persons with disabilities.
Representative Hollo, Co-Chair of Health and Human Services Appropriations, talks with Adult Life Programs Executive Diretor Mark Bumgarner about maintaining funding and services for seniors and people with disabilities.

AARP Volunteer Tom Murdock advocates for funding and services for seniors in Mecklenburg County with Representative Beverly Earle. 

AARP Volunteer Tom Murdock talks with Representative Beverly Earle about the critical role she plays in helping maintain funding and services for seniors and people with disabilities. 

Primary messages included maintaining Home and Community Care Block Grant funding and maintaining optional Medicaid services for the aged, blind and disabled.  This proposed elimination of optional services for the approximately 375,000 aged blind, and disabled adults on Medicaid will have major consequences for the health of these individuals.  Paying for these services on the front end prevents more expensive expenditures on the back end such as emergency room and nursing home care. 

Related stories... 
News and Observer 
NC Health News
Charlotte, NC Fox Station

North Carolina Constituents Participate in National Adult Day Services Event on Capitol Hill

Chip Cromartie, Teresa Johnson and Garman Troup joined about 45 other supporters of adult day services from 22 states to speak up for adult day services at our nation's Capitol on April 8, 2014.  The NC Adult Day Services Association is a partner supporting the efforts of the National Adult Day Services Association to advance the development, accessibility and utilization of adult day services.

NCADSA Selected for Wake Forest University Business Solutions Partnership

The visibility of adult day services in North Carolina will receive a tremendous boost, thanks to the Wake Forest University School of Business.  The North Carolina Adult Day Services Association (NCADSA) has been selected to work with Divya Parameshwaran and Jason Webster, second-year MBA students, who will serve as consultants to NCADSA on the creation of a statewide marketing plan for adult day services. Teresa Johnson, NCADSA Executive Director, attended the kick-off dinner at the beautiful new Wake Forest University School of Business in Farrell Hall on Monday, October 21, 2013. "We are excited about the impact this project can have on North Carolina.  The statewide plan has the potential for replication nationwide."

    Wake Forest Business Solutions is a student consulting program which is overseen by members of the School of Business faculty. Wake Forest Business Solutions (formerly Management Consulting Practicum), an integral part of the curriculum of the School of Business since 1971, has won enthusiastic support from several hundred organizations for whom projects have been completed—both in the United States and abroad.  NCADSA will receive hundreds of hours of free consulting time, worth thousands of dollars, for the project. The students will present their project work in March 2014.  Posted October 21, 2013.



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