Category Archives: News

6 September 2016

Heightened Scrutiny Is Real!!

Posted September 6, 2016 in blog in News in News in Public Policy in Uncategorized

“Heightened Scrutiny Is Real. Use It.”

            – Ralph Lollar, Director of Long Term Services and Supports,
                               Disabled and Elderly Health Programs Group, CMS
                                speaking to state officials at the NASUAD HCBS Conference


Spokesmen for the Centers for Medicare and Medicaid Services (CMS) offered new clarification important to ADS/ADHC providers during several sessions at the National Association of States United for Aging and Disabilities (NASUAD) annual HCBS conference August 29th thru September 1st.

In short, the single word “unless” in the HCBS regulations provides the states and providers within them the opportunity to justify under the provision of heightened scrutiny continued Medicaid HCBS funding for ADS/ADHC services regardless of the physical setting as long as the person-centered, community quality requirements are met.

Although justification may be rigorous in some instances, this clarification is a significant step forward from an administration that previously seemed determined to prohibit any setting that was physically located within, on the grounds of, or next to an institution.

More information will be presented at the NADSA Conference September 21-23.

Roy C. Afflerbach, NADSA Public Policy Advisor


22 August 2016

Opportunity To Comment on CMS Proposed Rule Affecting ADS

Posted August 22, 2016 in blog in News in News / National Adult Day Services Week in Public Policy

CMS-1654-P is a new rule that proposes changes to incentivize health care providers to diagnose Alzheimer’s disease earlier and to recommend community based services and supports. Adult Day Services are specifically mentioned as one such alternative! (See page 46213 of the Federal Register by clicking here.)

Most importantly, click here to leave a short Formal Comment about this proposed Rule.

Less than 150 people have commented and most of those are radiological technicians. ADS comments will be seen if enough of us make them!! Your comment need only be something like this: “Thank you for recognizing that Adult Day Services is a suitable community alternative to provide care for individuals suffering with Alzheimer’s (Page 46213 of the Federal Register). Adult day health centers are experienced in providing this care and are far less expensive than either Home Care or institutional care. I urge you to retain your support for Adult Day Care in the Final Rule.” (I have posted this comment.)

Post your comment as soon as possible. The comment period closes September 6th.

Sen. Roy Afflerbach, Ret., NADSA Public Policy Advisor
24 June 2016

Call for Nominations to serve on the NADSA Board of Directors

Posted June 24, 2016 in News in News

Board Candidate Application Form

Are you passionate about Adult Day Services and considered serving on the Board of Directors for the National Adult Day Services Association?  Our board members are charged with helping strengthen the Association and contribute to the advancement of Adult Day Services.  The board is comprised of a hard-working, dedicated group of leaders with diverse characteristics and skill sets.  We are proud to say that more than 50% of board members are Adult Day providers from across the U.S. and Mexico.

Annually, NADSA reviews the composition of the Board, identifies openings and seeks nominations from members with depth and breadth of experience in a variety of areas who are interested in contributing their time and skills to advance the national development, recognition and use of Adult Day Services.  If this sounds exciting to you, please apply!  Below we’ve included information regarding the Board’s function, focus and the selection process.

Six Priorities of the Board aligned with the outcome of the Member Survey:

  1. Public Policy
  2. Marketing
  3. Education of Members
  4. Strengthening/Developing State Associations
  5. Development/Membership of NADSA
  6. Research

Selection Process:

  • All Directors of the NADSA Board must be NADSA members, and a majority must be providers of adult day services
  • The Nomination Committee is charged with identifying the best candidates to lead the association, balancing skills, experience, geography, gender, ethnicity and other factors that would result in a strong and diverse board.
  • The membership is responsible for approving the slate of Directors recommended by the committee
  • The results will be announced at the Annual Business meeting in Indianapolis, IN on September 23, 2016.

Expectations of Board members:

  • Ability to annually attend two (2) in person and four (4) teleconference board meetings
  • One of the in-person meetings is in conjunction with the fall conference [locations vary] and the other is in conjunction with the spring public policy conference in Washington, D.C.
  • Engage as a working member of at least one committee and dedicate 2-4 hours per month for this committee or task force work
  • Willing to be involved in soliciting sponsorships/exhibitors and/or advertisers for the national conference
  • Board of Directors typically serve for a term of three (3) years.

I hope this has sparked your interest to complete the Board Candidate Application Form and include your CV or resume by July 23, 2016.

Testimonials from Current Board Members:

“Since joining the Board in October 2015, I have become aware of the imperative work that’s being done at the national level to advocate for Adult Day Services.  There are issues such as education, lobbying, promotion, awareness, and research that impact and benefit centers in every state.  Driving awareness of Adult Day Services is a core mission of NADSA.  Making a difference in awareness requires greater member participation and more members in order to compete with other long term care services providers who are more organized and better funded. If not us, then who?  If not now, then when?  I invite you to explore how you can bring your voice to the table with NADSA.”

“In 2014, after 13 years of managing and operating adult day centers, I joined the NADSA Board of Directors.  Until that point I had been very active in various state Adult Day Associations but never pursued becoming more involved with NADSA.  I now ask myself WHY? Being a part of the NADSA board has allowed me the opportunity to collaborate with individuals from across the nation that share my same passion and desire to see ADS move to the forefront of long term care services and the health care continuum.  Seeing the progress and accomplishments of NADSA over the past two years is rejuvenating and I am excited to see what the future holds for NADSA.  I encourage you to consider the options for becoming involved with the leadership of NADSA.”

26 May 2015

IONA Center Captures NPR Interest

Posted May 26, 2015 in In the News

The Iona Wellness & Art Center, an adult day center in Washington, DC, recently garnered national recognition for adult day services in a segment that aired on National Public Radio.  Listen to the informative presentation with Scott Simon.  Click here

15 April 2015

“Doc Fix” Bodes Well for ADS

Posted April 15, 2015 in blog in News in Public Policy

On Tuesday night, April 14th, the United States Senate agreed 92-8 with a previously House passed bill to replace the Sustainable Growth Rate (SGR) method of Medicare reimbursement with a new system focused upon “quality, value, and accountability”. Commonly referenced as the “Doc Fix”, the legislation applies primarily to physician reimbursement but includes unrelated items and several nuances that bode well for ADS .

Immediately, the bill does not affect adult day services because they are not direct recipients of Medicare reimbursements. However, additional important goals of the legislation are to link Medicare reimbursements to quality metrics and to encourage better care coordination and chronic care management. These stated goals provide an opening to fortify adult day’s efforts for direct Medicare reimbursement.

Here is a link to the Kaiser Health News report and FAQs about the new legislation, which President Obama said he will sign describing it as “a milestone for physicians, and for the seniors and people with disabilities who rely on Medicare for their health care needs.”

Roy Afflerbach
NADSA Public Policy Advisor



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