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


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.”

12 March 2015

CMS Has Announced Additional HCBS Rule Guidance

Posted March 12, 2015 in News in Public Policy in Resources / Providers

The Centers for Medicare & Medicaid Services (CMS) recently updated portions of the CMCS Home and Community-Based Services (HCBS) Toolkit.  Updated versions (Version 1.0) of the HCBS Basic Element Review Tool for Statewide Transition Plans and the HCBS Content Review Tool for Statewide Transition Plans are now available. This information is part of the CMS ongoing effort to assist states in meeting regulatory requirements for residential and non-residential home and community-based settings.

The full HCBS toolkit, including the updated portions, is available online at

Providers may find it helpful to review the information and examples CMS is providing for state administrators.

Roy Afflerbach, NADSA Public Policy Advisor

20 September 2012

National Adult Day Services Association Recognizes 2013 Board of Directors

Posted September 20, 2012 in News

The National Adult Day Services Association (NADSA) wishes to recognize leaders in the adult day services field that serve as members of the association’s board of directors.

NADSA’s board of directors is responsible for governing the association, providing strategic direction, fiduciary oversight and developing new policies and programs. These individuals represent adult day services providers from across the country.

Edwin “Ned” Morgens of Gyrfalcon Senior Care of Johns Creek, Georgia, will serve as chair of the board. The following individuals join Morgens as board members:

  • Linda Alexander-Lieblang – Alzheimer’s Association California Southland Chapter, Los Angeles, CA
  • Keith A. Anderson – The College of Social Work: Ohio State University, Columbus, OH
  • Melinda Burchett – American Health Management, Inc., Albany, KY
  • Troy Carter – Adult Day Care Association of Texas, Missouri City, TX
  • Susan Hulce Cerletty – Retired Healthcare Exec & Licensed Physical Therapist, Brookfield, WI
  • Chip Cromartie Adult Center for Enrichment, Greensboro, NC
  • Terry Fishler ADS Data Systems, Inc., Stevenson, MD
  • Joan Marie Granato – Future Focus, Bayonne, NJ
  • Rick Greene – Department of Veterans Affairs, Geriatrics and Extended Care, Washington, DC
  • Kathy O’Brien – Senior Gerontologist, MetLife Mature Market Institute, Westport, CT
  • Lisa Peters-Beumer – Easter Seals, Chicago, IL
  • Sarah Price – Alzheimer Society of Calgary, Calgary, Canada
  • Jocelyn Schowalter – Amherst H. Wilder Foundation, Brookfield, WI
  • Thomas TenkelyFoundation of Senior Living, Phoenix, AZ
  • Dana Territo – Alzheimer’s Services of the Capital Area, Baton Rouge, LA
  • Steve Zarit – Penn State University, University Park, PA

In Morgens’ words, “NADSA is founded on collaboration and partnerships forged by members in communities all across the country.  The new board of directors represents these adult day service providers as they work with consumers, families, policy makers and the media. NADSA’s new team of incredibly gifted and committed members are working together to develop leadership that will tell the story of adult day services’ value across the country.”

The National Adult Day Services Association ( is the leading voice of the rapidly growing adult day services industry in the United States. NADSA is an independent national organization dedicated to raising public and government awareness of the value of adult day services. Adult day services provide community-based care for frail elders as well as persons of all ages with multiple and special needs associated with conditions such as Alzheimer’s disease, developmental disabilities, traumatic brain injury, mental illness, HIV/AIDS, vision and hearing impairments, and more. NADSA’s Officers and Board Members reflect the range of adult day services providers in the industry. NADSA provides its members, adult day centers across the U.S., with effective national advocacy, educational and networking opportunities, and technical assistance, research and communication services.



NADSA will provide to user the contents of this Directory only if you accept all of the terms and conditions contained in this non-exclusive, non-transferable, limited agreement. You must read this agreement before opening the Directory.

By opening this Directory, you hereby accept and agree to be bound by the following terms and conditions: This Directory shall be used for individual and confidential reference purposes only, and may be used only pursuant to the terms of this agreement. This directory is property of NADSA. Its contents may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; used as part of or in connection with the preparation, revision or confirmation of a mailing, telephone, fax, email, or other marketing list; or otherwise utilized, in any form or manner or by any means reference. Contained herein are the names, addresses, telephone numbers, fax numbers, email addresses, and contact persons of ADS Centers. Their presence in this Directory represents only that these companies, organizations, institutions, or individuals are ADS Centers. It does not represent their consent to receive any related communications. NADSA does not endorse these Centers and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the products or services provided by those Centers/individuals contained in this directory. NADSA expressly disclaims all liability for damages of any kind arising out of the use or performance of the products or services provided by these Centers/individuals.