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Elimination of ADHC Funding Delayed: New Program Created
On November 17th, a settlement was reached in a federal lawsuit between Adult Day Health Care (ADHC) participants and the California Department of Health Care Services (DHCS), which will delay the elimination of ADHC funding until February 29th. As part of the 2011-2012 state budget, ADHC services were scheduled to be eliminated as a Medi-Cal benefit beginning December 1st. This would have impacted services for nearly 34,000 seniors and persons with disabilities throughout the state who rely on ADHC centers for skilled health and nursing services, personal care services, therapy, social services, transportation, meals and case management.
The settlement also creates a new program called Community-Based Adult Services (CBAS) that will provide ADHC-type services for qualified individuals. Although full details have not yet been released, DHCS intends for CBAS to be provided through centers contracted with managed care plans, and for the new program to be in place by March 1st. ADHC participants will begin receiving notices regarding this change in mid-December, and will be assessed for the new program sometime between then and February. It is believed that approximately half of current ADHC participants will be eligible for the new program. Participants who are not eligible will receive "enhanced case management" services through their managed care plan to help them transition into other services in the community.
Although this change will impact thousands of seniors and persons with disabilities, the announced settlement and creation of the CBAS program could keep many of these individuals from being placed in an institution or nursing home. The settlement is seen as a major victory by advocates throughout the state.
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