California Healthline: Adult Day Centers Still Struggling

by David Gorn, California Healthline Sacramento Bureau
 

It has been a tough couple of years for Moli Steinert, executive director of Stepping Stone, a collection of four facilities in San Francisco that tends to some of the most frail and elderly people in the city. Many of her clients are monolingual Chinese speakers or living in poverty. It’s a high-need population with low funding.

Stepping Stone survived the elimination of the state’s Adult Day Health Care program as a Medi-Cal benefit. When a lawsuit challenging the state’s elimination of ADHC was settled, Stepping Stone weathered the transition to the Community Based Adult Services program, which raised eligibility requirements and lowered the number of people covered. Those many months of limbo and uncertainty exhausted Stepping Stone’s cash reserves, Steinert said.

But the final straw, Steinert said, was the 2011 Medi-Cal provider rate cut, which lopped another 10% off reimbursement for treating her mostly low-income, Medi-Cal clientele.

“We could not live with the rate cut. We just couldn’t do it,” she said.

Steinert said her facilities are like a lot of other CBAS centers across the state, living on the edge of the financial precipice. After trimming staff, overhead and administrative costs as low as they could go, the 10% rate cut forced Steinert to announce that Stepping Stone’s four centers would close July 1.

Continue reading here: http://www.californiahealthline.org/insight/2014/adult-day-centers-still-struggling

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  • LAAAC is managed by St. Barnabas Senior Services; Funded, in part, by Archstone Foundation.
  • St. Barnabas Senior Services

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