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They're poor. They're elderly. They're disabled. But are they eligible? Advocates and state officials are struggling to determine just who among hundreds will be allowed to continue in the program that replaces Medi-Cal's Adult Day Health Care (ADHC) system. Cash-starved California slashed the optional ADHC benefit last fall and replaced it with a leaner program called Community-Based Adult Services (CBAS).
The state-wide centers continue to serve about 80 percent of the original 40,000 or so participants, some of California’s frailest individuals, people who suffer from multiple disabilities including Alzheimer's, paralysis and traumatic brain injury. Advocates say the evaluation process for new participants was flawed and left many needy people without care. The state contends that the process worked and that only the most medically fragile individuals qualified, as intended.