In-Home Supportive Services (IHSS)
The In-Home Supportive Services (IHSS) Program helps pay for services provided to low-income elderly, blind or disabled individuals, including
children, so that they can remain safely in their own home. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care
Some of the services that can be authorized through IHSS include: housecleaning, meal preparation, laundry, grocery shopping, personal care services (such as
bowel and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and protective supervision for the mentally impaired.
Fair Labor Standards Act (FLSA)
||On September 17, 2013, the U.S. Department of Labor released the Final Rule on the Fair Labor Standards Act (FLSA), which extends the federal overtime and minimum wage protections to home care and domestic workers, effective January 1, 2015. The IHSS Program is now subject to the overtime rule.
Effective January 1, 2015, IHSS providers will be paid for the following:
What is changing beginning January 1, 2015?
- Overtime for hours worked over 40 in one work week (Sunday 12:00 a.m. - Saturday 11:59 p.m.);
- Travel time for traveling directly from one IHSS consumer to another on the same day (Limited to seven hours per workweek);
- Wait time at medical appointments in certain situations; and
- Attending mandatory training, post-employment.
- Consumer hours:
- Authorized hours will be converted from monthly hours (HH:MM) to weekly hours (HH:MM)
- IHSS providers who work for more than one IHSS consumer will submit a new 'Travel' timesheet showing the travel time between each consumer; and
- IHSS Providers who work for only one consumer will submit a new 'Non-Travel' timesheet.
- Please see the Sample Timesheet; Sample Timesheet with Travel Time and Do's and Don'ts when completing the new timesheet.
- Limits on the number of hours a provider may work:
- IHSS providers cannot work more than 66 hours in one week, or 61 hours with the 7% reduction. This includes any hours from Waiver Personal Care Services (WPCS) Program.
- Providers who work for multiple consumers cannot work more than a total of 66 hours, per week for all consumers.
- Starting November 1, 2014, the California Department of Social Services (CDSS) will begin sending notices and forms to all In-Home Supportive Services (IHSS) consumers and providers about the changes to the IHSS Program. This will take several weeks and will include the following documents:
- Temp 3001, Important Information for the IHSS Provider
- Temp 3002, Important Information for the IHSS Recipient
- Information sessions on the recent program changes will be conducted at various Los Angeles County locations.
- Training material on the FLSA requirements will be made available on the website.
To learn more about the implementation of recent IHSS program and FLSA changes, log onto the California Department of Social Services
website and listen to an audio explanation.
Coordinated Care Initiative: Managed Long-Term Services and Supports and the Cal MediConnect Program
The Fiscal Year (FY) 2012-13 State Budget established the Coordinated Care Initiative (CCI) in eight demonstration counties, including Los Angeles, to coordinate care for Medi-Cal and Medicare dual eligibles.
In Los Angeles County, dual eligibles will have medical, behavioral health, long-term services and supports (LTSS), such as nursing facility care, IHSS, Multi-purpose Senior Services Program (MSSP), and Community-based Adult Services (CBAS), coordinated through one of the five State-selected local health plans: Care 1st, CareMore, L.A. Care, Molina and Health Net.
CCI includes two parts:
- Mandatory enrollment into Medi-Cal Managed Care of all current Medi-Cal beneficiaries, in order to receive their long-term care benefits, including In-Home Supportive Services (IHSS).
- Optional enrollment of Medicare beneficiaries, who also receive Medi-Cal benefits (dual eligibles), into Managed Care for all their Medicare benefits. This part of CCI is named Cal MediConnect. Dual eligibles may choose to stay in traditional Medicare (fee for service) and enroll in Managed Care for only their Medi-Cal benefits.
Cal MediConnect Notices:
- Most beneficiaries will receive notices regarding CCI and their managed care options 90, 60, and 30 days prior to their coverage date.
- Beneficiaries in Medi-Cal managed care that are NOT eligible for Cal Medi-Connect will receive one notice prior to the change in their benefits package as managed long-term services and supports (MLTSS) is added to their existing plan.
- All CCI-related notices will arrive in blue envelopes.
Payroll Process for IHSS
On September 3, 2013, Los Angeles County began using a new computer system that improved timesheet processing.
What is Changed?
- Time worked is recorded in hours and minutes (HH:MM).
- New timesheet processing facility.
- You cannot submit your new timesheet to your local office.
- How to report a change of address.
For more information. please see the following documents:
Find the LA County services and facilities that serve your area...
- IHSS Application, Toll Free:
1-888-944-IHSS (4477) or
- L.A. County Toll Free Info. Line: 211
- Adult Protective Services (APS):
- IHSS Ombudsman:
- Provider Registry: Personal Assistance Service Council (PASC):
- PASC CBI Clearance Inquiry:
- SEIU - United Long Term Care Workers Union