In-Home Supportive Services
I.H.S.S. is a statewide at-home care program in all 58 Counties in California. Hourly-paid home-care is less expensive for the state than the monthly costs for care at a SNF or ALF-W facility. Hourly pay is based on the number of hours/day needed for assistance with the 5 personal ADL’s/Activities of Daily Living, for eating, bathing, dressing, bladder care, and transfer (ex: bed to chair).
If your hours have been cut, contact
First, call to schedule an appointment:
323-939-0505 (M-F 9-5PM)
3250 Wilshire Blvd; 13th Floor
Los Angeles, CA 90010
WHO is eligible? A Care Receiver meeting the financial eligibility limits and is elderly or disabled or blind. An S.S.I. recipient may qualify, but one need not receive S.S.I. to qualify for I.H.S.S. services with a Share Of Cost. The goal is to obtain personal assistance with the 5 ADL/s Activities of Daily Living to continue living at home (without placement at a SNF or ALF-W).
Three (3) participants have a role: an Employer, an Employee and a Payor:
The Employer is the Care Receiver aka IHSS CONSUMER whose care needs are met at home;
The Employee is the Care Giver aka IHSS PROVIDER who receives an income-taxable minimum wage + Medi-Cal;
The Payor is California.
In LA County, PASCLA/Personal Assistance Council Los Angeles has trainings, meetings and teleconferences on the website, and its own JOB BANK. See http://www.pascla.org/pascla/
For elsewhere in California, see http://www.cdss.ca.gov/In-Home-Supportive-Services.
The County establishes the number of hours by interviewing the proposed CareReceiver/”Employer” about their personal needs. The County’s Eligibility Worker reviews relevant medical documentation, asks questions, and completes forms with checklists. Based on the responses provided by the proposed Care Receiver, the checklist documents the number of hours per week that services are needed. Be prepared to be specific about what tasks and how long and explain why.
See Disability Rights California
which is California’s Protection & Advocacy program
The Care Receiver/Employer has the same mandatory Labor Law duties as any other Employer: the employment relationship is solely between the CareReceiver/”Employer” and their own chosen independent “Employee” who provides the daily services and is willing to accept the Minimum Wage employment and submit their payroll records timely. While maintaining patient autonomy (and choice) for the Care Receiver, the Care Provider/Employee is assured of payroll deductions (for UIB and DIB benefits) and timely federal Social Security contributions.
The homebound CareReceiver/”Employer” must locate their own Employee. PASCLA has a JOB BANK. A County may provide a list of agencies without endorsement of any agency or staff.
A family member can be paid by I.H.S.S. for PERSONAL CARE services (such as bathing, bladder care, dressing, grooming and eating) ~ but not for family responsibilities such as grocery shopping, cooking, meal preparation, laundry, shopping, banking, or errands, as these are household obligations.
EmployER should not ‘tip’ the IHSS EmployEE. Doing so opens the door to elder abuse allegations and litigation. If the Employee fails to return, then a theft occurred (by the failure to provide services) so a report must be made ~ so that the replacement CareGiver (obtained from the JOB BANK) can be paid.