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CAPA Ltrs from "Representing California Rural Counties (RCRC)"

In-Home Supportive Services Budget Trailer Bill Details (SB 90):  This memo outlines the State Budget provisions reestablishing the In-Home Supportive Services (IHSS) Maintenanceof Effort (MOE) and the associated agreements made by the Administration to further offset impacts to counties.

First Look:  In-Home Supportive Services (IHSS) Negotiations After SB 90 (Chapters 25, Statutes of 2017) - The 2017-18 state budget package includes changes to collective bargaining and financing for the In-Home Supportive Services (IHSS) program.  The state and counties spent several months prior to the budget agreement negotiating changes to IHSS financing after the Director of the Department of Finance ended the Coordinated Care Initiative (CC) in January.  As initially unveiled, the CCI would shift approximately $600 million in costs to counties and undo statewide collective bargaining for IHSS.  SB 90 (Chapter 25, Statutes of 2017) contains the negotiated agreement between the Brown Admnistration and counties to adddress the IHSS program.  The purpose of this document is to provide an initial review of the issues that may present themselves at the bargaining table over the next few months and to provide rural counties a number of tools ro assist with SB 90 implementation and local decision-making.  This document is not meant to be final, but a first look at the issues that counties will contemplate this year and in coming years. RCRC anticipates more issues to be raised as implementation continues over the next several weeks and months.

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Advanced Pay Information

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CDSS Implementation of Sick Leave Earning & Usage Requirements

Updated Version of PDF posted 6/12/2017 - Telephone Conference June 9, 2017- 1 p.m. to 2:30 p.m.

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New Electronic Timesheets - Pilot Program Begins June 5, 2017

Pilot Counties:  Riverside, Sacramento, and Yolo

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You are invited to participate in CDSS Adult  Programs Division public stakeholder webinar to discuss the policies and procedures for implementation of IHSS provider sick leave requirements as mandated by SB 3.

The webinar will take place on Thursday, March 23rd from 1:30 p.m. to 3 p.m.

To register for the webinar, please go to https://attendee.gotowebinar.com/1095896814903683331

Please enter your full name and email and then click the Register Button.

On the day and time of the webinar, you must call the number below and enter the Participant Access Code when directed:

Conference Call Phone Number:  1-800-707-9573

Participant Access Code:  421065

Click here for the slide presentation that will be discussed during this webinar!

Look forward to your participation! 


In-Home Supporve Services

The State Could Do More to Help Providers Avoid Future Payment Delays

Report 2016-128

This is a 65 page document (PDF)


Reply Due:  January 13, 2017

CMIPSII-REQUESTS@DSS.CA.GOV

Attached for your review and comments is the draft ACL providing counties with information and changes to Case Management, Information and Payrolling System (CMIPS) functionality due to the implementation of SB 855 and SB 873.  Additional information and modifications to CMIPS regarding Internal Revenue Srevice (IRS) Notice 2014-7 is also included in this ACL.

CLICK HERE FOR DRAFT ACL


ACL Exception Timesheet Report  Draft


Reply Due:  Thursday, December 15, 2016

Dear IHSS Stakeholders,

Attached for your review and comment is the draft ACL that provides counties with information and instructions for requesting renewal of Extraordinary Circumstances Exemptions granted to In-Home Supportive Services (IHSS) program providers who met the conditions specified in ACL No. 16-22, which allow them to work more than the IHSS program workweek limitations.

We would like to have comments from stakeholders back to us by Thursday, December 15, 2016.  We would further appreciate it if you could assist us by consolidating any comments into a single document and send them to:   Brad Elftmann at Brad.Elftmann@dss.ca.gov and Shawntel Bush at Shawntel.Bush@dss.ca.gov.

In-Home Supportive Services Program Exemptions from Workweek Exemptons for Extraordinary Circumstances (Exemption 2) - Renewal of Approved Exemptions, Clarification on Submitting Referrals, and New County Responsibility for Assigning Hours for Providers Granted an Exemption 2 (9 pages)

Final Draft Exemption 2 Justification Form (6 pages)

Final Draft Exemption 2 Provider Agreement

Final Draft Nonreciept of Provider Agreement


Internal Revenue Code 131; Internal Revenue Notice 2014-7:  "Live-In Provider Self-Certification Information Notice" and "Live-In Self-Certification Form for IRS Federal Tax Wage Exclusion (SOC 2298)"

Mass Mailing and Timesheet Insert Notice - Exclusion Letter

Live-In Provider Self-Certification Information Notice

IHSS Program & Waiver Personal Care Services (WPCS) Program Live-In Self-Certification Form for IRS Federal Tax Wage Exclusion (SOC 2298)

Notification Letter to IHSS & WPCS Providers (Nov. 1, 2016)


Aprl 26, 2016

Waiver Personal Care Services Provider

Subject: Overtime for Waiver Personal Care Services

The federal government passed new rules about overtime for Waiver Personal Care Services (WPCS) and In-Home Supportive Services (IHSS) programs. California started paying IHSS and WPCS care providers under these new overtime rules on February 1, 2016.

This letter is being sent to people who provide services either through the In-Home Operations (IHO) Waiver or the Nursing Facility/Acute Hospital (NF/AH) Waiver. In January, 2016, we sent you informational packet Temp # 3001 informing you of the new overtime rule and its limitations and the exemption bulletin letter no. 16-001. If you did not receive the informational packet, please contact IHO at (916) 552-9214, and one will be sent to you in the mail.
 

Click here to read complete letter!

Click here for form DHCS Form 2279


DRAFT CMIPS ACL - Violations Dispute and State Administrative Review Process

Dear IHSS Stakeholders,

Attached for your review and comment is the draft All-County Letter (ACL) with information regarding modifications to the Case Management, Information and Payrolling System (CMIPS) to implement and manage workweek limitations and travel time violation disputes and the State Administrative Review (SAR) process for In-Home Supportive Services (IHSS) and Waiver Personal Care Services (WPCS). Due to time constraints for implementation of the workweek and overtime requirements, we are requesting an expedited review and would appreciate comments from stakeholders by Friday, April 29, 2016.

Please send your comments to the following email address:  CMIPSII-Requests@DSS.ca.gov

Attachments:

  1. Violation Dispute Draft ACL – 20 pages

    MODIFICATIONS TO THE CASE MANAGEMENT, INFORMATION AND PAYROLLING SYSTEM (CMIPS) TO IMPLEMENT AND MANAGE WORKWEEK LIMITATIONS AND TRAVEL TIME VIOLATION DISPUTES ANDTHE STATE ADMINISTRATIVE REVIEW PROCESS FOR IN-HOME SUPPORTIVE SERVICES (IHSS) AND WAIVER PERSONAL CARE SERVICES (WPCS)

  2. SOC XXXX - County Dispute Override – Rescind Violation – Provider Letter Sample (1 page)

    Administrative Use – Notice to Provider Rescinding Violation

  3. SOC XXXX – County Dispute Override – Rescind Violation – Recipient Letter Sample (1 page)

    Administrative Use – Notice to Recipient of Rescinding Provider Violation

  4. SOC XXXX - County Dispute Upheld – Retain Violation – Recipient Letter Sample (1 page)

    Administrative Use – Notice to Recipient of Provider Upholding First or Second Violation

  5. SOC XXXX - County Dispute Upheld – Retain Violation – Provider Letter Sample (1 page)

    Administrative Use – Notice to Provider Upholding First or Second Violation

  6. SOC XXXX – Second OT Violation – Training Completed – Violation Removed – Provider OT Letter Sample (1 page)

    Administrative Use – Notice to Provider Training Complete – Removing Violation

  7. SOC XXXX – Second OT Violation – Training Completed – Violation Removed – Recipient OT Letter Sample (1 page)

    Administrative Use – Notice to Recipient Provider Training Completed – Removing Violation

  8. SOC 2272 – Sample (4 Pages)

    IN-HOME SUPPORTIVE SERVICES PROGRAM NOTICE TO PROVIDER OF RIGHT TO DISPUTE VIOLATION FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  9. SOC 2273 – Sample (3 pages)

    IN-HOME SUPPORTIVE SERVICES PROGRAM STATE ADMINISTRATIVE REVIEW REQUEST OF THIRD OR FOURTH VIOLATION FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  10. SOC 2280 – Sample (1 page)

    IN-HOME SUPPORTIVE SERVICES PROGRAM NOTICE TO PROVIDER UPHOLDING FIRST OR SECOND VIOLATION FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  11. SOC 2281 – Sample (1 page)

    IN-HOME SUPPORTIVE SERVICES PROGRAM NOTICE TO RECIPIENT UPHOLDING PROVIDER’S FIRST OR SECOND VIOLATION FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  12. SOC 2282 –Sample (1 page)

    IN-HOME SUPPORTIVE SERVICES PROGRAM NOTICE TO PROVIDER UPHOLDING THIRD VIOLATION (90-DAY SUSPENSION OF ELIGIBILITY) FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  13. SOC 2283 – Sample (2 pages)

    IN-HOME SUPPORTIVE SERVICES PROGRAM NOTICE TO RECIPIENT UPHOLDING PROVIDER’S THIRD VIOLATION (90-DAY SUSPENSION OF ELIGIBILITY) FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  14. SOC 2284 – Sample (2 pages)

    IN-HOME SUPPORTIVE SERVICES PROGRAM NOTICE TO PROVIDER UPHOLDING FOURTH VIOLATION (ONE-YEAR PERIOD OF INELIGIBILITY) FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  15. SOC 2285 – Sample (2 pages)

    IN-HOME SUPPORTIVE SERVICES PROGRAM NOTICE TO RECIPIENT UPHOLDING PROVIDER’S FOURTH VIOLATION (ONE-YEAR PERIOD OF INELIGIBILITY) FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  16. SOC 2286 – Sample (1 page)

    IN-HOME SUPPORTIVE SERVICES PROGRAM STATE ADMINISTRATIVE REVIEW REQUEST RESPONSE LETTER TO PROVIDER UPHOLDING THIRD VIOLATION (90-DAY SUSPENSION OF ELIGIBILITY) FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  17. SOC 2287 – Sample (1 page)

    IN-HOME SUPPORTIVE SERVICES PROGRAM STATE ADMINISTRATIVE REVIEW REQUEST RESPONSE LETTER TO RECIPIENT UPHOLDING PROVIDER’S THIRD VIOLATION (90-DAY SUSPENSION OF ELIGIBILITY) FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  18. SOC 2288 – Sample (1 page)

    IN-HOME SUPPORTIVE SERVICES PROGRAM STATE ADMINISTRATIVE REVIEW REQUEST RESPONSE LETTER TO PROVIDER RESCINDING THIRD VIOLATION OR FOURTH VIOLATION FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  19. SOC 2289 – Sample (1 page)

    IN-HOME SUPPORTIVE SERVICES PROGRAM STATE ADMINISTRATIVE REVIEW REQUEST RESPONSE LETTER TO RECIPIENT RESCINDING PROVIDER’S THIRD OR FOURTH VIOLATION FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  20. SOC 2290 – Sample (1-page)

    IN-HOME SUPPORTIVE SERVICES PROGRAM STATE ADMINISTRATIVE REVIEW REQUEST RESPONSE LETTER TO PROVIDER UPHOLDING FOURTH VIOLATION (ONE-YEAR PERIOD OF INELIGIBILITY) FOR EXCEEDING WORKWEEK AND/OR TRAVEL TIME LIMITS

  21. SOC 2291 Sample (1 page)

IN-HOME SUPPORTIVE SERVICES PROGRAM STATE ADMINISTRATIVE REVIEW REQUEST RESPONSE LETTER TO RECIPIENT UPHOLDING FOURTH VIOLATION (ONE-YEAR PERIOD OF INELIBILITY)

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draft CMIPS ACL - system modifications for violations

Attached for your review and comment is the draft All-County Letter (ACL) providing counties with information regarding the modifications made to the Case Management, Information and Payrolling System (CMIPS), including the overtime violations business process, new/modified screens for violations, exemptions from workweek limitations, and management of recipient flexible hours.  Due to time constraints for implementation of the workweek and overtime requirements, we are requesting an expedited review and would appreciate comments from Coalition members by Monday, April 25, 2016.

Click Here for 36 page document.

Please send your comments to the following email address:  CMIPSII-Requests@DSS.ca.gov.

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LIST OF QUESTIONS FOR IHSS ADVISORY COMMITTEES TO ASK AT THEIR MEETINGS (re FLSA changes)

Public Authorities

IHSS Advisory Boards/Committees & Consumers

During California In-Home Supportive Services Consumer Alliance (CICA) monthly February’s State-wide Call, many concerns were expressed about the Fair Labor Standards Act (FLSA) changes in over-time, Wait-Time, Travel Pay, how counties are handling the added requirements for forms and questions consumers may have?

A few of the questions asked were:

  • Are consumers calling with difficulties because their provider works for another consumer and is therefore running into weekly hour caps?
  • Are they actually calling consumers/providers during the grace period about violations?
  • What system does the county have in place for processing requests for increased (shifting) weekly hours, be it regular or overtime due to unforeseen circumstances?

CICAs sub-committee came up with 19 questions with a few having sub-questions under them. These can be found by clicking here.

It is hoped Public Authorities review these questions and share with your individual Advisory Boards/Committees for their use.  If possible it is hoped the Advisory Boards/Committees answer questions pertaining to their county and return their responses to CICA, info@cicaihss.org, by May 27, 2016.

Thank you for our support and assistance!

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Federal Income Taxes on In-Home Supportive Services (IHSS) Wages

CDSS News Release March 16, 2016

SACRAMENTO- The Internal Revenue Service (IRS) has informed the California Department of Social Services (CDSS) (read IRS letter) that the IHSS wages received by IHSS providers who live with the recipient of those services are not considered part of "gross income" for purposes of federal income taxes. Approximately 53 percent of California's 400,000 IHSS providers live with at least one of the recipients they serve. The wages of these providers are considered to be "difficulty of care" payments, and thus are exempt similarly as are foster care payments for the care and supervision of a child. These wages remain subject to withholding for social security and unemployment.

As a result of the timing of the IRS letter, the W-2 forms mailed to IHSS providers for the 2015 calendar year do NOT reflect this IRS guidance, and therefore DO reflect federal income tax withholding. The Department will be working with its payroll system vendor to adjust federal income tax withholding for certain providers, and may require providers and recipients to identify when they live together in order to appropriately withhold federal income tax from applicable IHSS wages. This effort also will be coordinated with labor organizations representing providers, to ensure providers are informed of this IRS opinion.

The Department makes this announcement solely as a service to IHSS providers. The Department does not provide tax advice, and the full IRS letter therefore is being made available only to inform and assist taxpayers. IHSS providers with questions about this IRS opinion are encouraged to consult with a tax advisor.

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Increase the SSI/SSP Grant Above the Poverty Level

CA4SSI • Californians for SSI • #CA4SSI • CA4SSI.org

Our organization joins with the Californians for SSI Coalition in calling on the Legislature to increase the SSI/SSP grant amounts above the federal poverty level for Californians who are blind, seniors and/or living with disabilities. While almost every area of the state budget has had funds and programs restored in recent years, SSI/SSP recipients have not received any restorations. We believe it is long past time for this to occur.

 

Cick here to review the complete letter!  (PDF 2-pages)

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IHSS Budget 7% Across-the-Board Cut (Pemanent Repeal)

IHSS Coalition Letter March 2, 2016

This year, we need all of you to do what you know is right – and what you've done before: Stand up for the California consumers of IHSS, their families and the workers who provide their much-needed care. We call on you to permanently repeal the 7% across-the-board cuts.

Click here to read the letter! (PDF 5-pages)

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Request to Restore the IHSS Share-of-Cost Buy-Out

IHSS Coalition Letter February 29, 2016

RE:   Request to Restore the IHSS Share-of-Cost Buy-Out

Dear Assembly Member Thurmond and Senator Mitchell;

The IHSS Coalition is composed of forty-eight organizations representing IHSS consumers, providers and advocates. Our goals are (1) to ensure sufficient funding for In-Home Supportive Services and its interrelated aspects (2) to develop potential improvements for the program, (3) to disseminate information on homecare issues through public events and our website, and (4) to preserve and enhance consumer-directed services.

We write to request the restoration of the IHSS Share of Cost Buy-out.

The 2009 repeal of the IHSS share of cost buy-out left some IHSS consumers, who have income above the SSI amount (currently $889.40 for an individual) with substantially less than the inadequate SSI level income to live on. To receive IHSS, they must spend down to $600 ­ the Medically Needy amount.

Click here to read the complete letter. (PDF 6 pages)

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FLSA Tools
How to Divide a Monthly Authorization by into Weeks

CDSS has developed a FLSA "Divide by Four" cheat sheet to assist in scheduling authorized IHSS hours (click here).

Overtime FAQ & Exemption Bulletin (DHCS Waiver)

DHCS has developed easy to follow information which guides participants and providers on how to comply with the FLSA overtime rules.  The attached Frequently Asked Questions is to simplify the new Overtime rule and help participants and providers better understand the new process. In some cases, DHCS will allow over time up to the waiver limit (12-hour work day or 360 hours per  month). The Exemption Bulletin and Frequently Asked Questions are attached for your convenience. Best Regards.

Maha Edlbi, Ed.D.

Waiver Administration Unit Chief

DHCS Letter - Overtime for Waiver Personal Care Services (January 29, 2016; 16-01

Waiver Personal Care Services (WPCS) FAQ for Waiver Participants (January, 2016; 5 pages)

Waiver Personal Care Services (WPCS) FAQ Provider Questions (January, 2016; 4 pages)

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FLSA Video by CDSS

2016 Fair Labors Standard Act (FLSA)

All County Information Notice (ACIN) I-09-16 January 27, 2016

The purpose of this ACIN is to provide counties with information regarding the release of a new IHSS Informational Video.  This  video explains new IHSS program changes regarding overtime and travel time pay, information on violations, and instructions on completing timesheets and Travel Claim forms that will be implemented February 1, 2016, pursuant to Sentate Bill (SB) 855 and SB 873. 

Click here for ACIN I-09-16

New IHSS Program Requirements

The California Department of Social Services (CDSS), in collaboration with San Diego State University Research Foumdation (SDSURF), developed an informational video to assist recipients and providers in understanding the new program changes correctly completing the IHSS tiimesheets and Travel Claim forms.

Additionally, this video:

  • Explains IHSS program changes that may impact recipients and providers regarding overtime and travel pay;

  • Reviews new key terms important to the IHSS program;

  • Reviews several revised and new forms;

  • Demonstrates how to complete the new Travel Claim form; and

  • Provides tip on how to prevent timesheet mistakes to avoid payment delays and violations.

This video is now available on the CDSS website at the following link:  www.cdss.ca.gov/agedblinddisabed/PG3154.htm.  Additionally, SDSURF will distribute an initial DVD to each county and Public Authority.

Click  here for direct path to video (28 minutes).

Click here for the script of the FLSA video (PDF 11 pages)

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Disability Rights California (DRC)

IHSS and WPCS Overtime

January 28, 2016

Disability Rights California has prepared a power point presentation of the present (FLSA  changes) reinstatement of implimentation of provisions of SB 855 and SB 873 (ACL 16-01, January 7, 2016) and Exemption to Provisions of SB 855 and SB 873 (ACL 16-07, January 21, 2016).

New Rules for IHSS:  Overtime and Related Changes (January 25, 2016) PPT

New Rules for IHSS:  Overtime and Related Changes (January 25, 2016)  PDF

Spanish:  Nuevas reglas de "Servicios de apoyo en el hogar" (IHSS): Horas extra y cambios relacionados 25 de enero de 2016

Chinese:  Click here

 

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Reply Due December 21, 2015

Draft All County Letter

FLSA Update SB 855 & SB 873

Below for your review and comment is the draft ACL providing counties with iformation and instructions for implementing the provisions of Senate Bill (SB) 855 and SB 873 that stablishd limits on the number of authorized hours providers in the In-Home Supportive Services (IHSS and Waiver Personal Care Services (WPCS) programs are permitted to work in a workweek.

As everyone is aware, there is a specified timeframe to implement the requirements.  Given the time constraints, Coalition members are being asked to review and submit comments to CDSS by Monday, December 21st.  Your response should be directed to Charissa.Miguelino@dss.ca.gov and Don.Tresca@dss.ca.gov

Draft All County Letter:  Instructions for implementing the provisions of Senate Bill (SB) 855 & SB 873

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IHSS Timesheet Metrics Report Ending September, 2015 CIMPS II

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IHSS Statewide Authority

IHSS Stakeholder Advisory Committee

San Diego Meeting - Friday, January 15, 2016

Stakeholder Advisory Committee Agenda (January 15, 2016)

Meeting reference material:

Stateholder Advisory Committee Appointments (August 2015)

Sacramento Meeting - Wednesday, October 21, 2015

Stakeholder Advisory Committee Agenda (October 21, 2015)

 

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Action Steps to Prevent Service Cuts and Protect Consumer-Directed Programs as New Home Care Rule Takes Effect

A new Department of Labor regulation governing home care services for seniors and people with disabilities that is slated to go into effect in mid-October may impact some of your state’s long-term care programs. The new regulation offers an opportunity to raise overall compensation for care providers and address historical inequities in pay, potentially increasing stability and support for consumers, if states implement it appropriately. However, the rule may cause unintended harms to consumers in "consumer-directed" programs where the person receiving services can hire his or her own worker (oftentimes family or close friends) and can direct the care the worker provides.

Older adults, people with disabilities, and advocates must be knowledgeable about this rule and advocate to ensure your state implements the rule in a way that helps consumers and the important workers who provide services to them and does not cause cuts to services, dismantle programs that allow consumers to control their own care, or further limit this critical workforce. All policies should be designed to avoid cuts in service which place people at serious risk of institutionalization, as such policies would likely violate the requirements of the Americans with Disabilities Act and Olmstead.

A group of advocates including Justice in Aging, The Bazelon Center for Mental Health Law, the American Association of People with Disabilities, the Association of University Centers on Disability, the National Association of Councils on Developmental Disabilities, the National Council on Independent Living, and the National Disability Rights Network has issued Action Steps for Consumers and Advocates Regarding the Home Care Rule and an accompanying summary, Home Care Rule Advocacy Fact Sheet, to help people with disabilities, seniors, and advocates take action. To learn more, download Action Steps here and the Fact Sheet here.

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Governor/CDSS Announcement

Statement regarding federal regulatioms that require the payment of overtime wages for certain home care workers November 4, 2015 - Effective February 1, 2016

Due to recent court action, California is moving ahead to meet federal regulations that require the payment of overtime wages for certain home care workers who work more than forty hours in a workweek.  These workers in California include providers of In-Home Supportive Services (IHSS), waiver personal care services, and certain assistive services for developmentally disabled individuals.  Complete announcement can be found here:  Governor/CDSS Announcement

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Overtime decision by US Court of Appeals

August 21, 2015

This morning the US Court of Appeals DC District issued the attached opinion on the FLSA litigation regarding overtime pay for personal care workers.  The decision upholds the FLSA regulations promulgated by the US Department of Labor.  In the absence of an appeal, the FLSA regulations will go into effect to require compensation for overtime, travel between consumers’ homes, and for medical accompaniment. 

It is unknown if the National Home Care Association will appeal the decision to the US Supreme Court.  The Supreme Court decides to hear a case based on at least four of the nine Justices of the Supreme Court agreeing to grant the Petition for Certiorari. If four Justices agree to grant the petition, the Supreme Court will consider the case. A Petition for Certiorari is granted in very, few selected cases—fewer than 100 a year out of over 10,000 request for appeal, by the Supreme Court.  The Supreme Court terms run from October 1st to the end of September in the following year.  I don’t know the timeline for appeals to be filed with the Supreme Court and will provide that information as soon as possible.

 

Karen

Read the 24 page opinion click here!

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IHSS Provider Timesheet Training Materials

Effective July 2015

Greetings,

Pending the court decision on overtime for the In-Home Supportive Services (IHSS) program, the California Department of Social Services (CDSS) is pleased to annouce the release of the supplemental IHSS timesheet training materials to include a PowerPoint presentation, a handout offering guidelines on how to complete the new timesheet that will be become effective July 1, 2015, and a sample timesheet.  These training materials are designed to augment the existing 2012 Provider Orientation DVD video.

 

The attached documents (PowerPoint presentation, handout, and sample timesheet) will replace the timesheet section in the currrent orientation video.  Please note the following timesheet changes:

 

1.     Addition of the monthly authorized hours.

2.     Removal of any language referencing the FLSA requirements.

3.     Timesheet instructions will reflect the appropriate language requested by the IHSS recipient (i.e., English, Spanish, Chinese, or Armenian) rather than indicating the three IHSS state threshold languages on page 2 of the timesheet.

 

Additionally, CDSS will make these materials available on the CDSS website at http://www.cdss.ca.gov/agedblinddisabled/PG1788.htm.

If you have any questions regarding these training materials, please contact IHSS-Training@dss.ca.gov.

 

Thank you for your continued partnership and collaboration.

Thanks,

Hafida

Hafida Habek, Chief

Adult Programs Policy & Quality Assurance Branch

Adult Programs Division

CA Dept. of Social Services

(916) 651-5362 

CDSS IHSS Time Sheet Provider Handout (06.24.15)

IHSS Timesheet Sample (06.24.15)

CDSS IHSS Time Sheet (06.24.15)

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Timesheet Processig Date for May

Thank you for sharing this.

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Draft All-County Letter

IMPLEMENTATION OF BLIND AND VISUALLY IMPAIRED (B&VI) RECIPIENT REASONABLE ACCOMMODATIONS AND TRACKING IN CASE MANAGEMENT, INFORMATION, AND PAYROLL SYSTEM (CMIPS) AND TELEPHONE TIMESHEET APPROVAL SYSTEM

REFERENCE: ACIN NO. 1-25-15, DATED APRIL 29, 2015
The purpose of this ACL is to inform County Welfare Departments (CWDs) of additional resources that will be available to the CWDs, as part of their ongoing responsibility to offer and provide alternate-format documents as reasonable accommodations to Blind or Visually Impaired (B&VI) IHSS applicants and recipients to ensure meaningful access to IHSS program materials and information. In addition, this ACL provides the counties with information and instructions for the implementation of system changes in the Case Management, Information, and Payroll System (CMIPS) related to blind and visually impaired (B&VI) recipient assessment documentation and the Telephonic Timesheet Approval System (TTAS).

BACKGROUND
IHSS recipients are responsible for reviewing and approving their provider(s) timesheets prior to submission of the timesheet for payment of IHSS provided to his/her recipient. To assist B&VI applicants and recipients, the California Department of Social Services (CDSS) is now making available additional resources to assist in providing reasonable accommodation to In-Home Supportive Services (IHSS) B & VI applicants and recipients to ensure meaningful access to the IHSS Program as required by the Americans with Disabilities Act (ADA). CMIPS has been modified to implement some of these accommodations. These accommodations must be offered to a B&VI authorized representative for an IHSS B&VI applicant or recipient when necessary to ensure meaningful access to IHSS resources for the B&VI applicant or recipient.

B&VI Accommodations Implementation Schedule
Earlier this year, CDSS and Alameda, Sacramento and Santa Clara counties conducted a pilot testing of the Telephone Timesheet Approval System (TTAS), as described below. In April 2015, the pilot counties along with blind IHSS recipient volunteers participated in the pilot testing. In May 2015, the (TTAS) pilot testing included the use of new screens in CMIPS, as well as modifications to data download and the Recipient Summary Characteristics Listing report. In August 2015, TTAS will be available statewide to all counties in providing additional resources to provide meaningful access to the IHSS program for B&VI applicants and recipients. Additional resources for accommodations will include: large font timesheets, revised form Application for Social Services (SOC 295), large font and Braille NOAs, and NOAs in CD format (Audio and Text formats). In September 2015, the Needs Assessment form (SOC 293) will be revised and available for county use.

Click here to read the complete ACL

Comments due June 25, 2015 to Charlie Bean to foward on to CDSS!

 

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California is the largest of nine states currently participating in a financial alignment demonstration that allows states to enroll dually eligible individuals into integrated health plans responsible for delivering both the Medicare and Medicaid benefits. The California demonstration, called Cal MediConnect, has been implemented concurrently with California's decision to move the delivery of long-term services and supports into managed care under a larger initiative called the Coordinated Care Initiative (CCI).  

Justice in Aging created an Advocates Guide to California's Coordinated Care Initiative to help advocates understand the extensive changes occurring under the CCI. Today, Justice in Aging released Version Four of the Guide.

The Guide:

  • Describes the CCI, including  populations  affected, changes beneficiaries can expect, and where and when the CCI is being implemented
  • Summarizes CCI policies
  • Provides advocacy tips and additional resources

As other states move forward with implementation of duals demonstrations, advocates need tools that explain the complex changes beneficiaries will face.  We hope this Guide can serve as a model tool for advocates in other states. 

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IHSS Timesheets & Paychecks

I’ve been reading the Facebook posts and the emails from a few members of the IHSS Coalition about late paychecks and timesheets.  So CAPA asked CDSS for data to see what’s going on.  Attached is the report provided to CAPA on May 21st with data on timesheet/paycheck processing over the past year.  The data from HP doesn’t support the claims that thousands of paychecks are going out late.  In fact, there were only 0.34% that required hands-on processing and 99.66% of the timesheets went through the scanner without any problem.  Last month there were 1,058,036 timesheets imaged and only 592 were returned to the counties, and 212 were too damaged to be processed.  The first page of the attachment has the breakdown on the reasons those 592 timesheets were returned to the counties.  100% of the timesheets that didn’t have to be returned to the counties were processed with the paycheck going out within 10 days.   There are only a few PAs that have experienced an increase in call volume related to late timesheets and paychecks over the past few months.  I don’t know how we could collect data that refutes the report from HP.  But it will take hard data to get any changes to the current payrolling system.

Thank you, Karen Keesler, CAPA Director

Time Sheet Metrics Ending May 31, 2015

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All County Letter No. I-45-15

RELEASE OF THE STATEWIDE REPORT OF COUNTY QUALITY ASSURANCE/QUALITY IMPROVEMENT ACTIVITIES IN THE IN-HOME SUPPORTIVE SERVICES PROGRAM FOR FISCAL YEAR 2013-14

The California Department of Social Services has recently posted the following document(s) on its Internet website:

Release Of The Statewide Report Of County Quality Assurance/Quality Improvement Activities In The In-Home Supportive Services Program For Fiscal Year 2013-14                                        

To access this information, point your web browser to:

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Friends, DRC has two long term care bills in Assembly Appropriations and we ask you to fax or call the chair and members of the Appropriations Committee on Tuesday, May 26 to help us move those bills. Otherwise, these bills die this week.
 
Thanks so much to all of you who have supported our bills: we need a BIG push now.
 
Both bills provide choices for people who need services and supports, so they can choose between getting services at home or services in an institution….not just a good idea, it's the law!
 
I'm attaching fact sheets on the bills and our letters about the bills. Your message can be short and sweet:
 
PLEASE LET THESE BILLS MOVE FORWARD – in this the 25th Anniversary Year of the ADA – 
it's time to give real choice to children, adults and seniors with disabilities. 
These bills benefit everybody, including the taxpayers.
 
 
The Chair of Appropriations is Jimmy Gomez: he represent California’s 51st Assembly District, which includes East Los Angeles and the neighborhoods of Glassell Park, Lincoln Heights, Highland Park, El Sereno, Echo Park, Cypress Park, Filipino Town, Chinatown, Montecito Heights, El Pueblo, Eagle Rock, Elysian Valley, Mt. Washington, Atwater Village, and Silver Lake.

Jimmy Gomez (Chair) Dem - 51

Capitol Office  P.O. Box 942849, Room 2114, Sacramento, CA 94249-0051; 

(916) 319-2051; Fax: (916) 319-2151

 

  • If you are a person who uses or may need long term care – this bill gives you choices – please call Assemblyman Gomez, the committee chair, tomorrow, Tuesday. (916) 319-2051
  • If you are a service provider who is trying to help people stay in or return to the community, these bills help you with the tools you need – housing and services. Please  call Assemblyman Gomez, the committee chair, tomorrow, Tuesday.(916) 319-2051
  • If you live or provide services in the Assembly district of any of these Appropriations Committee members listed below, PLEASE call your assemblyperson tomorrow, Tuesday, to tell them that you care about these bills.
 
 
AB 1235 (GIPSON) is our Home Upkeep Allowance bill, which would let people who go into nursing homes keep their homes in the community so they can return if they want to; it also allows people who have already lost their homes to set aside money to build up a modest fund to secure a home if they want to leave the facility.
 
 
AB 1518 (Aging and Long Term Care Committee) fixes the major problems with the Nursing Facility/Acute Hospital Waiver, which is supposed to provide the services above and beyond IHSS which allow people to stay home or return home.
 
Here are the members of the Assembly Appropriations Committee:
 
Committee Members District Office & Contact Information
Jimmy Gomez (Chair) Dem - 51 Contact Assembly Member Jimmy Gomez

Capitol Office

P.O. Box 942849, Room 2114, Sacramento, CA 94249-0051; (916) 319-2051

Frank Bigelow (Vice Chair) Rep - 05 Contact Assembly Member Frank Bigelow

Capitol Office

P.O. Box 942849, Room 6027, Sacramento, CA 94249-0005; (916) 319-2005

Richard Bloom Dem - 50 Contact Assembly Member Richard Bloom

Capitol Office

P.O. Box 942849, Room 2003, Sacramento, CA 94249-0050; (916) 319-2050

Rob Bonta Dem - 18 Contact Assembly Member Rob Bonta

Capitol Office

P.O. Box 942849, Room 6005, Sacramento, CA 94249-0018; (916) 319-2018

Ian C. Calderon Dem - 57 Contact Assembly Member Ian C. Calderon

Capitol Office

P.O. Box 942849, Room 2148, Sacramento, CA 94249-0057; (916) 319-2057

Ling Ling Chang Rep - 55 Contact Assembly Member Ling Ling Chang

Capitol Office

P.O. Box 942849, Room 3149, Sacramento, CA 94249-0055; (916) 319-2055

Tom Daly Dem - 69 Contact Assembly Member Tom Daly

Capitol Office

P.O. Box 942849, Room 3126, Sacramento, CA 94249-0069; (916) 319-2069

Susan Talamantes Eggman Dem - 13 Contact Assembly Member Susan Talamantes Eggman

Capitol Office

P.O. Box 942849, Room 3173, Sacramento, CA 94249-0013; (916) 319-2013

James Gallagher Rep - 03 Contact Assembly Member James Gallagher

Capitol Office

P.O. Box 942849, Room 5128, Sacramento, CA 94249-0003; (916) 319-2003

Eduardo Garcia Dem - 56 Contact Assembly Member Eduardo Garcia

Capitol Office

P.O. Box 942849, Room 4162, Sacramento, CA 94249-0056; (916) 319-2056

Chris R. Holden Dem - 41 Contact Assembly Member Chris R. Holden

Capitol Office

P.O. Box 942849, Room 319, Sacramento, CA 94249-0041; (916) 319-2041

Brian W. Jones Rep - 71 Contact Assembly Member Brian W. Jones

Capitol Office

P.O. Box 942849, Room 3141, Sacramento, CA 94249-0071; (916) 319-2071

Bill Quirk Dem - 20 Contact Assembly Member Bill Quirk

Capitol Office

P.O. Box 942849, Room 2163, Sacramento, CA 94249-0020; (916) 319-2020

Anthony Rendon Dem - 63 Contact Assembly Member Anthony Rendon

Capitol Office

P.O. Box 942849, Room 5136, Sacramento, CA 94249-0063; (916) 319-2063

Donald P. Wagner Rep - 68 Contact Assembly Member Donald P. Wagner

Capitol Office

P.O. Box 942849, Room 3098, Sacramento, CA 94249-0068; (916) 319-2068

Shirley N. Weber Dem - 79 Contact Assembly Member Shirley N. Weber

Capitol Office

P.O. Box 942849, Room 6026, Sacramento, CA 94249-0079; (916) 319-2079

Jim Wood Dem - 02 Contact Assembly Member Jim Wood

Capitol Office

P.O. Box 942849, Room 5164, Sacramento, CA 94249-0002; (916) 319-2002

 
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All-County Information Notice 1-26-15

FRAUD INVESTIGATIONS AND PROGRAM
INTEGRITY EFFORTS RELATED TO THE IN-HOME SUPPORTIVE
SERVICES PROGRAM FOR FISCAL YEAR 2015-16

 

The purpose of this All County Information Notice is to inform counties that, for Fiscal Year (FY) 2015-16, California Department of Social Services (CDSS) will permit counties to administratively claim Medi-Cal Federal Financial Participation (FFP) for allowable county expenditures related to In-Home Supportive Services (IHSS) fraud investigations, anti-fraud measures and program integrity efforts.

CDSS approval is required before counties may submit a claim against Program Codes (PCs) 740 and 741 as referenced in County Fiscal Letter (CFL) NO.11/12-40. Counties wishing to administratively claim FFP must submit the following documents to CDSS:

- A new IHSS Anti-Fraud Plan for FY 2015-16 as outlined below; AND

- Your county’s Annual IHSS Fraud Prevention Budget for FY 2015-16.

To read the 4-page document click here

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All-County Information Notice I-20-15

IHSS QUALITY ASSURANCE CASE NARRATIVE GUIDE

The purpose of this All-County Information Notice (ACIN) is to provide counties with information regarding the availability of the recently developed IHSS Quality Assurance (QA) Case Narrative Guide.

This guide is intended to assist and support county social workers in identifying key elements of the IHSS assessment and authorization process, by providing a standardized best practices guide for comprehensive IHSS case documentation.

Click here to read the document.

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ALL-COUNTY INFORMATION NOTICE NO. I-25-15

Additional Reasonable Accommodations Available to Blind or Visually Impaired (BVI) In-Home Supportive Services (IHSS) Applicants and Recipients to Ensure Access to the IHSS Program as Required by the Americans with Disabilities Act (ADA).

This All-County Information Notice (ACIN) informs County Welfare Departments (CWDs) of the additional resources that will be available to the CWDs, as part of their existing and ongoing responsibilities, to offer and provide reasonable accommodations to Blind or Visually Impaired (BVI) IHSS applicants and recipients, when requested, to ensure access to the IHSS program and related information.

Click here to read the document!

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All County Letter 15-25

Protective Services Clarification

This ACL provides clarifications regarding existing Protective Supervision policies.

Protective Supervision Regulations

Protective Supervision regulations are based on Welfare and Institutions Code (WIC) §12300(b). The Manual of Policies and Procedures (MPP) § 30-700 contains the following sections that are specifically applicable to the assessment, and authorization of Protective Supervision:  (click here) 8 pages

2015 All County Letters (click here)

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Letter to Governors on Home Care Final Rule

from Department of Labor

Today, Secretary Perez sent letters to all governors regarding the importance of thoughtfully preparing for compliance with the federal minimum wage and overtime law in publicly funded home care programs.  The letter acknowledges the pending litigation regarding the Home Care Final Rule but urges governors to prepare for implementation now because many states may need to make adjustments to funding or program operations and may currently be in the midst of budget planning.  The letter also expresses concerns about inflexible caps on worker hours and calls for careful attention to states’ obligations under the Americans with Disabilities Act (ADA) and the Supreme Court’s Olmstead decision.

A pdf of the Secretary’s letter is available at  (click here)

As noted in the letter, DOL continues to stand ready to provide technical assistance to states as they prepare for implementation of the Home Care Final Rule.

The previous letter which is referred to in this new letter can be found here:  (click here)

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IHSS Budget: 7% Across-the-Board Cut & Share of Cost Buy-out

The In-Home Supportive Services (IHSS) Coalition has two budget priorities:  (1) we urge the legislature to repeal the 7% across-the-board cut to IHSS hours, and (2) we request that you restore the Share-of-Cost Buy-out.  The IHSS Coalition is composed of forty-nine organizations representing IHSS consumers, providers and advocates. Our goals are (1) to ensure sufficient funding for In-Home Supportive Services and its interrelated aspects (2) to develop potential improvements for the program, (3) to disseminate information on homecare issues through public events and our website, and (4) to preserve and enhance consumer-directed services.

IHSS Coalition Letter

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Who Can Afford to Get Old?  

Senior Poverty in the Golden State!

Demands to increase the base grant for SSI/SSP and restore the COLA on the entire grant were heard at a special hearing of the Assembly Aging and Human Services Committee. This hearing was scheduled for Tuesday, March 17th at 2 p.m. in Room 444 of the Capitol.

The agenda can be found here (click here)

 

Joint Hearing Aging And Long Term Care Committee And Human Services Committee

BROWN, CHU, Chairs - 2 p.m. - State Capitol, Room 444 ( Listen to this hearing )

 

Power Point Presentation presented by California Budget and Policy Center (PDF)

 

Further explanation of How the state SSI/SSP COLA worked before it was eliminated:

I wanted to follow up on the state COLA issue as it relates to SSI/SSP grants in order to help clarify how the state COLA was applied historically (before it was eliminated beginning in state fiscal year 2010-11).

 

When it was in effect, the state COLA was required to be calculated annually based on the year-over-year change in the California Necessities Index (CNI), which reflects changes spending by low-income residents on food, clothing, fuel, utilities, rent, and transportation in two high-cost areas of the state: LA and the SF Bay Area.

 

In contrast, the federal COLA is calculated based on the year-over-year change in the Consumer Price Index (CPI), a national measure of the change in prices paid by urban consumers for a “market basket” of goods and services.

 

The California-specific CNI is typically larger than the national CPI.

 

Since there used to be two different COLAs – a state one and a federal one – the key question is how did they interact when determining maximum SSI/SSP grant levels? Here’s what state law required:

 

1.   A state COLA was calculated based on the total SSI/SSP grant. Let’s say it works out to $30 per month for an individual grant.

 

2.   The state then took into account the amount of the federal SSI COLA. Let’s say the SSI COLA comes to $12 per month for an individual grant.

 

3.   The state then subtracted the federal SSI COLA (#2) from the state COLA on the full SSI/SSP grant (#1) in order to determine the state’s share of the total grant increase. In this case it would be $30 - $12 = $18 (the state’s share of the monthly increase for an individual grant).

 

As was mentioned in an earlier email, the LAO’s 3/11/15 committee handout…

 

http://lao.ca.gov/handouts/socservices/2015/Overview-of-SSI-SSP-Cash-Grants-2000-01-to-2015-16.pdf

 

… suggests that one choice for state policymakers would be to apply a state COLA solely to the state’s SSP portion of the grant, rather than to the entire SSI/SSP grant.

 

First, I believe that applying the state COLA solely to the SSP grant would require a state law change since current law doesn’t appear to authorize the state to base its adjustment on the SSP grant alone. (Obviously, this is a change the Legislature could make if it wanted to do so.)

 

Second, as you can see from the LAO’s cost estimates (page 7 of their handout), applying a state COLA solely to the SSP portion would cost the state less simply based on the way the math works out.

 

Please feel free to email me about this if something doesn’t make sense or you’d like additional information. Thanks.

 

Scott Graves

Director of Research

California Budget & Policy Center

1107 9th Street, Suite 310, Sacramento, CA 95814

916.444.0500

sgraves@calbudgetcenter.org

Follow us on Twitter @CalBudgetCenter

calbudgetcenter.org

 

 

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Below is a link to decision made by the Assembly Budget Subcommittee #1 March 11th meeting:

Actions taken click here

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Due to State Cuts, SSI/SSP Grants Lose Ground to Housing Costs

Supplemental Security Income/State Supplementary Payment (SSI/SSP) grants provide a basic income for 1.3 million low-income seniors and people with disabilities in California. A new Budget Center fact sheet shows how recent years' state cuts, which Governor Brown's proposed 2015-16 budget would leave in place, have caused SSI/SSP grants to lose ground to housing costs. The fact sheet compares the maximum SSI/SSP grant, for individuals, with studio apartment rents in all 58 California counties. Read the fact sheet.

Social Media Kit

Hello, all SSI advocates,

 

It's been pointed out to me that in fact the SSI hearing will be live webcast at: http://www.calchannel.com/live-webcast/

 

The audio, I'm told, will also be available at: http://assembly.ca.gov/listentorooms  You have to input the room number, which is 437.

 

 This information has been added to the social media kit, which is attached.

 

Don't forget Facebook!

 

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Agenda

ASSEMBLY BUDGET SUBCOMMITTEE NO. 1 HEALTH AND HUMAN SERVICES

ASSEMBLYMEMBER TONY THURMOND, CHAIR MONDAY, MARCH 11, 2015
1:30 P.M. - STATE CAPITOL ROOM 437

Attached please find the agenda for Assembly Sub. 1’s hearing for tomorrow, Wednesday, March 11, on issues in the In-Home Supportive Services, SSI/SSP, and Adult Protective Services programs.  The hearing will start at 1:30 PM in Capitol Room 437.  Please note that we are expecting large crowds at this hearing. 

The Department of Social Services will provide an overview of the program and budget for IHSS, touching on the issues below, two of which will be covered in further depth under Issues 2 and 3 of this agenda.

  • Implementation of Overtime in IHSS. The Governor’s Budget funds the costs of the overtime changes in the IHSS program adopted as part of the 2014 Budget, to reflect the annualized cost of complying with new federal labor regulations, including funding for: overtime compensation, newly compensable work activities, work limit exceptions for certain parent providers, and administrative costs at the county level. The costs associated with these changes are estimated at $182.6 million General Fund ($403.5 million total funds) in 2014-15 and $314.3 million General Fund ($707.6 million total funds) annually thereafter. The budget was developed assuming that the regulations would take effect on January 1, 2015. However, a federal court recently invalidated the regulations, and the Department of Labor has appealed the ruling. DSS announced that it was halting the implementation of these changes in the program. This issue is discussed in further depth in Issue 2 of this agenda.
  • Restoration of Current 7 Percent Reduction in IHSS Service Hours. The Governor’s Budget restores the 7 percent across-the-board reduction in IHSS authorized hours of service, effective July 1, 2015, funded with resources generated through the Governor's Managed Care Organization (MCO) tax proposal. The cost to restore the 7 percent is estimated to be $215.6 million General  Fund ($483.1 million total funds) in 2015-16. The MCP tax will be discussed in depth in a future Subcommittee hearing and agenda. This issue of the 7 percent for IHSS is discussed in further depth in Issue 3 of this agenda.

SUPPLEMENTAL SECURITY INCOME/STATE SUPPLEMENTARY PAYMENT – BUDGET AND PROGRAM REVIEW AND ADVOCATES' PROPOSALS

The Supplemental Security Income/State Supplementary Payment (SSI/SSP) program provides a monthly cash benefit to enable needy aged, blind, and disabled people to meet their basic living expenses for food, clothing, and shelter. The state’s General Fund provides the SSP portion of the grant while federal funds pay for the SSI portion of the grant. The 2015-16 Governor’s Budget includes $10.1 billion ($7.3 billion federal funds, $2.8 billion General Fund) for the SSI/SSP program.

To be eligible for SSI/SSP, a person must be at least 65 years old, blind, or disabled (including blind or disabled children). A qualified recipient must file an application with the Social Security Administration (SSA). Federal criteria are used to determine eligibility. A qualified SSI recipient is automatically qualified for SSP. To be eligible for SSI and maintain eligibility, a person must meet certain income and resource requirements.

Total spending for SSI/SSP grants—including General Fund and federal expenditures (which are not passed through the state budget)—has increased by about $1.1 billion— or 12 percent—between 2007–08 and 2015–16. As this spending is less than the rate of inflation over this time period (roughly 14 percent), total spending has decreased slightly in real terms.

March 11, 2015 Agenda

Additionally, please note these other changes and updates:

·        The hearing on Community Care Licensing and Child Welfare Services issues is at a new time next Wednesday, March 18 .  The hearing will start at 1:00 PM (instead of the previously noticed 3:00 PM) in room 444.  The Daily File notice has been changed to reflect this new time. 

 

·        The March 25 hearing is cancelled.  The Daily File will be changed to reflect this cancellation.

____________________________________________________________________________________________________

AGENDA

ASSEMBLY BUDGET SUBCOMMITTEE NO. 1 HEALTH AND HUMAN SERVICES

ASSEMBLYMEMBER TONY THURMOND, CHAIR MONDAY, MARCH 9, 2015
1:30 P.M. - STATE CAPITOL ROOM 444

Attached, is the agenda for the Assembly Budget Subcommittee on Health and Human Services. Please note, on page 25, DRC has a proposal to help speed up the Department of Public Health investigations in facilities they license. We are focusing on the most egregious cases of death or serious bodily injury. We’ve seen some investigations involving death in a facility take up to seven years to close and cite the facility. Since the licensing division of DPH is likely to receive an additional $19.8 million for this exact purpose, we think it is important to make sure they complete these investigations in a timely manner. If you are going to be there and agree with the proposal, it would be great to have your support with a “me too” at the hearing, and support for the proposal moving forward. The hearing is at 1:30 in room 444.

I hope to see you there

Thank you,

Brandon Tartaglia
Legislative Advocate
Disability Rights California

Agenda

Below is the final IHSS Coalition letter to the Assembly Subcommittee #1 on the 7% cut.  There was only one organization that opted out: the Congress of California Senior, which explained they have many other IHSS priorities this year. 

IHSS Coalition Letter - March 6, 2015

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“A Shattered System: Reforming Long Term Care in California.”

FYI – attached is the information distributed by the Senate Select Committee on Aging & Long Term Care during their press conference yesterday (March 3, 2015) regarding new bills that emerged from the select committee’s report, “A Shattered System: Reforming Long Term Care in California.”

Below is

________________________________________________________________________________________________

Draft All County Letter

 

Attached for your review and comment is the draft ACL providing counties with the recently approved regulations regarding Minor Recipients Living with Parent(s). 

In addition, the ACL provides a number of questions and answers to assist counties in implementation of these regulations.

IMPLEMENTATION OF THE NEW MINOR RECPIENTS LIVING WITH PARENT(S) REGULATIONS (MANUAL OF POLICY AND PROCEDURES (MPP) SECTIONS 30-763.44 - 30.763.457

Minor Recipient Living with Parent(s) Regulations

We would like to have comments from Coalition members back to us by Friday, March 6, 2015.  We would further appreciate it if the comments could be consolidated into a single document and sent to Deirdre Wheeler at Deirdre.Wheeler@dss.ca.gov and Victoria Cescato at Victoria.Cescato@dss.ca.gov

 

Thank you.

 

Charissa S. Miguelino, Chief

Adult Programs Policy and Operations Bureau

California Department of Social Services

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Department of Labor FLSA Repeal

Repeals Decision made December 22, 2014 (click here)

Plaintiffs-appellees are Home Care Association of America; International Franchise Association; and National Association for Home Care & Hospice.

Defendants-appellants are David Weil, in his official capacity as Administrator, Wage and Hour Division of the U.S. Department of Labor; Thomas S. Perez, in his official capacity as Secretary of Labor; and the U.S. Department of Labor.

The government has appealed the December 22, 2014 opinion and order vacating the third-party employment regulation, 29 C.F.R. § 552.109 (Dkt. ## 21, 22), and the January 14, 2015 opinion and order vacating the companionship- services regulation, 29 C.F.R. § 552.6 (Dkt. ## 32, 33). The rulings were issued by the Honorable Richard J. Leon in No. 1:14-cv-00967-RJL (D.D.C.).

FLSA Decision made December 22, 2014  (PDF 66 pages)

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All County Letter

HALT TO IMPLEMENTATION OF PROVISIONS OF SENATE BILLS 855 AND 873 (CHAPTERS 29 AND 685, STATUTES OF 2014) RELATING TO THE IHSS AND WAIVER PERSONAL CARE SERVICES PROGRAMS

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA, MEMORANDUM OPINION (JANUARY 14, 2015); ACL 14-76 (OCTOBER 8, 2014); ACL 14-102 (DECEMBER 31, 2014), ACIN I-73-14 (JANUARY 5, 2015)

This All County Letter (ACL) is to inform counties of recent court orders issued by Judge Richard Leon of the United States District Court, District of Columbia, which impact the implementation of regulations adopted by the U.S. Department of Labor (DOL) pertaining to the payment of overtime compensation and other compensable activities for In-Home Supportive Services (IHSS) and Waiver Personal Care Services (WPCS) providers that were to be effective January 1, 2015. The information provided in this ACL supersedes the information contained in ACL 14-76 (October 8, 2014).

Click here

_______________________________________________________________________________________

Save the Date: 1115 Waiver Renewal IHSS Provider Training Proposal Stakeholder Meeting - March 10th

Dear Stakeholders,

 

Please join us on Tuesday, March 10, 3-5 p.m. to discuss an 1115 Waiver renewal Workforce Development proposal that addresses voluntary training for In-Home Supportive Services (IHSS) providers.  The meeting will be held at 744 P Street, Sacramento CA  95814 – in Room 1031 in Office Building 8, 10th Floor.

 

If you would like to participate but are unable to attend in person, a conference call option is available:

NEW! Conference Call: 888-810-4932

NEW! Passcode: 6736716

 

Please note the meeting invitation will be sent to a broad range of interested participants, including consumers, workers, local public authorities, county social services agencies, labor unions, health plans and other key stakeholders.

 

An agenda for the meeting is attached and will be posted on the DHCS Calendar of Events.

 

_______________________________________________________________________________________

CAPA & CICA ltr Section 1115 Waiver Workforce Development

CAPA and CICA have serious concerns about SEIU’s proposal for the Section 1115 waiver pertaining to training for IHSS providers.  The letter outlining our concerns is attached along with the UCSF summary of the SEIU concept on IHSS provider training.

Medi-Cal 1115 Waiver Workforce Work Group December 14, 2014

CAPA and CICA Letter Outlining Concerns

DRC letter on SEIU’s proposal for IHSS training as part of the 1115 waiver (Final 1/26/15)

____________________________________________________________________________________________________

FEDERAL DISTRICT COURT JUDGE IN WASHINGTON STRIKES DOWN REMAINING US DEPARTMENT OF LABOR REGULATIONS DEALING WITH COMPANIONSHIP

SACRAMENTO, CA [CDCAN LAST UPDATED 01/14/2015 – 1:39 PM Pacific Time] –  Federal District Court Judge Richard Leon struck down the entire remaining package of US Department of Labor home care regulations dealing with changes to the home care companionship definition that was originally set to go into effect January 1, 2015, in a court hearing in Washington DC late this afternoon.  The judge “vacated” the remaining regulations, dealing with companionship.

    On December 22nd the same judge struck down key provisions of those regulations dealing with third party employers who hire home care workers. 

    The US Department of Labor previously indicated it was considering an appeal, and has 60 days from today to do so.

FLSA order filed January 14, 2015

Memorandum Opinion January 14, 2015

___________________________________________________________________________________________________

California Association of Public Authorities

OVERVIEW OF THE GOVERNOR’S FY 15-16 STATE BUDGET PROPOSALS FOR IHSS

IHSS Budget Overview

The Governor’s budget provides $8.2 billion ($2.5 billion GF) for the IHSS program, reflecting a 14.4 percent increase over the 2014-15 level. The IHSS caseload in 2014-15 is anticipated to grow by 3.8 percent from the prior fiscal year to 446,053, and is projected to increase again by 3.7 percent in 2015-16 to 462,648 recipients. While the 2015-16 projections are increasing at a slower rate compared to prior years, the Administration estimates approximately one percent of newly eligible individuals under the Affordable Care Act (ACA) will utilize IHSS services, resulting in 19,679 newly eligible IHSS cases per month in 2014-15 and 20,126 cases per month in 2015-16. 

According to the Administration, this 6.4 percent growth reflects expected increases in negotiated wages and benefits, the impact of the State’s minimum wage increase and the impact of limiting payment of overtime. Additional details on the overtime proposal are provided below.

Click here to read more.

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ALL COUNTY LETTER NO. 14-102

NEW PROGRAM RULES AND REQUIREMENTS FOR IHSS PROVIDER ENROLLMENT ORIENTATION AND CLARIFICATION OF PROVIDER ENROLLMENT IDENTIFICATION PROCESS RELATED TO SOCIAL SECURITY NUMBERS

This All County Letter (ACL) provides direction to counties on the changes to the law regarding the IHSS provider enrollment orientation as a result of the enactment of SB 878 (Chapter 689, Statutes of 2014). Additionally, this ACL provides clarification of the provider enrollment application procedures which are being provided due to adoption of a new policy by the U.S. Social Security Administration (SSA).
 
_______________________________________________________________________________________________

ACL regarding CMIPS II changes for overtime forms

Comments Due by Wednesday, November 26, 2014  (click here)

Attached for your review and comment is the draft ACL providing instructions to counties regarding the new Recipient (SOC 2256) & Provider (SOC 2255) Workweek Agreement and Travel Time screens in CMIPS II  to meet the requirements of Senate Bill 855 and Senate Bill 873.

  

We would like to have comments from Coalition members back to us by Wednesday, November 26, 2014.  We would appreciate it if the comments could be consolidated into a single document and sent to APD CMIPS II and Systems Operations Unit via e-mail at: CMIPSII-Request@dss.ca.gov.

Thank you.

Charissa S. Miguelino, Chief

Adult Programs Policy and Operations Bureau

California Department of Social Services

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ACL on new IHSS/WPCS timesheets for overtime and travel time compensation

Comments due by Monday, November 24, 2014 (click here)

Dear IHSS Stakeholders,

 

Attached for your review and comment is the draft ACL (click here) providing instructions to counties regarding the new IHSS timesheet and Remittance Advice which has been redesigned to meet the requirements of Senate Bill 855 and Senate Bill 873.  In addition, this ACL provides information and instructions for system implementation of timesheet issuance process changes, and the new travel claim form process

 

We would like to have comments from stakeholders back to us by Monday, November 24, 2014.  We would further appreciate it if you could assist us by consolidating any comments into a single document and send them to:  APD CMIPS II and Systems Operations Unit at: CMIPSII-Request@dss.ca.gov.

 

Thank you.

Charissa S. Miguelino, Chief

Adult Programs Policy and Operations Bureau

California Department of Social Services

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There are packets being mailed to IHSS Recipients containing important information  (form TEMP 3002).  There is also a form (TEMP 3000) that needs to be submitted by December 15, 2014 to your local IHSS Office (It should be shown at the top of the cover page received with your address). 

 Also sent was an example of the new timesheet form SOC - 2261.  Below are links to the forms noted here:

 
TEMP 3000 (9/14) - In-Home Supportive Services (IHSS) Program Overtime and Workweek Requirements Recipient Declaration

 
TEMP 3002 (9/14) - Important Information for the In-Home Supportive Services (IHSS) Recipient

 
SOC 2261 (8/14) - In-Home Supportive Services (IHSS) Individual Provider Timesheet (sample)

 
It is important to read this information, complete the form TEMP 3000 and return it by the date your IHSS Office directs you.

 
If you have any questions, please do not hesitate to contact your local IHSS Office to gather more information.
***************************************************************************************************************************************

Draft ACL on Requirements for Qualified Agencies providing IHSS

Response Due: November 14, 2014

Click Here

Dear IHSS Stakeholders,

Attached for your review and comment is the draft ACL which provides the rules and reporting requirements for Qualified Agencies, that have entered into a contract with a Managed Care Health Plan (MCHP) for the provision of In-Home Supportive Services. 

We would like to have comments from stakeholders back to us by Friday, November 14, 2014.  We would further appreciate it if you could assist us by consolidating any comments into a single document and send them to:  Rolonda Moen at Rolonda.Moen@dss.ca.gov and Michele Kufasimes at Michele.Kufasimes@dss.ca.gov .

Thank you.
 Charissa S. Miguelino, Chief
Adult Programs Policy and Operations Bureau
California Department of Social Services

 

SB 878 Draft ACL - requirements on IHSS provider enrollment orientation

Response Due: November 12, 2014

Click Here

Dear IHSS Stakeholders,

 Attached for your review and comment is the draft ACL providing instruction to counties on the changes to the law regarding the IHSS provider enrollment orientation as a result of the enactment of SB 878.  In addition, the ACL provides clarification of the provider enrollment application procedures due to adoption of a new policy by the U.S. Social Security Administration (SSA).

 We would like to have comments from stakeholders back to us by Wednesday, November 12, 2014.  We would further appreciate it if you could assist us by consolidating any comments into a single document and send them to:  Don Tresca at Don.Tresca@dss.ca.gov.

Thank you.

 Charissa S. Miguelino, Chief

Adult Programs Policy and Operations Bureau

California Department of Social Services

 

New Rules for IHSS:  Overtime and Related Changes

October 21, 2014

Elissa Gershon, Senior Attorney

Deborah Doctor, Legislative Advocate II

DISABILITIES RIGHTS CALIFORNIA

 

New Federal Rules & State Laws Say That (PDF):

  • IHSS providers must receive overtime when they work moe than 40 hours in a week
    -  State law overtime rules (8 hours per day) not applicable

  • IHSS providers will get paid for wait timeat medicl appointments

  • IHSS providers will get paid for up to 7 hours a week travel time between consumers

  • Rules in effect January 15, 2015
     

Power Point Presentation

The above is for information only, please contact your local Social Worker for questions!

*********************************************************************************************************************************************
 

New In-Home Supportive Services (IHSS) Overtime Rules: What Do the New Rules Mean for Consumers?

June 2014, Pub. #5554.01

WHY ARE THERE NEW RULES ABOUT OVERTIME FOR IHSS PROVIDERS?

The federal government made new rules that say that IHSS providers must receive overtime when they work more than 40 hours in a week. The new rules go into effect on January 1, 2015. Governor Brown said that California would not pay overtime to IHSS providers. He proposed to limit the number of hours any IHSS provider could work to 40 per week, whether it was for one consumer or multiple consumers. The Legislature’s budget subcommittees rejected that proposal and voted to pay overtime to IHSS providers without restricting hours. DRC opposed the Governor’s proposal and supported the position of the budget subcommittees.

In the final budget deal, the Legislature and the Governor agreed to pay some overtime as of January 2015, if the new federal rule requiring overtime goes into effect on that date. The deal is complicated, changes some important parts of IHSS, and has new rules for some consumers and providers.

All County Letter (ACL) 14-76 - October 8, 2014

IMPLEMENTATION OF PROVISIONS OF SENATE BILLS 855 AND 873 (CHAPTERS 29 AND 685, STATUTES OF 2014) RELATING TO THE IHSS AND WAIVER PERSONAL CARE SERVICES PROGRAMS (85 pages)

Reference:  Senate Bills 855 AND 873; ACL 12-19 (April 11, 2012); ACL 12-55 (November 1, 2012); ACL 13-66 (September 30, 2013); ACL 14-35 (May 27, 2014)

This All-County Letter (ACL) provides counties with information and instructions for implementing the provisions of Senate Bill (SB) 855 and SB 873 that establish limits on the number of authorized hours providers in the In-Home Supportive Services (IHSS) and Waiver Personal Care Services (WPCS) programs are permitted to work in a workweek. In addition, it provides information and instructions for implementing new policies that require that IHSS/WPCS providers receive compensation for travel time and wait time under certain circumstances. Finally, this ACL transmits new and revised forms and notices to be used by counties in implementing the provider workweek limit and travel time and wait time compensation policies.

 

Coordinated Care Initiative

CCI Enrollment Timeline by County and Population **Revised 7.31.14**

 


ACIN - accompaniment to medical appointments and alternative resource sites

Response due by:  October 8, 2014

Attached for your review and comment is the draft ACIN  providing guidance to counties on assessing and authorizing wait times associated with accompaniment to medical appointments and alternative resource sites. 

 

We would like to have comments from Coalition members back to us by Wednesday, October 8, 2014.  We would appreciate it if the comments could be consolidated into a single document and sent to Christine Goodwin-Archer at Christine.Goodwin-Archer@dss.ca.gov.

ACCOMPANIMENT TO MEDICAL APPOINTMENTS AND ALTERNATIVE RESOURCES

IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM ACCOMPANIMENT TO MEDICAL APPOINTMENT - Form notifying County of medical appointments

Charissa S. Miguelino, Chief

Adult Programs Policy and Operations Bureau

Policy and Quality Assurance Branch

California Department of Social Services

 

 

 

All County Letter - Protective Supervision Clarifications

Due Date October 13, 2014

Attached for your review and comment is the draft ACL providing counties with instructions and clarification regarding Protective Supervision (PS) policies.

 We understand and appreciate the time you have taken to review and provide us with your input on the several ACLs that have been sent out for stakeholder review.  Given the complexity of the policies related to protective supervision and the outstanding ACLs we have sent you, we are requesting input from Coalition members in three weeks, by Monday, October 13, 2014.   We would appreciate it if the comments could be consolidated into a single document and sent to Jennifer Ruoff at Jennifer.Ruoff@dss.ca.gov.

Thank you, 

Charissa S. Miguelino, Chief

 

2015-2016 State Legislation & Policy

 Due Date September 23, 2014

In addition to the draft ACL sent September 16, 2014, we are providing you with a table which lists the revised existing forms and newly developed forms and notices for counties to use to implement the work week and travel time requirements. These forms and notices are for your review and input. 

We would like to have comments from stakeholders back to us by next Tuesday, September 23, 2014.  We would further appreciate it if you could assist us by consolidating any comments into a single document and send them to:  Don Tresca at Don.Tresca@dss.ca.gov and Delaney Ellison at Delaney.Ellison@dss.ca.gov.

REVISED AND NEW FORMS AND NOTICES FOR USE IN IMPLEMENTING SENATE BILLS 855 AND 873 - Attachment A (3 pages)

FORMS AND NOTICES FOR IMPLEMENTING SENATE BILLS 855 AND 873 - (24 pages)

 

All County Letter - Implementation of Overtime Requirements

Due Date September 29, 2014

Attached for your review and comment is the draft ACL providing counties with information and instructions for implementing the provisions of Senate Bills (SBs) 855 and 873 that establish limits on the number of hours IHSS and WPCS providers are permitted to work in a workweek.  Additionally, the draft ACL provides instructions for implementing policies for providers to receive compensation for travel time and wait time under certain circumstances.

We would like to have comments from Coalition members back to us by Monday, September 29, 2014.  We would further appreciate it if the comments could be consolidated into a single document and sent to Brad Elftmann at Brad.Elftmann@dss.ca.gov  and Don Tresca at Don.Tresca@dss.ca.gov.

Implementation of Overtime Requirements - click here (24 pages)

Thank you.

Charissa S. Miguelino, Chief

Adult Programs Policy and Operations Bureau

California Department of Social Services

 

IHSS Overtime and FLSA Changes

July and August 2014 Stakeholder Workgroup Meetings Held

CDSS convened three stakeholder meetings in July and August 2014. The purpose of the meetings was to solicit stakeholder input and continue the discussion of issues related to the new Federal FLSA regulations and the overtime provisions in SB 855. Click here to review outcomes.


2014-2015 State Budget

New IHSS Overtime Rules:  What Do the New Rules Mean for Consumers?

From Disability Rights of California:   In short, for the first time, IHSS workers will be able to get overtime if they work more than 40 hours (for one or more consumers) in a week.  The state budget that just passed sets these limits:

1.   A limit on how many hours an IHSS worker can work in a week: workers can not work more than 66 hours each week, minus the 7% cut to consumer hours, no matter how many consumers they work for. For almost most workers, this means they can work no more than 61 hours per week. There is NO exception policy.

2.   A limit on how many hours of service an IHSS consumer can use in a week. This is not a reduction in hours. For the first time, the authorized total monthly hours will be divided into a weekly amount.

This means there are two limits on consumers and workers: the number of hours per week a worker can work and the number of hours per week a consumer can receive services. There are some exceptions to the limits on a consumer’s service hours.

For many consumers, these two new limits will not change how things work now.

These are the basic provisions, but the new rules are complicated. Please see our new publication for a full summary  (click here).

 

NEW FEDERAL RULES FOR HCBS SETTINGS AND TRANSITION PLAN June 18, 2014  New federal home and community-based services regulations went into effect on March 17, 2014. These new regulations impact 1915(c) [HCBS Waivers], 1915(i) [DD State Plan Amendment], and 1915(k) [Community First Choice--IHSS] programs and are intended to enhance integration of people with disabilities.  DRC

THE NURSING FACILITY/ACUTE HOSPITAL WAIVER:  PROBLEMS AND SOLUTIONS (June 18, 2014)  Medicaid Waivers allow states to deliver and pay for health care services with the federal government waiving some of the usual Medicaid requirements, such as “statewideness.” Home and Community Based (HCBS or 1915(c)) Waivers are intended to provide an alternative to institutional care for people who qualify for placement in a Medicaid-funded facility. Even with the movement of Medi-Cal long term services and supports into managed care through the Coordinated Care Initiative, California’s Nursing Facility/Acute Hospital (NF/AH) Waiver provides virtually the only home and community-based alternative to nursing facility placement for people who require skilled home care or services beyond In Home Supportive Services (IHSS). While this Waiver has great potential, California has made choices which create unnecessary and costly barriers to community living for eligible individuals.  DRC

 

California Collaborative Letter to Governor Brown on Long Term Services and Supports

CDSS Comparison Chart on Paying or not Paying Overtime

phi_opposes_budget_caps_for_home_care_rule_-_4-22-14.pdf
 

DRC has constructed the attached to fix a range of problems in the SB 855 (overtime) legislation which was so hastily constructed and passed in the last hours of the legislative session in June.

Our language would:

  1. Exempt those providers who are paid by IHSS ONLY because they have demonstrated there is no other provider available. This covers parents of minor children, and some tasks done by spouses. Current IHSS rules say that a parent of a minor child can be paid as the child's IHSS provider ONLY if there IS no other available provider. So it is not logical for SB 855 to require parents of multiple minor children on IHSS to find new providers to avoid overtime in excess of 61 hours per week.
  2. Establish exceptions, on an individual basis, when consumers could be harmed by the overtime policy. One of the exceptions is for parents who care for more than one adult child on IHSS. 
  3. Ensure that people on the NF/AH and IHO waivers would not lose services because of the new overtime rules.
  4. Create an exception policy to the travel time between clients, which the statute limits to 7 hours per week, when consumers would be harmed by that limit.
We believe that this language, if adopted, would fix the worst problems with SB 855. That does not mean we support the rest of the language; we continue to have other concerns about the workability of the limitations on consumers and workers.

DRC requests your support of this language. Please get in touch if you have questions. Thank you for your consideration.  Forward comments to:  info@cicaihss.org

 

DRC SB 855 Problems

 

DRC IHSS OT Fix Bill Language

 

 

 

2014-15 Legislation

 

Fair Wages and Training for Home Care Workers Act April 2014 SEIU-UHW Training Initiative

Support Services Recipients Fuming Over SEIU-Backed Training Mandate - By Mike Ervin

Assembly Bill 1703 Text

Assembly Bill 1703 Council of the Blind Fact Sheet

CMIPS II

CMIPS II Metrics 9-30-13
 

IHSS Overtime and FLSA Changes - July and August 2014 Stakeholder Workgroup Meetings

 

Unmet Need

CICA Unmet Need and Changed Circumstances Flyer (Disability Capitol Action Day)

IHSS Coalition Letter re response to draft ACL on unmet need (7-31-13)

U.S Department of Labor Overtime Regulations

NASUAD Requests that DOL Delay the Effective Date of the Fair Labor Standards Act Final Rule

DOL Overtime Regulations Final Rule

DOL Fact Sheet 79e on Joint Employment

DOL Fact Sheet 79a Companionship Services Under the Fair Labor Standards Act

NELP Overtime Regulations Fact Sheet

CAPA Overview of Federal Overtime Regulations, Including letter from Diana Dooley, Secretary, Health & Human Services

4-19-13 State letter to OMB

CSAC/CAPA/CWDA/CICA Joint letter to Department of Labor 3-21-13

 

 

IHSS Litigation

CAPA Litigation Chart as of 1-18-13

3-20-13 Press Release on Settlement of IHSS Federal Litigation

Eight Percent Cut Flyer 6-19-13 (Disability Rights Calfiornia)

Community First Choice Option (CFCO)

CFCO Letters to Counties 1-24

CFCO Letters to Counties 25-58

CFCO Spreadsheet Summarizing Adjustments by County

State Independent Living Plan (SPIL) 2014-16

SPIL Webinar Slides 3-27-13

Program Integrity Protocols

DRAFT IHSS Uniform Statewide Protocols for Program Intregity Activities (November 16, 2012)/sites/default/files/draft_ihss_uniform_statewide_protocols_for_program_integrity_activities_nov_16_2012.pdf

Fraud in the IHSS System

Questions to consider when meeting with your county IHSS Quality Control representative

  • What is your definition of IHSS fraud?
  • Do you separate out consumer fraud versus provider fraud? Are there any numbers quantifying each?
  • Describe types/examples of fraud?
  • Is the fraud typically by family members or others?
  • Who do you report fraud to - local authorities, state authorities? Has this changed over time?
  • When reported, does the amount of money involved have a consequence?
  • Who reports the fraud? Where does the information come from?
  • Do you let people in the community know where to report fraud? For example, do you communicate with other social workers outside of the IHSS system? Independent Living Centers? Senior Centers?
  • Are people being prosecuted?
  • What systems are in place to detect/discourage fraud?
  • Do you keep statistics on fraud locally? Will you please give us a report including dollars and percentages?
  • Do you think some fraud exists simply because people do not understand the program and it is difficult to interact with them? Any numbers on this?

State Budget and CCI (Coordinated Care Initiative) Fiscal year 2012-2013

Dual Eligibles: A Critical Moment National Senior Citizens Law Center August 2012 Webinar pdf. An excellent overview summarizing CCI proposals in 26 states, detailing strengths and concerns, update on recent activity in DC and suggesting next steps for advocates.

Dual Eligibles: A Critical Moment Text version of the August 2012 NSCLC pdf.

DHCS CCI Executive Summary 8-23-12

DHCS CCI Population Chart 8-23-12

DHCS CCI Population Summary 8-23-12

CCI Duals Readiness Criteria Memorandum by Disability Rights California and Western Center on Law and Poverty addresed to Senate Budget and Fiscal Review Committee and Assembly Budget Committee.  Signed by CICA and six other organizations. Sets out proposed readiness criteria which should be in place before implementation of CCI.

Disability Rights California Principles for Long Term Services and Support

National Academy for State Health Policy: Long Term Services and Support and Chronic Care Coordination Analyzes Policy Advances in Patient Protection and Affordable Care Act.

Letter from US Senator Jay Rockefeller to Secretary of Health and Human Services outlining concerns with implementation of Duals Demonstration Project


 


 

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UDW summary of FY 09-10 IHSS budget _7-27-09_ ver 5.pdf323.21 KB
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