Call Orange County IHSS Accounting Call Center at 714-825-3251 for general questions. An increase to $20 an hour would: Who is responsible for hiring, training, supervising, and if necessary, firing the provider? From our conversations with the administration, it is our understanding that these changes were meant to incentivize counties to continue to increase wages above the state minimum wage. LAO Bottom Line: Phasing in MediCal Asset Limit Repeal Will Increase IHSS Caseload. IHSS paid caseload began to grow at a slower rate in 202021 (2.1percent), which coincided with the start of the COVID19 pandemic (March2020). As of January 2022, IHSS providers are paid $17.70 per hour and $26.05 for overtime (overtime limits apply). To earn sick leave, you must complete a one-time, two-part requirement toearnandusepaid sick leave: Note: Beginning July 1, 2022, you will get 24 hours of paid sick leave. Under the Families First Coronavirus Response Act, the federal government increased the federal match rate for Medicaid services by 6.2percentage points for the duration of the national public health emergency caused by COVID19. Additionally, the Governors budget includes the fullyear cost impact of locally negotiated wage increases above the $15per hour state minimumwage. Implement Adverse Actions Related to IHSS Reassessments. All Rights Reserved. Under the 10percent option, the states and counties share of cost are based on the historical cost-sharing ratios for nonfederal IHSS service costs (65percent and 35percent, respectively). Professional Service Rates - effective 9/1/2022. As a result of this proposal, all undocumented immigrants, regardless of age, will be eligible for fullscope MediCal and IHSS. Please choose an optionAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming, Have you received a Notice of Action? IHSS Fraud Hotline: 888-717-8302 Update (2/7/22): Time requirement for incentive payment to IHSS providers in the states HCBS spending plan has been updated. Recent Changes to IHSS Cost-Sharing Structure. Most recently, on January 1, 2018, the state minimum wage increased from $10.50 per hour to $11.00 per hour. IHSS pays only for the hours that you work. Overall, the effective federal reimbursement rate for IHSS is about 54percent. As a result, the Governors budget assumes $90million General Fund savings for the IHSSResidual program in 202122. Additionally, an IHSS provider can work up to a maximum of 90 hours per workweek, if granted an exemption. , many of these program flexibilities and enhancements have expired. LAO Bottom Line: IHSS General Fund Costs Expected to Increase in 202324 as a Result of Expiration of Temporary Increase in Federal Medicaid Funding. Continued Growth in IHSS Hours Per Case. The following IHSS wages are set by each county in California: For every hour a provider spends assisting a recipient, the provider is entitled to the above IHSS wages in 2021, based on the California county of residence. IHSS provider wages in County B, however, would remain the same given that its IHSS provider wages ($12.50 per hour) would still exceed the state minimum wage in 2019. The Governors budget proposes a total of $18.5billion (all funds) for IHSS in 202223, which is about $1.6billion (9percent) above estimated expenditures in 202122. The current wage and benefit level for County B, however, exceeds the state participation cap. These rates are the maximum that can be charged for hospital services under Hospital Discounted Care. In addition, some counties make contributions towards health, vision, and dental benefits for certain IHSS providers. The state was responsible for the remaining 65percent of IHSS service costs and 70percent of IHSS administrative costs. . Specifically, counties should continue to use videoconferencing in situations where the applicant or someone in their household has been infected with COVID19, has symptoms of COVID19, or has been exposed to COVID19 in the two weeks prior to the home visit. What is the IHSS Orange County Pay Rate for 2022? Given that Omicron has become the prevailing COVID19 variant in California since the development of the Governors budget, the Legislature may want to consider whether any IHSSprogram flexibilities or temporary supports warrant an extension. Be sure to check out our other articles about Medi-Cal and California Medicaid program, including: Your email address will not be published. The arrears option is that in which payment is made directly to the IHSS provider(s) on a bi-weekly basis. Currently, IHSS provider wages in County A and County B equal or exceed the state minimum wage$11.00 per hour in 2018. In general, beneficiaries of restricted scope MediCal are not eligible for IHSS. County IHSS Offices When assessments and reassessments are conducted via telephone or videoconference, county staff may accept selfattestations from applicants and recipients and/or their authorized representatives in lieu of original signatures on most required forms normally signed during assessments and reassessments. In this example, we assume that County A decides to implement a local wage supplement. To the extent that both County A and County B implemented a $1.00 local wage increase sometime in 2018, the state and county share of costs would depend on the level of the state participation cap. The states HCBS spending plan includes two IHSSrelated enhancements: (1)provide a onetime $500incentive payment to IHSS providers who worked at least two months between March2020 and March 2021 and (2)create specialized training opportunities for IHSS providers. The Governors budget assumes that the asset limit will be raised on July 1, 2022, resulting in more seniors and persons with disabilities becoming eligible for MediCal services, including IHSS. Be eligible to work as an IHSS provider and work less than 40 IHSS hours per week; Have extensive homecare experience and/or be a Certified Nursing Assistant or Home Health Aide; Complete a BUAP orientation and application; Cognitive Impairments and Behavioral Health, Transition to home and community based-living from out-of-home care or homelessness. Get Services CAPI, Copyright 2023 California Department of Social Services, Publication of Maximum Allowable Contract Rate (MACR). Specifically, the new wage and benefit provisions (1)increase the cap on state participation in IHSS wage and benefit costs from $12.10 to $1.10 above whatever the state minimum wage is, (2)establish a temporary cost-sharing structure for counties with a total provider wage and benefit amount above $12.10 per hour, and (3)establish an alternative and permanent cost-sharing structure for counties that adopt a local wage supplement. (The Department of Social Services released an all-county letter in March2018 that explains the recent changes made to the IHSS MOE, including these new wage and benefit provisions.) This ramp down results in roughly $2billion in IHSS costs shifting back to the General Fund in 202223. As previously mentioned, the ARP Act temporarily increases the federal Medicaid match for HCBS services, including IHSS. We estimate that this is a net increase of about $2.8billion (75percent) above estimated General Fund costs in 202122. Today's legislative proposal will extend up to three days of paid sick leave to IHSS home care workers, and increase California's current minimum wage by one dollar over the next two years, and then by a dollar for each year thereafter until reaching $15 per hour in 2022. Participation is voluntary, and the training is available statewide and free to providers. On January 1, 2022, IHSS Providers in Solano County will earn $16.20 per hour. The federal government conditionally approved the various HCBS enhancements and expansions included in the states HCBS spending plan. To learn more about HCBWs, contact the Department of Health Care Services In-Home Operations at 1-916-552-9105. These scheduled state minimum wage increases apply to IHSS provider wages in each county. The 201718 budget package established a temporary costsharing structure for counties with total wages and benefits above the current state participation cap$12.10 per hour. In this post, we will answer the question How much will IHSS pay in 2022 in California? The salary range is from $26,559 to $34,507. The costs of subsequent wage supplements, however, would not be added to County As MOE obligation. Beginning in 2019, the state participation cap will increase at the same time the state minimum wage increases. Check out each county's IHSS wages. Are IHSS providers getting a raise in 2022? The following information is provided as a link to Section C., Publication of Individual and Contracted Provider Rates of Personal Care Services, of the State of California State Plan Amendment under Title XIX of the Social Security Act titled: Reimbursement for Medi-Cal Personal Care Services. To avoid receiving a violation note, it is important to stay within the overtime rules outlined above. Historically, counties paid 35percent of the nonfederal share of IHSS service costs and 30percent of the nonfederal share of IHSS administrative costs. While these wage and benefit provisions are complex, they generally mitigate the costs counties would otherwise accrue as a result of establishing local wages and benefits above the state minimum wage. Twice a month, both you and the recipient you work for will receive an "Explanation of IHSS SOC" letter that will tell you how much money to collect from the recipient, and how much you will get in the check from the State. Below, we summarize our assessment of the paid caseload, hours per case, and hourly wage assumptions included in the Governors budget. These benefit contributions are usually negotiated at the local level and vary in scope, cost, and eligibility requirements. The IHSS consumer is the employer. For example, the Legislature could extend the expenditure authority of any unspent funds originally provided for the temporary emergency backup provider system to June30,2022. We hope this post on the pay rate for IHSS in Los Angeles County was helpful. The growth in IHSS hourly wages in part is due to increases to the state minimum wagefrom $8 per hour in January 1, 2014 to $15 perhour in January 1, 2022. Specifically, this cost estimate partially reflects the fullyear impact of the state minimum wage increase to $15perhour (effective January 1,2022). In 2022, the minimum hourly wage for an IHSS provider is $15 and the maximum is $18. Based on recent growth trends, we expect that the average paid hours per case will continue to grow in 202122 (as opposed to remaining roughly flat). If you do not currently have Medi-Cal, to apply please call Marin County Public Assistance at 877-410-8817 or apply . This dollar amount is called a Share of Cost (SOC). They can either enroll in the Electronic Timesheet System (ETS) or the Telephonic Timesheet System (TTS) to complete, submit, and manage their IHSS timesheet and payment accounts. County IHSS Wage Rates The following information is provided as a link to Section C., Publication of Individual and Contracted Provider Rates of Personal Care Services, of the State of California State Plan Amendment under Title XIX of the Social Security Act titled: Reimbursement for Medi-Cal Personal Care Services. an IEP, SOC 821 doctor's form, Notice of Action, etc.). To learn how to apply for services: Get Services IHSS. For example, if a mother in San Diego County is the primary provider for her daughter, who qualifies for 283 hours per month of IHSS protective supervision, then the mother would be entitled to $4,386.50 per month (283 x $15.50) in 2022. In this case, County As MOE obligation would increase by its share of the cost of the first wage supplement. On October 1, 2022, the State Back-Up Provider System (BUPS) was launched. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); California Medi-Cal is a free online resource dedicated to the California Medicaid Program and health care benefits. (Looking for more details, or to apply as a provider? However, this gives you an idea of how much you could make working full-time as an IHSS provider in Los Angeles County. Here are two questions we often get from IHSS providers in Los Angeles County or those interesting in becoming a provider: How much does an. specify in both the collective bargaining agreement and in the rate change request that the wage increase is a wage supplement. There are two ways in which IHSS payments are made: Advanced and arrears. If you are an IHSS provider or are applying to become a provider and would like to know how much the IHSS program will pay providers in 2022, we can help. For example, counties could do nothing locally and allow IHSS provider wages to increase when the state minimum wage increases at no cost to them. You should consult an attorney for advice regarding your individual situation. However, the costs for subsequent local wage supplements are not added to a countys MOE obligation. In addition, all sick leave hours received on or after July 1, 2022, must be used by June 30, 2023 or they will expire. Typically, under the 2017 IHSS MOE, if a county implements multiple wage and benefit increases, its MOE obligation is adjusted to reflect the cost of each of those increases. (Upcoming publications, The 202223 Budget: Analysis of the MediCal Budget and The 202223 Budget: Analysis of Health Care Access and Affordability Proposals, will provide additional details on the fullscope MediCal expansion to remaining undocumentedadults.). This means that County B would pay 100percent of the nonfederal costs associated with the $1.00 wage increase. 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