5238.01
In-Home Supportive Services and Personal Care Services
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In-Home Supportive Services ("residual program") Welf. & Inst. Code §§12300 et seq. County pays 35% & State 65% of total cost. |
Personal Care Services under Medi-Cal, Welf. & Inst. Code § 14132.95 Federal Medicaid pays 50%. Of remaining 50%, County pays 35% & State 65%. |
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Who is covered? |
Advance Pay people; Persons who do not need personal care services or paramedical services. |
SSI beneficiaries; 1619 SSI beneficiaries (people who work even though still disabled); Pickles; Model Nursing Facility Waiver people. |
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Providers? |
Relative Providers defined as parents of minors, spouses. |
All other providers including parents of adult children. |
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Services? |
All services including protective supervision. |
All services except protective supervision which is covered under residual IHSS program. |
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Severely/ Nonseverely Impaired? |
283 hours per month for severely impaired (needs 20 or more hours/week for personal care, paramedical, and meal preparation); 195 for nonseverely impaired. |
Maximum of 283 hours.
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Time covered? |
Time for specific tasks, not blocks of time except for protective supervision. |
Time for specific tasks -- i.e., in a 4-hour time period may authorize 1.5 hours for tasks. |
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Can others supplement pay? |
Yes, if given directly to provider |
No, but can pay for hours not covered such as time between tasks if pay provider directly. |
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Spouse Provider? |
For nonmedical personal care, paramedical services and, if prevented from working, protective supervision & transportation. |
Not covered because spouse provider. Other providers can be paid when spouse not able or available. |
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Parent Provider? |
If parent of a minor is prevented from working full time because of the child's specialized care needs, all services except domestic services and protective supervision needed because of age |
Not covered because parent provider. Other providers can be paid when parent not able or available -- such as a grandparent when parent works. |