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In-Home Support Services (IHSS)


Contents

Application Forms

What Will Happen After You Apply

Approved or Denied

You Are Approved and Need to Hire Someone

Type of Services That Are Authorized Through IHSS

A Parent as an IHSS Provider

IHSS Provider Orientation – How to Become a Provider

Form SOC 295     APPLICATION FOR SOCIAL SERVICES IHSS

Form SOC 873     In-Home Support Services Program Health Care Certification

IHSS Services Covered

In-Home Support Services (IHSS) are services paid for by state governments to help keep senior citizens (65 or over), the disabled or blind to safely remain at home. Disabled children are also potentially eligible in order to keep them with their parents. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities and is thus a less expensive alternative for the state.

The fact that IHSS can potentially save a state money means that there is a good chance your state has a similar program. If you read this and find out information on your own state about a similar program, I would be happy to include it here.

In this segment I will cover California’s In-Home Support Services.

California state’s organization of In-Home Support Services.

California Department of Social Services is the umbrella department for In-Home support services. Main web page:

http://www.cdss.ca.gov/agedblinddisabled/PG1296.htm

Some of the text below is directly off this webpage but I have added more information following the text because the website does not explain all possibilities.

The program is administrated through county’s IHSS Office or many are also known as the county’s Human Service Agencies listed on this webpage:

http://www.cdss.ca.gov/agedblinddisabled/PG1785.htm

In-Home support services eligibility

•    You must physically reside in the United States.
•    You must also be a California resident.
•    You must have a Medi-Cal (Medicaid) eligibility determination.
•    You must live at home or an abode of your own choosing (acute care hospital, long-term care facilities, and
licensed community care facilities are not considered "own home").
•    You must submit a completed Health Care Certification form.

Note: These eligibility requirements are for the disabled recipient and not the provider or family.

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Application Forms

The application for IHSS must be completed and submitted to your local county’s IHSS office/ Human Service Agency.

The application in English (pdf):
http://www.cdss.ca.gov/cdssweb/entres/forms/English/SOC295.pdf

The application in Armenian (pdf):
http://www.cdss.ca.gov/cdssweb/entres/forms/Armenian/SOC295Arm.pdf

The application in Chinese (pdf):
http://www.cdss.ca.gov/cdssweb/entres/forms/Chinese/SOC295CH.pdf

The application in Spanish (pdf):
http://www.cdss.ca.gov/cdssweb/entres/forms/Spanish/SOC295SP.pdf

A completed Health Care Certification (SOC 873) must be received by the county prior to authorization of services:
http://www.cdss.ca.gov/cdssweb/entres/forms/English/SOC873.pdf

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What Will Happen After You Apply

A county social worker will interview you at your home to determine your eligibility and need for IHSS. Based on your ability to safely perform certain tasks for yourself, the social worker will assess the types of services you need and the number of hours the county will authorize for each of these services. This assessment will include information given by you and, if appropriate, by your family, friends, physician or other licensed health care professional.

Approved or Denied

You will be notified if your IHSS application has been approved or denied. If denied, you will be notified of the reason for the denial. If approved, you will be notified of the services and the number of hours per month which have been authorized for you.

If you are denied do not despair yet. It is important to read the reason for the denial as you may be able to address it. It could be something as simple as something left off the form. I have heard of people getting their notification for IHSS and reading “denied” and not reading any further.

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You Are Approved and Need to Hire Someone

If you are approved for IHSS, you must hire someone (your individual provider) to perform the authorized services. You are considered your provider's employer and, therefore, it is your responsibility to hire, train, supervise, and fire this individual.

A parent can also be the provider but must be vendorized. The state views that it is cheaper to keep a parent at home taking care of a disabled person than placing them in a group home.

The level of wage that can be paid to the provider is determined by the county the services are provided in. The wages are on the low end of the spectrum. It can be hard to find someone willing to do the job for the wage offered. Also hiring one individual can be problematic if that person gets sick, takes a vacation, or has emergencies. It is better to have multiple people willing to work, but this makes work a part time job for low wages. It is a dilemma.

If your county has a contracted IHSS provider agency, you may choose to have services provided by the contractor. This can be the easiest way. Especially if the contracted IHSS provider is an agency as they would take care of the paying of providers and make sure that at the times when a provider is needed someone shows up. The contractor takes care of scheduling, people quitting, vacations, and sickness. This is in theory how it should work. In practice, it may vary.

The drawback of a contracted IHSS provider agency is that you have little control over who will show up to your door when they first show up. All IHSS providers go through background checks, which are covered below.

New people will need to be trained, so you may be doing more training than if you hire your own people.

If your county has homemaker employees, you may receive services from a county homemaker if these services have been approved.

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Type of Services That Are Authorized Through IHSS

The types of services which can be authorized through IHSS are housecleaning, meal preparation, laundry, grocery shopping, personal care services (such as bowel and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and protective supervision for the mentally impaired.

A more detailed coverage of services covered is the form IHSS Services Covered which is near the bottom of this webpage. It is 4 pages long.

A Parent as an IHSS Provider

You can be the IHSS provider for your child if no other suitable provider is available or you left full-time employment because no other suitable provider is available. State law and regulations do not require that you left full-time employment at a particular time or for a particular reason. You can be the IHSS provider even if you have never worked. The only requirement is that you are prevented from obtaining full-time employment because of the care your child needs now.

According to state regulations, a parent can be an IHSS provider if “The parent has left full-time employment or is prevented from obtaining full-time employment because no other suitable provider is available and the inability of the parent to perform supportive services may result in inappropriate placement or inadequate care.” (Manual of Policies and Procedures (MPP) 30-763.451.) Full-time employment means 40 hours per week or more. (MPP 30-763.451(a).)

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CHAPTER 30-700 SERVICE PROGRAM NO. 7: IN-HOME SUPPORTIVE SERVICES

MPP 30-763.451(a)

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IHSS Provider Orientation – How to Become a Provider

http://www.cdss.ca.gov/agedblinddisabled/PG2082.htm

How to become a provider is a little more involved and is cover on the cdss website. It maybe covered here in the future.


Form SOC 295     APPLICATION FOR SOCIAL SERVICES IHSS

The In-Home Suppotive Service Application for Social Services form (SOC 295) is reproduced here in html so that it can easily be translated into multiple languages. You can not use this form to submit to court in any language. You have to use a APPLICATION FOR SOCIAL SERVICES pdf form. Links to pdfs are near the top of this webpage: Application Form



STATE OF CALIFORNIA-HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES

APPLICATION FOR SOCIAL SERVICES

To the Applicant: All sections of this form must be completed. Information provided is subject to verification.

NOTE: Retain your copy of your completed application. Regarding your Social Security Number, it is mandatory that you provide your Social Security Number(s) as required in 42 USC 405 and MPP Section 30-769.71. This information will be used in eligibility determination and coordinating information with other public agencies.

 Date of Application:

 Case Number (if known):


Section 1 – Personal Information

 Name:

 Social Security Number:

 Street Address:

 City:

 State:

 Zip Code:

 Telephone:

 Birthdate:

 Sex:    small box Male    small box Female

Section 2 – Veteran Information

 Are you a Veteran?
small box Yes   small box No
 Are you a Spouse/Child of a Veteran?
small box Yes    small box No
 If YES, give Veteran name and Claim Number:



Section 3 – SSI/SSP Information

 Do you receive SSI/SSP benefits?             small box Yes    small box No

 If yes, check your type of living arrangement:

             small box Independent Living              small box Board and Care            small box Home of Another
 Services being requested:


Page 1 of 7
SOC 295 (1/15)




STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICDES

Section 4 – Past IHSS Information
 Have you received In-Home Support Services (IHSS) in the past?      small boxYes    small box No
 If Yes, complete the following.
 Date and county where service was last received:
 Total Monthly Hours:

 Name Used (if different from above):


Section 5 – Household Information

List Family Members in Household:
 Name of:                     small box Spouse       small box Parent


 Birthdate:


  Social Security Number:


 Name of:                     small box Child             small box Other Relative


 Birthdate:


  Social Security Number:


 Name of:                     small box Child             small box Other Relative


 Birthdate:


  Social Security Number:


 Name of:                     small box Child             small box Other Relative


 Birthdate:


  Social Security Number:


 Name of:                     small box Child             small box Other Relative


 Birthdate:


 Social Security Number:


Page 2 of 7
SOC 295 (1/15)




STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICDES

Section 6 – Ethnic and Language Information

The law requires that information on ethnic origin and primary language be collected. If you do not complete this section, social service staff will make a determination. The information will not affect your eligibility for service.

A. My Ethnic Origin is:

Please choose one

(See Page 7 for a list of Ethnicities and Codes)
B. I speak and understand English:      small boxYes    small boxNo
If not English, my primary language is:

Please choose one

(See Page 7 for a list of Languages and codes)

Section 7 – Communication Accommodations

To accommodate blind or visually-impaired applicants, IHSS information is available in the following alternative formats. Please indicate which format you would prefer, if applicable. Providing information in this section will not affect your eligibility for services.

  I am Blind:                     small box Yes              small box No

If yes, please choose one of the following for each of the three types of DSS documents listed.

  For Notices of Action:    small box No accommodation is needed
     small box Braille Documents   small box Audio CD    small box Data CD    small box County Support
  (If County Support, describe requested support)


  For IHSS Required forms:    small box No accommodation is needed
     small box Braille Documents   small box Audio CD    small box Data CD    small box County Support
  (If County Support, describe requested support)


  For Timesheets:    small box No accommodation is needed
     small box Telephonic System (4 Digit RAN:           )                     small box County Support
  (If County Support, describe requested support)


Page 3 of 7
SOC 295 (1/15)





STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICDES

  I am Visually Impaired:                            small box Yes             small boxNo


If yes, please choose one of the following for each of the three types of DSS documents listed.

 For Notices of Action:    small box No accommodation is needed
     small box 18 point font documents   small box Audio CD    small box Data CD    small box County Support
 (If County Support, describe requested support)


 For IHSS Required forms:    small box No accommodation is needed
     small box 18 Point font documents   small box Audio CD    small box Data CD    small box County Support
 (If County Support, describe requested support)


  For Timesheets:    small box No accommodation is needed
                  small box 18 point font documents                     small box County Support
  (If County Support, describe requested support)



Section 8 – Affirmation

I affirm that the above information is true to the best of my knowledge and belief. I agree to cooperate fully if verification of the above statements is required in the future.

I also understand that as the employer of my IHSS provider(s) I am responsible for:
1) Hiring, training, supervising, scheduling and, when necessary, firing my provider(s).
2) Ensuring the total hours reported by all providers who work for me do not exceed my IHSS authorized hours each month.
3) Referring any individual I want to hire to the County IHSS office to complete the provider eligibility process.
4) Notify the County IHSS office when I hire or fire a provider.

In addition, I understand and agree to the following terms and limitations regarding payment for services by the IHSS program:

Page 4 of 7
SOC 295 (1/15)





STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICDES

1)  In order for any individual to be paid by the IHSS program, they must be approved as an IHSS eligible provider.
2)  If I choose to have an individual work for me who has not yet been approved as an eligible IHSS provider, I will be responsible for paying him/her if he/she is not approved.
3) The IHSS program will not pay for any services provided to me until my application for services is approved and then will only pay for those services that are authorized for me to receive by the IHSS Program.
4) I will be responsible for paying for any services I receive that are not included in my IHSS authorization.

I also understand and agree to cooperate with the following as a part of my eligibility for IHSS:

To promote program integrity, I may be subject to unannounced visits to my home and that I or my provider(s) may receive letters identifying program requirement concerns from the State Department of Health Care Services (DHCS), California Department of Social Services (CDSS) and/or the County in which I receive services.

The purpose of the visits and letters is to ensure that program requirements are being followed and that the authorized services are necessary for you to remain safely in your home. The visit will also verify that the authorized services are being provided, that the quality of those services is acceptable, and that your well-being is protected.

If it is found that IHSS services are not required or not being properly provided, you and/or your provider may be subject to a Medi-Cal fraud investigation. If fraud is substantiated, you and/or your provider will be prosecuted for Medi-Cal fraud.










Page 5 of 7
SOC 295 (1/15)





STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICDES

Section 9 – Signature(s)

 Signature of Applicant:


 Date:


 Signature of Applicant’s Representative (only if applicable):


Date:


 Representative’s Relationship to Applicant
 (only if applicable):


 Representative Telephone Number
 (only if applicable):


 Representative’s Address (only if applicable):




To report suspected fraud or abuse in the provision or receipt of IHSS services, please call the fraud hotline at 1-800-822-6222, email at stopmedicalfraud@dhcs.ca.gov , or go to http://www.dhcs.ca.gov/individuals/Pages/StopMedi-CalFraud.aspx .

FOR AGENCY USE ONLY

 Income Eligible:
          small box Yes      small box No

 Status Eligible:
          small box Yes       small box No
 Verification:

 Signature of Social Worker or Agency Representative:


Telephone Number:

 Recipient Status:
small box Refugee
small box Cuban/Haitian Entrant
small box Neither

 Source of Verification for Refuge or Entrant Status
 (explain):







Page 6 of 7
SOC 295 (1/15)




STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICDES

Ethnic Codes: Language Codes:
1.     White. O.     American Sign Language
2.     Hispanic.         (AMISLAN or ASL).
3.     Black. 1.     Spanish - NOA will be issued
4.     Other Asian or Pacific Islander.         in Spanish.
5.     American Indian or 2.     Cantonese.
        Alaskan Native. 3.     Japanese.
7.     Filipino. 4.     Korean.
C.     Chinese. 5.     Tagalog.
H.     Cambodian. 6.     Other non-English.
J.     Japanese. 7.     English.
K.     Korean. 9.     Spanish - NOA will be issued
M.     Samoan.        in English.
N.     Asian Indian. A.     Other Sign Language.
P.     Hawaiian. B.     Mandarin.
R.     Guamanian. C.     Other Chinese Languages.
T.     Laotian. D.     Cambodian.
V.     Vietnamese. E.     Armenian.
   F.     Ilacano.
   G.     Mien.
   H.     Hmong.
   I.     Lao.
   J.     Turkish.
   K.     Hebrew.
   L.     French.
   M.     Polish.
   N.
   0.     Russian.
   P.     Portuguese.
   Q.     Italian.
   R.     Arabic.
   S.     Samoan.
   T.     Thai.
   U.     Farsi.
   V.     Vietnamese.





Page 7 of 7
SOC 295 (1/15)




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Form SOC 873     In-Home Support Services Program Health Care Certification

The In-Home Supportive Services (IHSS) Program Health Care Certification (SOC 873) form is reproduced here in html so that it can easily be translated into multiple languages. You can not use this form to submit to court in any language. You have to use the Form SOC 873 pdf form. Links to pdfs are near the top of this webpage: Application Form





STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM
HEALTH CARE CERTIFICATION FORM

A. APPLICANT/RECIPIENT INFORMATION (To be completed by the county)
Applicant/Recipient Name

Date of Birth:

Address:

County of Residence:

IHSS Case #:

IHSS Worker Name:

IHSS Worker Phone #:

IHSS Worker Fax #:

B. AUTHORIZATION TO RELEASE HEALTH CARE INFORMATION
(To be completed by the applicant/recipient)

I, __________________________________________, authorize the release of health care information
(PRINT NAME)
related to my physical and/or mental condition to the In-Home Supportive Services program as it pertains to my need for domestic/related and personal care services.

Signature: Date:          /          /       
                                         (APPLICANT/RECIPIENT OR LEGAL GUARDIAN/CONSERVATOR)
    

Witness (if the individual signs with an “X”):

Date:          /          /      
                                                       
    
TO: LICENSED HEALTH CARE PROFESSIONAL* –
The above-named individual has applied for or is currently receiving services from the In-Home Supportive Services (IHSS) program. State law requires that in order for IHSS services to be authorized or continued a licensed health care professional must provide a health care certification declaring the individual above is unable to perform some activity of daily living independently and without IHSS the individual would be at risk of placement in out-of-home care. This health care certification form must be completed and returned to the IHSS worker listed above. The IHSS worker will use the information provided to evaluate the individual’s present condition and his/her need for out-of-home care if IHSS services were not provided. The IHSS worker has the responsibility for authorizing services and service hours. The information provided in this form will be considered as one factor of the need for services, and all relevant documentation will be considered in making the IHSS determination.

IHSS is a program intended to enable aged, blind, and disabled individuals who are most at risk of being placed in out-of-home care to remain safely in their own home by providing domestic/related and personal care services. IHSS services include: housekeeping, meal preparation, meal clean-up, routine laundry, shopping for food or other necessities, assistance with respiration, bowel and bladder care, feeding, bed baths, dressing, menstrual care, assistance with ambulation, transfers, bathing and grooming, rubbing skin and repositioning, care/assistance with prosthesis, accompaniment to medical appointments/alternative resources, yard hazard abatement, heavy cleaning, protective supervision (observing the behavior of a non-self-direct- ing, confused, mentally impaired or mentally ill individual and intervening as appropriate to safeguard recipient against injury, hazard or accident), and paramedical services (activities requiring a judgment based on training given by a licensed health care professional, such as administering medication, puncturing the skin, etc., which an individual would normally perform for him/herself if he/she did not have functional limitations, and which, due to his/her physical or mental condition, are necessary to maintain his/her health). The IHSS program provides hands-on and/or verbal assistance (reminding or prompting) for the services listed above.

*Licensed Health Care Professional means an individual licensed in California by the appropriate California regulatory agency, acting within the scope of his or her license or certificate as defined in the Business and Professions Code. These include, but are not limited to: physicians, physician assistants, regional center clinicians or clinician supervisors, occupational therapists, physical therapists, psychiatrists, psychologists, optometrists, ophthalmologists and public health nurses.

SOC 873 (10/16) Page 1 of 2






IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM HEALTH CARE CERTIFICATION FORM

 
Applicant/Recipient Name:

IHSS Case #:
C. HEALTH CARE INFORMATION (To be completed by a Licensed Health Care Professional Only)

 NOTE:  ITEMS #1 & 2 (AND 3 & 4, IF APPLICABLE) MUST BE COMPLETED AS A CONDITION
OF IHSS ELIGIBILITY.
1.  Is this individual unable to independently perform one or more activities of daily
living (e.g., eating, bathing, dressing, using the toilet, walking, etc.) or instrumental activities of daily living (e.g., housekeeping, preparing meals, shopping for food, etc.)?

small box YES     small box NO
2.  In your opinion, is one or more IHSS service recommended in order to prevent
the need for out-of-home care (See description of IHSS services on Page 1)?
small box YES     small box NO
If you answered “NO” to either Question #1 OR #2, skip Questions #3 and #4 below, and complete the rest of the form including the certification in PART D at the bottom of the form.

If you answered “YES” to both Question #1 AND #2, respond to Questions #3 and #4 below, and complete the certification in PART D at the bottom of the form.
3.  Provide a description of any physical and/or mental condition or functional limitation that has
resulted in or contributed to this individual’s need for assistance from the IHSS program:





4. Is the individual’s condition(s) or functional limitation(s) expected to last at
least 12 consecutive months OR expected to result in death within 12 months?
small box YES     small box NO
Please complete Items # 5 - 8, to the extent you are able, to further assist the IHSS worker in determining this individual’s eligibility.
5.  Describe the nature of the services you provide to this individual (e.g., medical treatment, nursing care,
discharge planning, etc.):


6. How long have you provided service(s) to this individual?
7. Describe the frequency of contact with this individual (e.g., monthly, yearly, etc.):
8. Indicate the date you last provided services to this individual:         /          /        
NOTE:  THE IHSS WORKER MAY CONTACT YOU FOR ADDITIONAL INFORMATION OR TO
CLARIFY THE RESPONSES YOU PROVIDED ABOVE.
D. LICENSED HEALTH CARE PROFESSIONAL CERTIFICATION
By signing this form, I certify that I am licensed in the State of California and all information provided above is correct.
Name: Title:


Address:


Phone #: Fax #:


Signature: Date:


Professional License Number: Licensing Authority:


PLEASE RETURN THIS FORM TO THE IHSS WORKER LISTED ON PAGE 1.

SOC 873 (10/16) Page 2 of 2





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IHSS Services Covered



SERVICES COVERED BY IHSS


How to use this list:

1.
Review your IHSS Provider Notification which lists the services that are authorized for your consumer by the IHSS program. Ask your consumer/employer how many hours you are authorized to work each month. If they are unable to tell you, contact the county and ask about the services and hours authorized.

2.
Once you find out about the services and hours authorized, look at the list below to determine which tasks are included.

Remember, most consumers will not have all of these services authorized, and you can only be paid for authorized services and tasks. Also keep in mind the amount of time authorized for each service. Do not put any hours on your timesheet for services that are not authorized.


IHSS Service
Tasks
Accompaniment to
Alternative Resource
Helping the consumer get to and from alternative resources where the IHSS recipient receives services instead of IHSS. Usually, the alternative resource will provide transportation and sees that the consumer gets there safely, so authorization for this service is rare. Time is not authorized for waiting.
Accompaniment to
Medical Appointments
Helping the consumer get to and from the doctor, dentist, or other health related appointments.  Time is not authorized for waiting.
Ambulation
Assisting the consumer with walking or moving from place to place inside the home, including: to and from the bathroom; climbing or descending stairs; moving and retrieving assistive devices such as a cane, walker, or wheelchair, etc.; and washing/drying hands before and after performing these tasks. Ambulation also includes assistance to and from the front door to the car, including (getting in and out of the car) for medical accompaniment and/or alternative resource travel.
Bathing, Oral Hygiene/ Grooming
Helping the consumer take a bath or shower; bringing a washcloth, soap, and towel to the consumer and putting them away; turning on and off faucets and adjusting water temperature; assisting the consumer with getting in and out of the tub or shower; washing, rinsing, and drying the parts of the consumer’s body he/she can’t do; and applying lotion, powder, and deodorant. Brushing teeth, rinsing mouth, caring for dentures, and flossing. Hair combing/ brushing; hair trimming when the consumer cannot get to the barber/salon; shampooing, applying conditioner, and drying hair; shaving; and washing and drying your hands.







California Department of Social Services
1 IHSS Provider Orientation
(Revised 2/6/12)




SERVICES COVERED BY IHSS


IHSS Service
Tasks
Bowel and/or Bladder Care
Assisting the consumer with getting on and off the toilet or commode; wiping and cleaning the consumer; helping the consumer with using, emptying, and cleaning bed pans/bedside commodes, urinals, ostomy, enema and/or catheter receptacles; application of diapers; positioning for diaper changes; managing clothing; changing disposable gloves; and washing/drying consumer’s and provider’s hands. This service does not include insertion of enemas, catheters, suppositories, digital stimulation as part of a bowel program for a person with paralysis, or colostomy irrigation. All of those tasks are part of “Paramedical Services.”
Care and Assistance with
Prosthesis
Assistance with taking off or putting on, maintaining, or cleaning prosthetic devices such as an artificial limb and glasses/hearing aids as well as washing and drying hands before and after performing these tasks. This service area also includes assisting the consumer with self-administration of medication, i.e.,
reminding the consumer to take prescribed and/or over-the-counter medications at appropriate times and/or setting up the medications.
Domestic
(Housework)
Limited to sweeping, vacuuming, and washing floors, kitchen counters, and sinks; cleaning the bathroom; storing food and supplies; taking out garbage; dusting and picking up; changing bed linen; cleaning oven and stovetop; cleaning and defrosting refrigerator; bringing in wood for cooking for those who only have a wood stove; changing light bulbs; and wheelchair cleaning or recharging wheelchair batteries.
Dressing
Washing/drying hands; helping the consumer put on and take off clothes, corsets, elastic stockings, and braces and/or fastening/ unfastening, buttoning/unbuttoning, zipping/unzipping, and tying/untying of garments and undergarments; changing soiled clothing; and bringing tools to the consumer to assist with independent dressing such as a sock aid.
Feeding
Helping the consumer eat and drink liquids; assisting the consumer reach for, pick up, and grasp utensils and cups; and washing and drying your hands before and after feeding. This does not include tube feeding, which is part of “Paramedical Services.” It also does not include cutting food into bite-sized pieces or pureeing food, which is part of “Prepare Meals.”
Heavy Cleaning
Thorough cleaning of the home to remove hazardous debris or dirt. This is a one-time service that usually involves throwing away large amounts of clutter into a dumpster. It is rarely needed or approved. You will be expected to keep the home clean with Domestic services (if approved) after the heavy cleaning is done.
Meal Cleanup
Washing, rinsing, drying dishes, pots, pans, utensils, and appliances, and putting them away; loading and unloading the dishwasher; storing/putting away leftovers; wiping up spills from the table, counter, stove, and sink; and washing and drying your hands.



California Department of Social Services
2 IHSS Provider Orientation
(Revised 2/6/12)





SERVICES COVERED BY IHSS



IHSS Service
Tasks
Menstrual Care
Limited to external application and changing of sanitary napkins and external cleaning; and wiping and drying hands before and after performing these tasks. You should not insert a tampon, even if that is the consumer’s preference. If the consumer wears a diaper, time for menstrual care should not be necessary as the time would be assessed as part of “Bowel and/or Bladder Care.”
Move In/Out of Bed
(Transfer) Helping the consumer from a standing, sitting, or lying down position to another position and/or from one piece of equipment or furniture to another. This includes transfer from a bed, chair, couch, wheelchair, walker, or assistive device generally occurring within the same room. This may include using a Hoyer lift or similar device or a transfer belt. This service does not include turning a consumer who is bedbound to prevent skin breakdown or pressure sores. That is part of “Rub Skin and Repositioning.”
Other Shopping and Errands
Picking up prescriptions and shopping for non-food items the consumer needs. This includes making a shopping list, traveling to/from the store, shopping, loading, unloading, storing supplies purchased, and performing reasonable errands such as delivering a delinquent payment to prevent a utility shutoff or picking up a prescription. This does not include time to pay monthly bills.
Paramedical Services
Paramedical services are skilled tasks that the consumer’s doctor or a nurse has taught you to do such as the administration of medications, puncturing the skin to give the consumer a shot, inserting a medical device into a body orifice such as tube feeding, inserting a catheter or irrigating a colostomy, activities requiring sterile procedures such as caring for an open bed sore, or activities requiring judgment based on training given by a licensed health care professional such as putting a person who has paralysis into a standing frame.
Prepare Meals
Planning meals; removing food from the refrigerator or pantry; washing/drying hands before meal preparation; washing, peeling, and slicing vegetables; opening packages, cans, and bags; measuring and mixing ingredients; lifting pots and pans; trimming meat; reheating food; cooking and safely operating the stove; setting the table; serving the meals; pureeing food; and cutting the food into bite-sized pieces. When the food is cooking and doesn’t need your attention, you are expected to be doing other services.
Protective Supervision
Observing the behavior of a consumer who is confused, mentally impaired or mentally ill in order to safeguard him/her against injury, hazard, or accident. It is expected that the consumer is supervised 24 hours a day, 7 days a week.
Removal of Ice and Snow Removal of ice and snow from entrances and essential walkways when access to the home is hazardous.




California Department of Social Services
3 IHSS Provider Orientation
(Revised 2/6/12)






SERVICES COVERED BY IHSS



IHSS Service
Tasks
Rub Skin and Repositioning
Rubbing of skin to promote circulation; turning in bed and other types of repositioning; and range of motion exercises. This does not include care of pressure sores if they have developed. That care would be part of “Paramedical Services.”
Respiration Assistance
Limited to non-medical services such as assistance with self-administration of oxygen, assistance with setting up CPAP machine, and cleaning IPPB and CPAP machines.
Routine Bed Baths
Bringing soap, washcloth, and towel to the consumer; filling a basin with water and bringing it to the consumer; washing, rinsing, and drying body; applying lotion, powder, and deodorant; cleaning basin or other materials used for bed sponge baths and putting them away; and washing and drying your hands before and after bathing.
Routine Laundry Washing and drying laundry, mending, ironing, folding, and storing clothes in closets, on shelves, or in drawers. You are expected to do other chores while the clothes are in the washer and dryer.
Shopping for Food
Grocery shopping at the nearest grocery store. No additional time is allowed for the consumer to go to the store with you. Shopping for food includes making a grocery list, travel to/from the store, shopping, loading, unloading, and storing groceries.
Teaching and Demonstration
Teaching the consumer how to perform certain tasks when they could learn to become independent if taught. Teaching and Demonstration is only allowed for a short period of time.
Yard Hazard Abatement
Removal of grass, weeds, rubbish, or other hazardous items when they are a fire hazard. This is not gardening.





California Department of Social Services
4 IHSS Provider Orientation
(Revised 2/6/12)

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