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The Governor’s budget proposes to reduce the hours of domestic and related services provided tothe In–Home Supportive Services recipients by 1. General Fund savings of about $1. Additionally, the budget includes a proposal to reduce county administrative funding and workload by 1. General Fund savings of about $1. We provide background on domestic care service hours, highlight key features of the Governor’s proposals, present some concerns with the estimated savings, and provide alternatives for achieving savings. After the needs of an IHSS recipient are assessed by a social worker, the recipient is authorized to receive a specific number of hours of care each month for a variety of services. This care is allocated among certain tasks to create a package of services to assist recipients in remaining in their own homes thereby potentially avoiding being placed in a residential care or nursing facility. 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Placer County In Home Support Services (IHSS) information provided by: Placer County Mental Health Services The In-Home Supportive Services (IHSS) program will help pay for services provided to you so that you can remain. The IHSS Program will help pay for services provided to you so that you can remain safely in your own home. To apply for IHSS, complete an application and submit it to the local county IHSS Office. The State of IHSS Health Benefits in California: A Survey of Counties R T Z. The IHSS benefits program provides an innovative solution to. San Mateo (35%), El Dorado (33%), Placer (31%), Shasta (31%), Calaveras. In-Home Supportive Services (IHSS) Fraud. In-Home Supportive Services fraud is an intentional attempt by some providers, and in some cases beneficiaries, to receive unauthorized payments or benefits from the program. Related Services: Domestic Services. Cleaning; dusting; picking up. Laundry. Sorting; washing; hanging; folding. Shopping and. Errands. Purchasing groceries, putting them. Meal Preparation. Planning menus; preparing food. Meal Cleanup. Washing dishes and putting them. All Other. Services: Feeding. Feeding. Ambulation. Assisting recipient with walking or moving in home or to car. Bathing, Oral. Hygiene, Grooming. Cleaning the body; getting in or. Routine Bed Baths. Cleaning the body. Dressing. Putting on/taking off clothing. Medications and. Assistance With Prosthetic Devices. Medication administration. Bowel and Bladder. Bedpan/ bedside commode care. Menstrual Care. External application of sanitary. Transfer. Assistance with standing/ sitting. Repositioning/. Rubbing Skin. Circulation promotion; skin care. Respiration. Assistance with oxygen and oxygen. Protective. Supervision. Ensuring recipients are not harming. Who Receives Domestic Services? As shown in Figure 1, domestic and related services include general housekeeping activities, meal preparation, meal clean–up, shopping for food, and errands. For 2. 00. 8–0. 9, the IHSS caseload is estimated to be about 4. Over 9. 5 percent of these recipients are estimated to receive some level of domestic and related care service. Currently, the average number of hours authorized for IHSS domestic services is 3. In other words, for an average IHSS recipient, domestic and related services make up about 4. The Current Assessment Process. The IHSS program relies on county social workers to conduct individualized assessments to determine the number of hours of each type of IHSS service that a recipient needs in order to remain in his/her home. Recently, social workers have received training in order to implement a standardized assessment process throughout the state. Current law requires social workers to reassess most recipients’ need for service every 1. The length of time between assessments can be extended for an additional 6 months (to a total of 1. Currently, if IHSS recipients disagree with the hours authorized by the social worker, they have a right to request a reassessment, and if still not satisfied, they can appeal their hour allotment by submitting a request for a state hearing to the Department of Social Services (DSS). The Governor’s budget proposes to reduce county administrative funding by about $1. General Fund (about 1. He also proposes to reduce the workload for county social workers by extending the interval between IHSS recipient assessments from 1. The Governor’s proposal allows for assessments more frequently than 1. The Governor’s budget proposes to reduce the number of hours provided for IHSS domestic and related services by 1. This reduction is estimated to save $1. General Fund in the budget year. Because most recipients receive domestic care services, this reduction will have an effect on nearly all IHSS recipients and providers. As seen in Figure 2, the average IHSS recipient will go from having 3. Figure 2. Domestic and Related. Services Reduction Impact of the 1. Percent Reduction Average Monthly Hours. Current. Level. Governor's. Proposal. Change Amount. Percent. Domestic and related care service hours. All other hours. 49. Totals. 86. 6. 80. Implementing the Reduction. The Governor’s proposal assumes that the reduction in domestic and related care hours would become effective on July 1, 2. This assumes enactment by the Legislature of the necessary statutory changes by March 1, 2. Currently, information regarding recipient hour authorizations is stored in the state operated Case Management Information and Payrolling System (CMIPS). The Governor’s proposal does not include any administrative or reprogramming costs to enable the reduction. The DSS states that CMIPS will be reprogrammed to automatically apply the 1. At the time this analysis was prepared, it was not clear if CMIPS could make this change within its existing resources or whether additional costs will be incurred for computer reprogramming. The Assessment Process. The DSS states that there will be no change in the assessment process at the county level. Social workers will continue to use their training and existing guidelines to perform an individualized assessment and determine the amount of care that they believe a recipient should receive to avoid institutionalization. Pursuant to the proposed trailer bill language, after their hours are reduced by 1. IHSS recipients will receive a notice in the mail with information about (1) the amount of hours the recipient received prior to the reduction and the number of hours the recipient will receive as a result of the reduction, (2) the reason for the reduction, (3) when the reduction will be effective, and (4) how all or part of the reduction may be restored if the recipient believes he/she will be at serious risk of out–of–home placement if the care is not restored. Changes to the Appeals Process. Current law states that IHSS recipients do not have the right for a state hearing if they are appealing a reduction in hours that occurred as a result of a change in federal or state law. However, when describing how all or part of the 1. Governor’s proposal refers to a section in current law that allows IHSS recipients to apply to have their hours restored through an IHSS care supplement, which is designed to provide additional hours of service. If the recipient disagrees with the county’s determination regarding the need for a care supplement, the recipient may then request a hearing on that determination. Additionally, under the Governor’s proposal, recipients retain the right to request a social worker reassessment and to appeal their reassessment if not satisfied. Although it is likely that this proposal will lead to some General Fund savings, we are concerned that the estimated savings in the Governor’s budget may be overstated. The Governor’s budget assumes that by increasing the allowable time between social worker assessments, county workloads will decrease by 1. Additionally, the Governor’s plan assumes that all IHSS domestic and related care hours will be reduced by 1. Below we present our concerns with the estimated savings included in the Governor’s budget. Administrative Cost Reduction May Not Lead to Equivalent Workload Reduction. Although the proposal to reduce funding for county administration by 1. Although the proposal extends the allowable time between reassessments, it does not change the recipient’s ability to request a reassessment at any time. As more time passes between assessments, recipients may experience changes in their conditions and request a social worker reassessment. This. may require social workers to perform more assessments than would be budgeted under the Governor’s proposal. Implementing Hour Reduction Proposal. Although the 1. 8 percent reduction in domestic and related care service hours will be applied automatically by CMIPS, it is not clear whether there will be administrative or reprogramming costs to enable the reduction. The Governor’s budget does not include any administrative or reprogramming costs that may be required for CMIPS to apply the reduction. To the extent that these costs exist, some of the savings in this proposal will erode. Appeals for Additional Hours. As recipients become aware of the 1. IHSS care supplement). This is because the proposal does not change the ability of the recipient to request these reevaluations, and the notice they receive will inform them of their ability to restore hours if they believe that they are at serious risk of out–of–home placement. If these reassessments or appeals result in restored domestic and related care services for recipients, the savings due to this proposal will be less than estimated in the Governor’s budget. Additionally, increased reassessments and appeals would raise administrative costs. This is because it will take a social worker time to process the increase in the requests and appeals. Social Worker Incentives May Reduce Savings. As social workers become aware of the 1. Social workers might do this in order to avoid requests for reassessments and appeals which take additional social worker time. System Test Case Format. 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