DPSS ePolicy

Converted document no content change. 

To provide clarification on assessing and documenting unmet need in the In-Home Supportive Services (IHSS) Program using the Case Management, Information, and Payrolling System Version (CMIPS).

A recipient is considered to have a documented unmet need when the total hours for non-Protective Supervision IHSS exceed the statutory maximum.  A recipient is not considered to have a documented unmet need when his/her total authorized non-Protective Supervision hours are less than the statutory maximum.

N/A

Federal Financial Participation (FFP): 

Federal matching funds paid to states for allowable expenditures for services or administrative costs.

IHSS Plus Options (IPO)

Federally funded program for FFP Medi-Cal eligible IHSS recipients who are not eligible for the Personal Care Services Program (PCSP) due to one or more of the following:

1. Recipient has a spouse for a provider;
   
   
2.  Recipient is a minor child with a parent for a provider;
   
   
3.  Recipient receives Advance Pay; or
   
   
4. Recipient receives Restaurant Meal Allowance.

IHSS-Residual (IHSS-R) Program

Recipient who is not eligible for FFP Medi-Cal and who meets the IHSS eligibility criteria (Manual of Policy and Procedures 30-755).

Personal Care Services Program (PCSP): 

Federally funded program for FFP Medi-Cal eligible IHSS recipients. Services include:

1. Domestic and Related Services;
    
2. Personal Care Services; 
   
   
3. and Protective Supervision.

Exception: If one of the four IPO conditions listed above exists, then services are received through the IPO Program.  If the recipient is not eligible for FFP Medi-Cal, then services are received through the Residual Program.

Statutory Maximum: 
The maximum monthly service hours authorized for recipients under the IHSS Program.  The statutory maximum can be either 195 hours or 283 hours per month, depending on the funding source of the IHSS services provided, and on the condition of the recipient: non-severely impaired (NSI) or severely impaired (SI)

PCSP/CFCO:

• NSI: 283 hours
• SI: 283 hours

IPO:

• NSI: 195 hours
• SI: 283 hours

IHSS-R:

• NSI: 195 hours
• SI: 283 hours

Unmet Need:

A recipient is considered to have unmet need when his/her individually assessed service needs for non-Protective Supervision exceed the statutory maximum.

The State requires that IHSS Social Workers (SWs) continue to:

• Assess all IHSS service needs regardless of statutory maximum to ensure the recipient’s needs are accurately assessed.
  
  
• Document any unmet need, and the number of unmet need hours.
  
  
• Identify other resources within the community, such as government programs or community-based organizations that may assist in meeting the recipient’s unmet need. Refer the recipient to these resources.
  
  
• Make referrals to the Adult Protective Services when the recipient’s safety is an issue.

N/A