Table of ContentsWhat is In-Home Supportive Services? ............................. 1

Two agencies working together ........................................ 2

Who are the Recipients? ...................................................... 3

What types of service does IHSS offer? ............................. 4

What IHSS does not pay for ............................................. 5

Recipient responsibilities ................................................... 6

Who are the Providers? ........................................................ 7

How does the Provider get hired? ...................................... 8

Provider responsibilities ..................................................... 9

Guidelines for Providers ................................................... 10

On the job injuries ........................................................... 11

Guidelines for transportation in the program................ 12

Adult abuse or neglect ..................................................... 13

Legal aspects ..................................................................... 14

Provider wages & benefits ............................................... 15

Deductions & income taxes ............................................ 16

Share of Cost .................................................................... 17

The payroll process .......................................................... 18

Union representation ...................................................... 20

Important numbers ......................................................... 21

In-Home Supportive Services Advisory Committee ..... 22

IHSS Provider Checklist .................................................. 23HSS-6383 (11-03)

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In-HomeSupportive ServicesWhat is IHSSWhat is IHSSWhat is IHSSWhat is IHSSWhat is IHSS?The In-Home SupportiveServices (IHSS) programhelps to enable elderly,blind or disabled personsto live safely and indepen-dently in their own homeswith dignity and respect.This is accomplished bypaying someone to go intotheir homes to performthose duties they are nolonger able to do forthemselves. IHSS is animportant program becauseit is considered an alter-native to out-of-home careand provides others inthe community with jobs.The people who receivethe services are calledRecipients. The people whodo the work are calledProviders. The program isfunded by federal, state andcounty funds.

Helps low-incomeelderly, blindor disabledpersons

Intent: Topreventunnecessaryout-of-homeplacement

Funded withfederal, stateand countyfunds

Twoagencies:

FresnoCountyIn-HomeSupportiveServices andPublicAuthority

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Two agencies, the FresnoCounty IHSS and thePublic Authority, worktogether to make in-homecare work. FresnoCounty’s responsibilitiespertain to those servicesrequested by theRecipient which include:processing IHSSapplications forRecipients; completingassessments of theRecipient’s needs;authorizing hours needed;receiving and processingtimesheets andperforming casemanagement.

The responsibilities of thePublic Authority include:being the employer ofrecord for wagenegotiations and benefits;maintaining the ProviderRegistry; providingProvider and Recipienteducation and training;providing Providerbackground checks andother care services asnecessary.

FFFFFresno Countyresno Countyresno Countyresno Countyresno CountyProcesses IHSS applications

Completes assessments

Authorizes hours

Receives timesheets

Provides data entry ontimesheetsProvides case management

IHSS PIHSS PIHSS PIHSS PIHSS Public Aublic Aublic Aublic Aublic AuthorityuthorityuthorityuthorityuthorityProvider’s employer ofrecord for wage negotiationsand benefitsProvider Registry

Provider and Recipient accessto trainingProvider background checks

TwoAgenciesWorkingTogether

Who Are the Recipients?

Medically frail andelderly individuals –age 65 and older

Blind persons

Long-term disabledadults, ages 18-64

Some disabledchildren

Low-income/SSI-SSPeligible

Fresno Countyresidents

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Domestic SerDomestic SerDomestic SerDomestic SerDomestic Services:vices:vices:vices:vices:sweeping/cleaning floors,dish washing, vacuuming,dusting, changing bedlinensMeal PMeal PMeal PMeal PMeal Preparation:reparation:reparation:reparation:reparation: cooking,planning menusLLLLLaundraundraundraundraundryyyyy,,,,, ironing,mending, etc.GrocerGrocerGrocerGrocerGrocery Shoppingy Shoppingy Shoppingy Shoppingy ShoppingNon-Medical PNon-Medical PNon-Medical PNon-Medical PNon-Medical PersonalersonalersonalersonalersonalCare:Care:Care:Care:Care: dressing, changingbed, baths, bowel andbladder care, assistancewith feeding, mobilityassistance*Assistance withAssistance withAssistance withAssistance withAssistance withTTTTTransportationransportationransportationransportationransportation to and frommedical appointment

WhatTypes ofServiceDoesIHSSOffer?

PPPPProtective Superrotective Superrotective Superrotective Superrotective Supervisionvisionvisionvisionvision ofdisoriented RecipientsPPPPParamedical Seraramedical Seraramedical Seraramedical Seraramedical Servicesvicesvicesvicesvices orderedby a licensed health careprofessional (i.e.,medications, injections,activities requiring sterileprocedures, etc.)

*This refers to transferring and/or lifting a Recipient and helping them walk

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What IHSSDoes Not Pay for:

24-Hour care andsupervision

Routine outdoor workor gardening

Cleanup after pets,visitors and familymembers

Moving or liftingheavy furniture,boxes, etc.

Tasks that involveclimbing

Tasks that are notapproved by IHSS

Mileage

RecipientResponsibilities*

FIND, HIRE, TRAIN, SUPERFIND, HIRE, TRAIN, SUPERFIND, HIRE, TRAIN, SUPERFIND, HIRE, TRAIN, SUPERFIND, HIRE, TRAIN, SUPERVISE andVISE andVISE andVISE andVISE andTERMINATERMINATERMINATERMINATERMINATETETETETE the Provider.**

Complete an I-9 for Provider verifying thatthey may work in the U.S.

Establish a work schedule and adequateworking conditions for the Provider.

Notify the social worker of change inProvider(s) or a change in the Provider ’spersonal information for payment purposes.

Inform Provider of wage rate, deductions,Workers’ Compensation, State unemploymentand State disability benefits.

Inform Provider of IHSS authorized tasks andhours available.

Pay Share of Cost to Provider if applicable.

Ensure all signatures are on timesheet andadvise Provider to mail timesheet to IHSS forpayment.

* A complete list of Recipient responsibilities is available from your IHSSSocial Worker.

**If you need assistance finding, interviewing or hiring a Provider, pleasecontact the IHSS Public Authority at 453-6450.

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Who aretheProviders?

Persons 18 and Older

Domestic andPersonal CareExperience

Family Members/Family Friends

Helpful andDependableTrustworthyand HonestDedicated andHard Working

The Providers arein-home careproviders who are18 years or olderand are able andwilling to performdomestic andpersonal careservices to thosein need. They canbe a familymember, friend,neighbor orsomeone from theProvider Registry.They are helpful,dependable,trustworthy,honest, patient,dedicated andhard working.

How Doesthe ProviderGet Hired?

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As soon as theRecipient hires aProvider, theRecipient will call thesocial worker to givethem the Provider’sbasic information andto tell the socialworker what theProvider ’s hours willbe. If the Providerwas referred from theProvider Registry, theRecipient will notifythe Provider Registry.The Recipient andProvider willcomplete the PersonalCare ProgramProvider/EnrollmentAgreement (FormSOC 426) and send itto the IHSS program.

WWWWWays to find aays to find aays to find aays to find aays to find aPPPPProviderroviderroviderroviderrovider

IHSS PublicAuthority Provider Registry(453-5022)

Family

Friends

Neighbors

Provider Responsibilities*

Be sure Recipient has advised/enrolled you as acare Provider (Forms 10 and SOC 426).

Follow direction of Recipient for workschedule and task completion.

Show up for work on time and only performthose tasks which are authorized by IHSS.

Ask Recipient if they have a Share of Cost(which must be paid directly to the Provider).

Have Recipient signtimesheet afterafterafterafterafter hours andtasks are completed.

Inform social workerimmediately if Recipienthas been hospitalized, isdeceased or is otherwise nolonger in their home.

Inform Recipient & socialworker immediately ifthere has been an injuryon the job.

Ask Recipient or socialworker for informationregarding Workers’Compensation andstate unemployment.

*Complete list available from IHSS program 9

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Guidelines for Providers

Show up on time and use authorized hoursonly for performing authorized tasks.Notify the Recipient at least 24 hours inadvance if you will be late or can’t work asscheduled.Do not allowfriends, family orpets to go with youto work.Respect Recipient’sprivacy.Do not makeunauthorized and/or personal phone calls onRecipient’s time.Follow the Recipient’s directions.Unless asked, do not rearrange the Recipient’shome or personal things.Notify the Recipient if something accidentallybreaks.If handling money for the Recipient,remember to give all receipts to the Recipient.Do not accept gifts or borrow the Recipient’sfood, money or belongings.Give two weeks notice if you are going to quitor go on vacation.

On the JobInjuries

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Call 911Call 911Call 911Call 911Call 911, if you require, if you require, if you require, if you require, if you requireemergency medical care.emergency medical care.emergency medical care.emergency medical care.emergency medical care.

Inform your Recipientimmediately.

Get medical care if necessary.

Contact social worker forWorkers’ Compensationpaperwork.

Send completed information tosocial worker for processing.

Call State WCall State WCall State WCall State WCall State Workorkorkorkorkers’ers’ers’ers’ers’Compensation for moreCompensation for moreCompensation for moreCompensation for moreCompensation for moreinforinforinforinforinformation: mation: mation: mation: mation: 1 800-736-7401.1 800-736-7401.1 800-736-7401.1 800-736-7401.1 800-736-7401.

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Guidelines forTransportationin theProgram

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Valid CaliforniaDriver’s License isrequired.

The Provider ’s vehicleshould be registeredin the State ofCalifornia withcurcurcurcurcurrent tags.rent tags.rent tags.rent tags.rent tags.

The vehicle should beinsuredinsuredinsuredinsuredinsured with liabilityand collision coverage.

The vehicle should bein good repairgood repairgood repairgood repairgood repair and wellmaintained.

Arrange withRecipient reasonablepayment for gas and/or mileage.

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Adult Abuseor Neglect

Adult abuse or neglect means the physical,mental, sexual or financial abuse of an elder ordependent adult or theft of their property orbelongings. This is against the law and will beprosecuted. IHSS Providers, whether familymembers or unrelated, will be prosecuted forabuse and theft if they are involved in thiscriminal act. IHSS care Providers areMANDMANDMANDMANDMANDAAAAATED REPORTED REPORTED REPORTED REPORTED REPORTERSTERSTERSTERSTERS of abuse, whichmeans that Providers must report situations orsuspicion of elder abuse abuse or child abuse.

REPORREPORREPORREPORREPORTINGTINGTINGTINGTINGHOTLINEHOTLINEHOTLINEHOTLINEHOTLINE(24-Hour)

Adult Abuse(559) 255-3383(559) 255-3383(559) 255-3383(559) 255-3383(559) 255-3383

Child Abuse(559) 255-8320(559) 255-8320(559) 255-8320(559) 255-8320(559) 255-8320

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Legal Aspects

Federal Civil Rightslaw prohibits jobdiscrimination on thebasis of race, color,religion, sex ornational origin.

California lawprohibits acts ofviolence or threats ofviolence; specifically,threats – verbal orwritten, physicalassault, attemptedassault, graffiti andvandalism orproperty damagebecause of someone’srace, color, religion,sex or national origin.

EqualEqualEqualEqualEqual

EmploymentEmploymentEmploymentEmploymentEmployment

OpportunityOpportunityOpportunityOpportunityOpportunity

is the LAis the LAis the LAis the LAis the LAW!W!W!W!W!

Provider Wages& Benefits

For wages refer to theIHSS Public Authority at(559) 453-6450.

State Disability Benefitsif earnings exceed $750per quarter.

State Unemploymentbenefits for all thosewhose earnings exceed$1,000 per quarter(Parents acting as careProviders of minorchildren and spousesacting as care Providersdo not qualify.)

Workers’CompensationBenefits

No paid sick,vacation orholiday leave

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ISSUE DATE 05/06/2002

KEEP THIS STUB FOR YOUR RECORDS CURRENT YTD

Recipient: 10-12345678 GROSS 429.30 429.30

Ross Betsy NET 373.60 373.60

FICA 26.62 26.62

Fresno CA 93727 MEDICARE 6.22 6.22

SDI 3.86 3.86

Provider: 123-45-6789 SOC 230.00 230.00

Provider Pat

1234 Some Street

Fresno CA 93727

From: 04/01/2002

To: 04/01/2002 Hours: 63.6

IHSS PROGRAM INFORMATION UNION-SEIU 19.00

ARREARS

Deductions &Income Taxes

Social Security(FICA)

State Disability(SDI)

Providers MUST fillout a W-4 if incometaxes are to bededucted. If this isnot done, you willbe taxed for thefull amount atyear ’s end.

Union dues

10.00

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Recipient Number Provider Number

Address Change Yes Write new address on reverse side Address Change Yes Write new address on reverse side

Day of Month

Hours Worked

Fill in hours for each day worked and place total here

Share of Cost Liability Other Liability Provider Overpayment

Recipient Signature Date

x

Provider Signature Date

x

After w ork has been completed, sign, date and mail to this address

This is to certify that the information contained in this form is true, accurate and complete, and that the provider and

recipient have read, understand and agree to be bound by and comply with the statements, affirmations and

conditions contained on the back of this form.

SOC 361 IR (1/98) STATE OF CALIFORNIA - HEALTH AND WELFARE AGENCY - DEPARTMENT OF SOCIAL SERVICES

IHSS Timesheet

"Do not sign unless you have read and understand instructions above"

Share of Cost (SOC)

Can be part of a Provider ’s wages – it must beit must beit must beit must beit must becollected directly from the Recipient.collected directly from the Recipient.collected directly from the Recipient.collected directly from the Recipient.collected directly from the Recipient.

It is that portion of the Recipient’s incomethat is in eeeeexxxxxcesscesscesscesscess of the SSI benefit level.

The Recipient must designate the hours to beworked by each Provider and a portion of theshare of cost “SOC” to each Provider.

Watch for “SOC” on your timesheet.

The Recipient will lose IHSS benefits if he/shedoes not pay Share of Cost.

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All about thePayroll Process

Two pay periods each month15th and 31st (or end of month)BEWBEWBEWBEWBEWARE OF FEBRUARE OF FEBRUARE OF FEBRUARE OF FEBRUARE OF FEBRUARARARARARY Y Y Y Y – there are only28 daysMust be enrolled as an IHSS ProviderWrite in blue or black ink onlyWrite clearlyDo not use whiteoutOnly submit authorized hours per pay periodMake sure timesheet is signed by Providerand RecipientMake sure Recipient initials any changes madeon your timesheet

Mail or Drop Off YMail or Drop Off YMail or Drop Off YMail or Drop Off YMail or Drop Off Your Tour Tour Tour Tour Timesheetimesheetimesheetimesheetimesheet

FOR FASTER PROCESSING:Mail toMail toMail toMail toMail to address on front of timesheetFresno County • P.O. Box 1912Fresno, CA 93718-1912

Drop BoDrop BoDrop BoDrop BoDrop Box Locations:x Locations:x Locations:x Locations:x Locations:Crocker Building Alley • 2135 Fresno StreetIHSS Building • 3821 N. Clark

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Union RepresentationService Employees International Union (SEIU),Local 250, is the official bargaining agent forProviders in Fresno County.

SEIU 250SEIU 250SEIU 250SEIU 250SEIU 2501279 N. Wishon Avenue

Fresno, CA 93728Phone: (559) 265-4890

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Important Numbers

Choose the languagedesired:

English Option 1

Spanish Option 2

Hmong Option 3

In-Home Supportive SerIn-Home Supportive SerIn-Home Supportive SerIn-Home Supportive SerIn-Home Supportive Servicesvicesvicesvicesvices

453-6666453-6666453-6666453-6666453-6666

Options:

1) To order timesheets

2) Employmentverification

3) Check status

4) Provider Registry(Public Authority)

5) SEIU, Local 250

6) Receptionist/to reachsocial worker or otherIHSS staff

FFFFFor inforor inforor inforor inforor information regarding:mation regarding:mation regarding:mation regarding:mation regarding:

PPPPProvider Registrrovider Registrrovider Registrrovider Registrrovider Registryyyyy ................................................................................ 453-5022453-5022453-5022453-5022453-5022Orientation/TOrientation/TOrientation/TOrientation/TOrientation/Trainingrainingrainingrainingraining ............................................. 453-3545453-3545453-3545453-3545453-3545Advocacy SpecialistAdvocacy SpecialistAdvocacy SpecialistAdvocacy SpecialistAdvocacy Specialist ............................................................ 453-5155453-5155453-5155453-5155453-5155General InforGeneral InforGeneral InforGeneral InforGeneral Informationmationmationmationmation....................................................... 453-6450453-6450453-6450453-6450453-6450

http://www.fresnohumanservices.org/AdultServices/IHSSAC/

IHSSAC...

In-Home Supportive SerIn-Home Supportive SerIn-Home Supportive SerIn-Home Supportive SerIn-Home Supportive ServicesvicesvicesvicesvicesAdvisorAdvisorAdvisorAdvisorAdvisory Committeey Committeey Committeey Committeey Committee

(IHSSA(IHSSA(IHSSA(IHSSA(IHSSAC)C)C)C)C)

Meetings are held monthlyMeetings are held monthlyMeetings are held monthlyMeetings are held monthlyMeetings are held monthly.....

FFFFFor more inforor more inforor more inforor more inforor more information please call 453-5105.mation please call 453-5105.mation please call 453-5105.mation please call 453-5105.mation please call 453-5105.

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Your IHSS ProviderChecklist:

IHSS 10 Form/SOC 426 Form toenroll as a care Provider is complete.

I completed ProviderOrientation(optional butrecommended).

I asked Recipient about theirauthorized hours and tasks.

I asked Recipient if there is anothercare Provider.

Recipient completed I-9 for me, theProvider.

I filled out W-4 form for payroll(optional).

I asked Recipient abouttransportation needs & mileageallowance.

I know Recipient’s social worker &contact number.

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NotesNotesNotesNotesNotes