This letter provides instructions on the Functional Index (“FI”)-based cuts to IHSS. It contains an explanation of the FI ranking and weighted score. Applicants/Recipients must have an FI Score of 2.00 or higher before IHSS services may be authorized. There are 2 (remaining) categories of individuals that would be exempted from any service reductions due to the new threshold level for service eligibility: (1) individuals authorized to receive protective supervision, (2) individuals authorized to receive paramedical services. Terminations will be effective 11/1/09, and instructions for existing recipients and new applicants are listed.
In addition, ABX 4-4 also established a threshold of need that must be met before Domestic and Related Services may be assessed or authorized. In addition to having an FI Score of 2.00 or above to be authorized IHSS, an individual must have a “Substantial Need for human assistance” to receive Domestic or any Related Services. Substantial Need is defined as an FI Rank of 4 or above. The same exemptions, effective date and instructions for existing and new folks apply. [Download]