COVID-19 IHSS submission of SOC 873 during COVID-19 response

The California Department of Social Services (CDSS) has issued guidance regarding an exception to IHSS applicants submitting the SOC 873 Health Care Certification prior to authorization of IHSS services.

Counties can consider all new IHSS applicants who are unable to obtain a SOC 873 from their licensed heath care provider because of COVID-19 to be considered at imminent risk of out of home placement and therefore have good cause for not submitting the SOC 873 prior to authorization of services.  These applicants should have good cause to submit the SOC 873 up to 90 days from the date it is requested by county.  Counties may authorize IHSS services pending receipt of the SOC 873 for 90 days from the date of the county request for applicants who meet all eligibility requirements.  (ACIN I-28-20, March 30, 2020.)

COVID-19 IHSS social worker overtime and outreach

The California Department of Social Services (CDSS) has issued guidance regarding social worker outreach and overtime.  CDSS will augment IHSS administrative fund to support social worker overtime.  Social workers’ primary work during overtime should be initial face-to-face assessment, answering and returning phone calls, assessments because of a change in condition or circumstances that would increase hours and assistance with provider enrollment.

In addition, IHSS and Adult Protective Services social workers should identify and outreach to program recipients who may need additional support during the COVID-19 emergency.  Counties should prioritize recipients who are most at-risk for outreach.  For example, recipients who are over 80 years old, living alone, or do not have an active provider can be prioritized.  Counties will receive funding for these activities.  (ACL 20-30, March 30, 2020.)

COVID-19 IHSS back-up providers

The California Department of Social Services (CDSS) has issued guidance regarding the need for back-up In Home Supportive Services (IHSS) providers because of COVID-19.  Each county must implement a system in which providers can be quickly assigned to IHSS recipients when their provider can no longer work because of COVID-19.   Counties should work with their public authorities to implement the system.  CDSS will augment IHSS administrative funding to implement the system.  Providers referred to provide emergency back-up services will be paid $2 more per hour than the current county wage rate.  (ACL 20-29, March 30, 2020.)

COVID-19 IHSS provider overtime

The California Department of Social Services (CDSS) has issued guidance about flexibility available to counties because of COVID-19.  Counties should allow recipients flexibility in assigning weekly service hours to their IHSS providers so that recipients may receive adequate and timely services.  When providers incur overtime violations while performing services that are “in critical need,” CDSS will remove the violations through June 30, 2020.  (Program Manager Letter, March 19, 2020.)

COVID-19 CDC guidance on responding to people experiencing homelessness

The Center for Disease Control (CDC) has issued guidance regarding steps to protect people experiencing homelessness from COVID-19.  CDC recommends partnerships across local sectors including homeless outreach teams, state and local health departments, hospitals and law enforcement.

CDC’s prevention measures are not to clear encampments during community spread of COVID-19 unless individual housing units are available because doing so increases risk of disease spread.  CDC also recommends ensuring restrooms near encampments have functioning water, hand hygiene materials and bath issue, and they remain open 24 hours per day to people experiencing homelessness.  If toilets or handwashing facilities are not available nearby, portable toilets with handwashing facilities should be brought for encampments of more than 10 people.

Persons experiencing unsheltered homelessness with suspected or confirmed COVID-19 should be provided isolation housing.  Behavioral health teams should be involved in the planning for these sites to facilitate access to community support.  If they need to be hospitalized, a discharge plan should be in place.  (CDC COVID-19 Interim Guidance, March 22, 2020.)