This ACIN provides information on how counties can/should be implementing the anti-fraud provisions in SB 1104 and existing rules to prevent and pursue IHSS fraud. Just so you know what the counties will be up to. … Includes ability to collect non-fraudulent overpayments against the chore provider. [Download]
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
IHSS
ACL 05-35 – Interim Share of Cost Process For In-Home Supportive Services (October 28, 2005)
How the interim share of cost process for the In-Home Supportive Services Residual/Personal Care Services Program/In-Home Supportive Services Plus Waiver (IHSS-R/PCSP/IHSS+) will operate until automation of the Case Management, Information, and Payrolling System (CMIPS) is completed. Recipients will be receiving two notices, one from IHSS and one from Medi-Cal re: their share of cost. The letter has technical details about the new processes for “buy out” and “Spendown” as it relates to the new system and share of cost. If you do Medi-Cal or IHSS, just read this! It is anticipated that automation of CMIPS will be completed in late Spring 2006. [Download]
DHS ACL 04-08 – Disability Program Reminders to Assist in Reducing Case Errors and Overall Disability Case Processing Time (March 16, 2004)
Identifies and reminds counties and State Disability and Adult Program Division of the procedures for processing disability cases in the areas where errors occur most frequently. Reiterates that Presumptive Disability (PD) decisions allow certain applicants with severe medical conditions to immediately receive full scope Medi-Cal while their disability evaluations are being processed. [Download]
ACL 04-43 – IHSS in the Workplace (October 13, 2004)
Heads up for those working with individuals with disabilities in (or heading to) the workplace. This ACL implements AB 925 (which was effective January 1st, 2003!) which allows IHSS, PCSP, and the new IHSS Independence Plus Waiver (IPW) recipients to transfer service hours already authorized for use in the recipient’s home to a workplace in order to support employment. No additional hours, no new assessment. Ya gotta get county approval before doing the transfer. AB 925 coverage does not supplant employer ADA obligations. The services must be “necessary and relevant” to work. You can also transfer services needed to “obtain” work, such as job interviews or complying with pre-employment activities (including employer-offered or required training). [Download]
ACL 04-16 – In-home Supportive Services Provided to Participants In the Office of AIDS Programs (May 19, 2004)
While this ACL was issued to provide the updated Memorandum of Understanding (MOU) between IHSS and the CDSS, the real import is its reminders re: IHSS waivers. The ACL reminds county IHSS caseworkers and Medi-Cal Waiver Program (MCWP)/Case Management Program (CMP) case managers to coordinate the needs of the recipient, ensuring that MCWP/CMP services not supplant IHSS hours and to not decrease IHSS hours solely because MCWP/CMP has increased hours. [Download]