ACIN I-18-08: IHSS-Residual Eligibility For Non-Citizens (3/12/08)

Instructions for determining if non-citizens who are not eligible for the Personal Care Services Program (PCSP) or the In-Home Supportive Services Plus Waiver (IPW) program due to their immigration status, meet the immigration status requirements for the In-Home Supportive Services-Residual (IHSS-R) program. To be eligible for PCSP or IPW, an individual must be eligible for full scope FFP Medi-Cal, as determined by the California Department of Health Care Services.

Welfare and Institutions Code Section 12305.6 states that non-citizens who would be eligible for SSI/SSP, but for the provisions of welfare reform, continue to be eligible for IHSS-R. This means that any non-citizen who was lawfully admitted for permanent residence (LAPR) or considered to be Permanently Residing Under Color of Law (PRUCOL) meets the immigration status criteria for SSI/SSP eligibility, and is potentially eligible for IHSS-R. The PRUCOL categories and verification requirements can be found in 20 CFR 416.1618 (see Attachment B). This is regardless of entry date or length of U.S. residence. This includes Conditional entrants, people with withholding of deportation, Refugees, Asylees. In addition, Senate Bill 1569 (Chapter 672, Statutes of 2006) made certain victims of human trafficking, domestic violence and other serious crimes potentially eligible for IHSS-R. Refer to All-County Letter (ACL) 06-60 for detailed instructions on this non-citizen category.

“It should be noted that PRUCOL is no longer recognized by the U.S. Citizenship and Immigration Service (CIS), formerly the Immigration and Naturalization Service (INS), so SSI/SSP PRUCOL category found at 20 CFR 416.1618 (b)(17) can rarely be used because CIS will no longer verify the defined situation.” [Download]

ACL 07-37: Release Of Criminal Offender Record Information (CORI) Search Response (10/22/07)

Ending the game of 21 questions, this ACL describes the duty to release the CORI search responses to people when CDSS takes an administrative action based on the CORI information, such as the denial of criminal exemptions for licensing. The affected individual must request the responses in writing, and the ACL lists all the information that is required in order to comply. [Download]

ACIN I-58-07: State Participation Of $12.10 Per Hour For IHSS Provider Wages And Benefits (10/12/07)

For counties that have a Public Authority (PA) or Non-Profit Consortium (NPC), the State participation went up $1, effective July 1, 2007. No increase will be effective until the state approves it, a process that is running about 60 days. Counties shall determine, pursuant to the collective bargaining process, what portion of the $12.10 per hour shall be used to fund wage increases, individual health benefits and/or the combination of both. Counties can pay higher, through a separate billing process. [Download]

ACIN I-54-07: Paid Family Leave (PFL) Program, For IHSS Providers (10/2/07)

Although IHSS providers have been paying for the PFL program since January 2004, the state is just now explaining the program to counties. The PFL program is an enhancement to the State Disability Insurance (SDI) program, providing partial wage replacement for up to six weeks in a 12-month period when the provider takes time off work to care for parents, children, spouses, and registered domestic partners or to bond with a new minor child. This program provides protection against wage loss only, it does not protect the individual’s job. EDD administers the PFL program. Per the ACIN, EDD must answer all questions and provide claim forms. Although counties can provide EDD-supplied posters, pamphlets, and other materials to educate providers the PFL, if an IHSS provider asks the county for a claim form, the county is to tell them to contact EDD. [Download]

ACL 06-32: Additional Claims To Be Submitted Through The Conlan II Claims Process (9/13/07)

More instructions re: reimbursement for expenses during 3-month retroactive Medi-cal coverage period. This one pertains to reimbursement of IHSS recipients who have paid excess out-of-pocket Share of Cost (SOC) expenses.  The “complex issue” of IHSS-buy out cases will be deferred to a future ACL, but in the meantime, recipients who believe they have paid a SOC in excess of their obligation must submit their claims through the Department of Health Care Services (CDHCS) Beneficiary Services Center (BSC), unless it is a Buy-Out claim for reimbursement for the current month or one month prior. That category of buy-out claims is to be made bay the County using the Special Pre-Authorized Transaction (SPEC) created for this purpose. [Download]