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Receive a presentation on the In-Home Supportive Services Program
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Published Notice Required? Yes ____ No _X _
Public Hearing Required? Yes ____ No _X _
DEPARTMENTAL RECOMMENDATION:
Health and Social Services and the County Administrator's Office recommend that the Board of Supervisors receive a presentation on the In-Home Supportive Services Program (IHSS) as requested by the Board of Supervisors.
SUMMARY:
During the September 13, 2016 Board of Supervisors meeting, the Board requested a presentation on the IHSS Program including an overview of the program's purpose and how it was established, how services are paid, and who pays for the services.
IHSS is a California Medi-Cal Program established to provide services that allow certain individuals to remain in their homes rather than in an out-of-home facility. The program includes income eligibility and health certification requirements. Staff in the County's Older and Disabled Services (ODAS) Bureau within the Public Health Division of Health and Social Services process applications and determine eligible service hours.
The program is paid through a combination of federal, State, and County funds and the share of costs for each has been modified over the history of the program. Prior to FY2012/13, the share of cost was approximately 50% federal, 32.5% State, and 17.5% County. In FY2012/13, Maintenance of Efforts (MOEs) were established with all counties based on each county's FY2011/12 paid service hours. Under Solano County's MOE, the County's most recently calculated share of cost (FY2015/16) was approximately 10.4%. Continuation of the MOE is dependent on the success of the State's Coordinated Care Initiative (CCI), an initiative to move IHSS services to a managed care model. Each year, the State evaluates the progress of CCI in the 7 pilot program counties.
FINANCIAL IMPACT:
The cost to prepare this report is included in Health and Social Services and the County Admi...
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