In the contract mode of IHSS service provision, Home Care Providers are employees of an agency that has a contract with the county Department of Aging and Adult Services IHSS Program. The IHSS Consortium operates under the Contact Mode in San Francisco and San Mateo counties.
Domestic Tasks (IADLs) include sweeping, cleaning bathroom, storing food and supplies, taking out garbage, dusting and picking up, changing bed linen, and miscellaneous domestic services. Related services include meal preparation, meal cleanup, laundry, shopping, and errands.
Home Care vs. Home Health Care
While the term “home care” often is used to describe both medical and non-medical care, home care typically refers to non-medical care such as housekeeping or personal care services provided by persons who are not nurses, doctors, or other licensed medical personnel.
In-Home Supportive Services (IHSS)
IHSS is a federal, state, and locally-funded program which provides services (see Domestic Tasks and Personal Care) to low-income aged, disabled, and blind individuals who are unable to remain safely in their own homes without the physical assistance of another person to accomplish domestic and personal care tasks. IHSS is an alternative to out-of-home care.
Independent Provider (IP)
Independent Providers are individuals selected by an IHSS recipient to provide the approved IHSS services. The IHSS recipient is responsible for the hiring, supervising, and firing of the IP.
Independent Provider (IP) Mode
Independent Providers are IHSS home care workers who are employed directly by a consumer. Independent Providers are often family members of the consumer being served. Independent Providers can also be found on the San Francisco IHSS Public Authority registry. For collective bargaining purposes, the IHSS Public Authority is the employer of record for Independent Providers.
Medicare is the publicly-funded and administered health insurance program for persons over 65 years of age who qualify through their work history or contributions to Medicare. Medicare pays for doctors and hospital care when a person is recovering from an illness or accident.
A federal- and state-funded program that provides comprehensive medical benefits (insurance) to low income families, seniors, children, disabled, people in skilled nursing facilities, pregnant women, and CalWORKS recipients
Personal care (ADLs) include dressing, bathing, grooming, oral hygiene, skin rubbing, reposition on/off seats, respiration, feeding/hydration, bed baths, menstrual care, ambulation, moving in/out of bed, assistance with medications, and assistance with maintenance exercises.
Share-of-Cost means an individual’s net non-exempt income is in excess of the applicable SSI/SSP benefit level, which must be paid toward the cost of in-home supportive services authorized by the county.