AB 97, as amended, Weber. In-home supportive services: provider wages.
Existing law establishes the county-administered In-Home Supportive Services (IHSS) program, under which qualified aged, blind, and disabled persons are provided with services in order to permit them to remain in their own homes and avoid institutionalization. Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions.
Existing law provides, as part of the Coordinated Care Initiative, that not sooner than March 1, 2013, all Medi-Cal long-term services and supports, including IHSS, are required to be services that are covered under managed care health plan contracts and to be available only through managed care health plans to beneficiaries residing in Coordinated Care Initiative counties, except for the provided exemptions.
This bill would declare the intent of the Legislature to enact legislation to create a mechanism to pay In-Home Supportive Services program providers for additional hours worked through the Coordinated Care Initiative.end delete
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State-mandated local program: no.
The people of the State of California do enact as follows:
(a) The State Department of Social Services shall be
4responsible for procuring and implementing a new Case
5Management Information and Payroll System (CMIPS) for the
6In-Home Supportive Services Program and Personal Care Services
7Program (IHSS/PCSP). This section shall not be interpreted to
8transfer any of the IHSS/PCSP policy responsibilities from the
9State Department of Social Services or the State Department of
10Health Care Services.
11(b) At a minimum, the new system shall provide case
12management, payroll, and management information in order to
13support the IHSS/PCSP, and shall do all of the following:
14(1) Provide current and accurate information in order to
15the IHSS/PCSP caseload.
16(2) Calculate accurate wage and benefit deductions.
17(3) Provide management information to monitor and evaluate
19(4) Coordinate benefits information and processing with the
20California Medicaid Management Information System.
15(c) The new system shall be consistent with current state and
16federal laws, shall incorporate technology that can be readily
17enhanced and modernized for the expected life of the system, and,
18to the extent possible, shall employ open architectures and
20(d) By August 31, 2004, the State Department of Social Services
21shall begin a fair and open competitive procurement for the new
22CMIPS. All state agencies shall cooperate with the State
23Department of Social Services and the California Health and
24Human Services Agency Data Center to expedite the procurement,
25design, development, implementation, and operation of the new
27(e) The State Department of Social Services, with any necessary
28assistance from the State Department of Health Care Services,
29shall seek all federal approvals and waivers necessary to secure
30federal financial participation and system design approval of the
32(f) The new CMIPS shall include features to strengthen fraud
33prevention and detection, as well as to reduce overpayments.
34Program requirements shall include, but shall not be limited to,
35the ability to readily identify out-of-state providers, recipient
36hospital stays that are five days or longer, and excessive hours
37paid to a single provider, and to match recipient information with
38death reports. This functionality shall be available by April 1,
392010, and implemented statewide by July 1, 2011.
It is the intent of the Legislature to enact legislation
2to create a mechanism to pay In-Home Supportive Services
3program providers for additional hours worked through the
4Coordinated Care Initiative.