Moreover, the asset limit would be eliminated altogether no sooner than January 2024if the necessary federal approvals are obtained. Given that Omicron has become the prevailing COVID19 variant in California since the development of the Governors budget, the Legislature may want to consider whether any IHSSprogram flexibilities or temporary supports warrant an extension. Copyright 2021 IHSS Law Office of James Diskint. Solano County IHSS Public Authority Attn: Registry Recruitment 275 Beck Avenue, MS 5-190 During the provider orientation, a fingerprint packet will be provided. Asa result, there is a current gap in backup provider services. Additionally, under the American Rescue Plan (ARP) Act, the federal government increased the federal match rate for IHSS and other Medicaidfunded home and communitybased services (HCBS) by an additional 10percentage points from April 1, 2021 through March31,2022. For example, if a county adopted a $1.00 wage supplement, its IHSS provider wages will be $1.00 above the state minimum wage in any given year. County APS Offices This post describes the Governors budget assumptions and proposals related to the InHome Supportive Services (IHSS) program and offers relevant issues for Legislative consideration. In order to qualify for IHSS, a recipient must be aged, blind, or disabled and in most cases have income below the level necessary to qualify for the Supplemental Security Income/State Supplementary Payment cash assistance program (for example, about $1,040 a month for an aged and/or disabled individual living independently in 202122). Who will be my employer? (Looking for more details, or to apply as a provider? Heres how the IHSS Pay Rate in Los Angeles County compares to the neighboring counties of: Heres how the IHSS provider pay in Los Angeles County compares to other counties in California: The average IHSS pay in California is $15.83. As a result, some recipients continue to receive services through the IHSSResidual program, whileothersdonot. What are the 6 Medi-Cal Managed Care Models in California? IHSS Providers in Los Angeles County can be paid for overtime if approved. Consider Possible Ways to Ensure Similar Treatment When Pause on MediCal Redeterminations Expires. The local wage supplement model was initially established as a part of the 201718 budget package. Additionally, one possible COVID19related reason may be that recipients with nonlivein providers or nonlivein providers themselves may be hesitant to interact with individuals outside of their household due to public health concerns. Have filed your 2020 taxes by October 15, 2021. As of December 1, 2018, eight counties have applied the 10percent option to locally established wage and benefit increases. The salary range is from $26,559 to $34,507. Effect of Local Wage Supplement. The estimated total pay for a Ihss is $45,829 per year in the Los Angeles, CA Area area, with an average salary of $42,587 per year. Given that County As wage and benefit level remains below the state participation cap even after applying the $1.00 wage increase, only 35percent of the nonfederal costs of the first wage increase would be added to County As MOE obligation. The rate paid to provider in San Bernardino County is $13.50 per hour. Additionally, we have provided how much you can make per day, week, month, and year based on the county hourly rate for IHSS providers. Note: There is no set end date for the state of emergency in California. Since 201617, the number of IHSS paid hours per case increased by about 2.5, percent annually, reaching 118.7 hours per case in 202021. In the case of County A, the state would be fully responsible for the nonfederal costs associated with IHSS provider wages increasing as a result of the state minimum wage increase. You may be working less than the hours used, or your county may only allow a certain number of hours for some IHSS clients. The growth in IHSS hourly wages in part is due to increases to the state minimum wagefrom $8 per hour in January 1, 2014 to $15 perhour in January 1, 2022. ___________________________________________________________________________________________________________________________, Attention Providers: View YourDirect Deposit RA/Pay Stub Statement at the ESP. How IHSS Salary is Calculated in Los Angeles County Here is how we calculated the weekly, monthly and annual salary rates above. 3. The 202122 budget included $5million General Fund to create a permanent backup provider system on January 1, 2022, contingent on a policy framework being adopted in statute. IHSS Protective Supervision - IHSS Law Office of James Diskint - Los Angeles. Additionally, we are going to answer the most frequently asked questions about the IHSS provider program in Los Angeles County. To be exempted, providers must provide their recipient a signed copy of theCOVID-19 Vaccination Exemption Form. We estimate that this is a net increase of about $2.8billion (75percent) above estimated General Fund costs in 202122. In the meantime, the Legislature could consider ways to address the current gap in statewide backup provider services. Step 2: Medi-Cal Eligible. Required fields are marked *. aThe state minimum wage reflects the minimum wage of InHome Supportive Services (IHSS) providers across all counties. This may allow you to qualify for CalEITC and other tax credits. Pay IHSS provider to accompany IHSS recipient to their COVID19 vaccination appointment. This rate is determined by negotiations by the Service Employee International Union (SEIU) and the employer of record which is the Public Authority (PA) in San Bernardino County. Additionally, DSS is currently seeking stakeholder input on the structure of the IHSSprovider training opportunities, which is set to start no later than September 1, 2022 (and remain operative until March1, 2024). Be sure to check out our other articles about Medi-Cal in California, including: Your email address will not be published. IHSS costs are shared by the federal government, state, and county. Who is responsible for hiring, training, supervising, and if necessary, firing the provider? How to Become an IHSS Provider How to Appeal if You are Denied IHSS Provider Resources County IHSS Wage Rate Effective January 1, 2022: The County IHSS wage rate for providers is $16.00 per hour. Specifically, the state will pay for 65percent of the nonfederal costs of county IHSS wages and benefits up to the state participation cap, while counties are responsible for the remaining 35percent. Effective 01/01/2022, the wage rate is $16.00 per hour. Save my name, email, and website in this browser for the next time I comment. For both County A and County B, the cost for this one-time wage increase would be added to their MOE obligation, which would be adjusted every year by the MOE growth factor. Counties can increase wages and benefits by 10percent all at once or over a three-year period. Resources Based on our analysis, we found that hourly wages and hours per case generally continue to grow at a rate similar to historical levels. The administration estimates that about 6,000 seniors and persons with disabilities will become eligible for IHSS as a result of this policy change, increasing General Fund costs by $67million in 202223. The e-mail addresses and telephone numbers that appear throughout this site belong to Empower Media Group, and cannot be used to contact Covered California. specify in both the collective bargaining agreement and in the rate change request that the wage increase is a wage supplement. The Public Authority Registry refer providers' names to IHSS consumers who are looking to hire a homecare provider. Additionally, we expect the growth in average hours per case in 202223 to be slightly higher than the administrations current estimate. The Governors budget proposes to further extend fullscope MediCal coverage and IHSS eligibility to incomeeligible undocumented immigrants aged 26 to 49 no sooner than January 2024. What is the State Back-Up Provider System (BUPS)? Beginning in 201718, counties and unions can collectively bargain a local wage supplement, meaning local IHSS provider wages will always exceed the state minimum wage by a fixed dollar amount. (We note that in the event of a recession, the Governor has some discretion to pause the increases.) This is based on working 8 hours a day, 40 hours a week, and 52 weeks a year. Is IHSS getting a raise in July 2022? Counties may use videoconferencing for initial assessment only if an applicant or someone in the applicants household has been infected with COVID19, has symptoms of COVID19, or has been exposed to COVID19 in the previous two weeks. To learn more about HCBWs, contact the Department of Health Care Services In-Home Operations at 1-916-552-9105. The states HCBS spending plan includes two IHSSrelated enhancements: (1)provide a onetime $500incentive payment to IHSS providers who worked at least two months between March2020 and March 2021 and (2)create specialized training opportunities for IHSS providers. The Back-Up Attendant Program (BUAP) provider wage rate is $19.00 per hour. The state is responsible for covering the remaining nonfederal share of costs not covered by the IHSS county MOE. Fact Sheets Counties may perform home visits for purposes of quality assurance and program integrity remotely using telehealth, including videoconferencing and telephone. For the qualified medical reason exemption, providers must include a written statement signed by their doctor, nurse practitioner, or other licensed medical professional under the license of a physician, stating that the provider qualifies for the exemption and providing the length of the exemption (may be unknown or permanent). That means we may earn a commission for purchases made through our website. In this post, we (1)explain how the scheduled state minimum wage increases impact IHSS wages and state and county costs, (2)describe the recent temporary and permanent changes to the state and county cost-sharing structure for IHSS wage and benefit increases, and (3)explain how these changes could impact county wage decisions and costs for the state. Home > Our Services > Disability + Aging Services > In-Home Care > In-Home Supportive Services (IHSS) > IHSS Provider Wages IHSS Provider Wages As of July 2021, the pay rate for IHSS Providers serving IHSS Recipients residing in San Francisco is $18 per hour. Based on recent growth trends, we expect that the average paid hours per case will continue to grow in 202122 (as opposed to remaining roughly flat). that the wage rate reaches $15.00 per hour by FY 2022-23. . This site is not maintained by or affiliated with Covered California, and Covered California bears no responsibility for its content. Providers will be paid for attending and completing training courses and can earn incentive payments for completing training classes. Amendment to the September 28, 2021, Public Health Order, Questions & Answers: Adult Care Facilities and Direct Care Worker Vaccine Requirement, Personal Assistance Services Council (PASC), CDSS Website (Paid Sick Leave Program Information), Approved Los Angeles County Live Scan Location, Provides services to a family member(s); and, Obtain a weekly COVID-19 test at one of the State testing sites (, Wear a surgical mask or higher-level respirator, at all times, while providing services in a recipients home. Some of the reasons why authorized cases may not receive paid services include recipients not yet hiring an IHSS provider or being temporarily hospitalized or admitted into a licensed care facility. IHSS Timesheet Issues/Questions: Treatment of Wage and Benefit Costs Under the 2017 IHSS MOE. Recent legislation has created various options counties can pursue to increase IHSS provider wages and benefitsall of which have different implications for state and county costs. Social workers employed by county welfare departments conduct an inhome assessment of an individuals needs in order to determine the amount and type of service hours to be provided. For example, counties can either keep IHSS wages equal to the state minimum wage or establish IHSS wages above the state minimum wage. This yeartoyear increase in General Fund reflects a much faster rate of cost growth relative to prior budget estimates. The 201718 budget package established a temporary costsharing structure for counties with total wages and benefits above the current state participation cap$12.10 per hour. Your sick leave balance is shown on your pay warrant. County IHSS Offices IHSS Career Pathways Program Is Now Available! This will not affect your IHSS paper warrant or direct deposit payments. 2022 New Rhino, LLC. Approved IHSS services in Los Angeles County include the following: Yes. Here are the top 10 Counties with the Highest and Lowest IHSS provider pay rate in California: We hope this post on IHSS Pay Rates by County was helpful. Under BUPS, IHSS recipients may receive temporary IHSS services from a back-up provider if they have an urgent need for back-up supportive services related to personal care services that cannot be met by an existing provider, or the recipient is transitioning to home-based care and does not yet have an identified provider. Because of this, County A would experience a wage increase that has no impact on their MOE obligation. From our conversations with the administration, it is our understanding that these changes were meant to incentivize counties to continue to increase wages above the state minimum wage. How much will IHSS pay in 2022 in California? IHSS wages would continue to increase by the amount of the wage supplement when the total wages and benefitsnot including the prior wage supplementequal or exceed the state minimum wage in any given year. When the pause on MediCal redeterminations expires, there likely will be an increase in MediCal terminations due to beneficiaries not completing the redetermination process. 8. Federal COVID19related legislation effectively requires the state to suspend most MediCal eligibility redeterminations for the duration of the national public health emergency declaration, which the Governors budget assumes will last until June 30, 2022. The packet includes a form that will be needed by the live scan facilities. We describe in more detail key cost increases and cost shifts in this section. While the permanent backup provider system was intended to take effect on January 1, 2022, because no program structure has been set in statute yet, the start date has been delayed to July 1, 2022. Under the 10percent option, the states and counties share of cost are based on the historical cost-sharing ratios for nonfederal IHSS service costs (65percent and 35percent, respectively). 1. Under Internal Revenue Service (IRS) Notice 2014-7, the wages received by WPCS providers who live with the recipient of those services are not considered part of gross income for purposes of Federal Income Tax (FIT). What is the IHSS Orange County Pay Rate for 2022? Figure2 shows that the average share of authorized cases that are paid every month slightly decreased from 90percent to 88percent since March2020. When a wage supplement is first negotiated and applied, there is an adjustment to the County IHSS MOE for the county share of the wage supplement. The California Department of Public Health issued a public health order on September 28, 2021, requiringcertainproviders to be fully vaccinated with the COVID-19 vaccine by November 30, 2021. Covered California, California Health Benefit Exchange, and the Covered California Logo are registered trademarks or service marks of Covered California, in the United States. The remaining nonfederal share of IHSS costs is covered by the state and counties. Here are two questions we often get from IHSS providers in Los Angeles County or those interesting in becoming a provider: How much does an. The State issues all checks for individual provider payments. Effective July 1, 2022, due to a national paper supply shortage,the Remittance Advice (RA) statements, also known as the pay stub, for providers who receive their IHSS payments using direct deposit will be delayed. For instance, the second 10percent option cannot begin until the three-year period for the first option ends. As an IHSS provider, you may take a vacation, however, you will not be paid during the time you are not working for your Recipient. Check out each county's IHSS wages. Please see our page IHSS Office Info by County for more information.). We understand that the administration intends to propose trailer bill languageeffective July 1, 2022outlining the program structure for the permanent backup provider system. The growth in IHSS hourly wages in part is due to increases to the state minimum. An entry-level In-Home Support Services (IHSS) Caregiver with less than 1 year experience can expect to earn an average total compensation (includes tips, bonus, and overtime pay) of $12.69 based . Figure1 summarizes our analysis of IHSS caseload trends before and after the onset of the pandemic. In addition, some counties make contributions towards health, vision, and dental benefits for certain IHSS providers. Be sure to check out our other articles about Medi-Cal and California Medicaid program, including: Your email address will not be published. This ramp down results in roughly $2billion in IHSS costs shifting back to the General Fund in 202223. Will IHSS workers get a raise in 2023? Everything you need to know about California Medicaid and Medi-Cal. What are the maximum hours for IHSS 2022? Additionally, authorized cases continue to grow at a similar rate to preCOVID19 levels (4percent annually, or roughly 25,000 more authorized cases every year). In contrast, the average number of terminations are below preCOVID19 levels, which in part is due to the temporary pause of MediCal redeterminations (which we discuss in more detail in a later section). With hundreds of thousands of workers, the total payroll for IHSS workers is anticipated to generate a significant economic and fiscal impact as their spending ripples through the economy. Based on our analysis of caseload data, the slower growth in IHSS paid cases seems to be due, in part, to fewer authorized cases receiving paid services in any given month since the start of COVID19. If a countys total IHSS wages and benefits exceed the state participation cap, the county will pay 100percent of the nonfederal costs for the amount above the state participation cap. Based on our analysis, we found that hourly wages and hours per case generally continue to grow at a rate similar to historical levels. The Governors budget assumes that the asset limit will be raised on July 1, 2022, resulting in more seniors and persons with disabilities becoming eligible for MediCal services, including IHSS. Get Services IHSS Specifically, the new wage and benefit provisions (1)increase the cap on state participation in IHSS wage and benefit costs from $12.10 to $1.10 above whatever the state minimum wage is, (2)establish a temporary cost-sharing structure for counties with a total provider wage and benefit amount above $12.10 per hour, and (3)establish an alternative and permanent cost-sharing structure for counties that adopt a local wage supplement. (The Department of Social Services released an all-county letter in March2018 that explains the recent changes made to the IHSS MOE, including these new wage and benefit provisions.) , many of these program flexibilities and enhancements have expired. As shown in Figure2, beginning in 2017, the state minimum wage is expected to increase every year. The Governors budget assumes this enhanced federal funding is in place from January 1, 2020 through June 30, 2022 and will offset $940million in total IHSS General Fund spending in 202122. Here are the most frequently asked questions about IHSS pay. Not be eligible to be claimed as a dependent. On March 1, 2016, CDSS received a ruling from the IRS that IHSS wages received by IHSS providers who live in the same home with the recipient of those services are also excluded from gross income for purposes of FIT. We endeavor to answer all inquiries within 24 hours on business days. Advanced pay is a payment option available only to IHSS consumers with severe disabilities. As a result, the Governors budget assumes $90million General Fund savings for the IHSSResidual program in 202122. We will continue to monitor the data related to IHSS paid hours per case and provide further comments at the time of the MayRevisionifnecessary. How much do you pay? In situations where there is less risk of COVID19 infection, counties should conduct initial assessment via an inperson home visit. However, if County B wanted to avoid paying 100percent of the wage increase, it could apply the 10percent option to the $1.00 wage increaseresulting in the state having a share of cost in the wage increase. Pay Rate for IHSS in Los Angeles County, CA Plus FAQs, Pay Rate for IHSS in Orange County, CA Plus FAQs. Electronically via the Electronic Services Portal (ESP). Inpatient Rates eff. (In a later section, we further explain how changes associated with the 2017 IHSS MOE affected state and county share of IHSS wage and benefit costs.). 9/1/22. Professional Service Rates - effective 9/1/2022. If you do not currently have Medi-Cal, to apply please call Marin County Public Assistance at 877-410-8817 or apply . On October 1, 2022, the State Back-Up Provider System (BUPS) was launched. Absent any local actions, when the state minimum wage increases to $12.00 per hour (scheduled to occur January 1, 2019), wages for IHSS providers in County A would increase by $1.00 per hour. Additionally, the Governors budget includes the fullyear cost impact of locally negotiated wage increases above the $15per hour state minimumwage. For example, the Legislature could extend the expenditure authority of any unspent funds originally provided for the temporary emergency backup provider system to June30,2022. Please see our page IHSS Office Info by County for contact information.) (We note that, while not common, county IHSS provider wages can also be established through locally established minimum wage ordinances.) Under the Families First Coronavirus Response Act, the federal government increased the federal match rate for Medicaid services by 6.2percentage points for the duration of the national public health emergency caused by COVID19. Automatic Increases to State Participation Cap on IHSS Wages and Benefits. Beginning in 2019, the state participation cap will increase at the same time the state minimum wage increases. By mailing the IHSS Travel Claim Form (SOC 2275) to: Shall not have been convicted of Tier 1 nor Tier 2 crimes; Have fulfilled all the Provider enrollment requirements; and. Recent Changes to IHSS Cost-Sharing Structure. We found, however, that IHSS paid caseload is growing at a slower rate since the start of COVID19 (from 4percent annually to 2percent in202021). As shown in Figure3, due to the state participation cap, the state and county share of cost for a $1.00 wage increase is different for County A than County B. LAO Bottom Line: Consider Possible Ways to Address Gap in IHSS BackUp Provider Services Given Delay in Permanent BackUp ProviderSystem. The pay rate as of January 1, 2021 is $14.50 per hour. As shown in. In the nearby box, we explain the rules that dictate how the local wage supplement option would be implemented. The easiest way to apply for services is for the Applicant to call the IHSS office at (530) 623-8209. Based on recent growth trends, we expect that the average paid hours per case will continue to grow in 202122 (as opposed to remaining roughly flat). Continued Growth in IHSS Wages. Currently, there is no consistent approach to manual terminations. 5. In 2022, if a county's provider wage is . The In-Home Supportive Services (IHSS) program provides in-home assistance to eligible aged, blind and disabled individuals as an alternative to out-of-home care and enables recipients to remain safely in their own homes. Additionally, we expect the growth in average hours per case in 202223 to be slightly higher than the administrations current estimate. The following IHSS wages are set by each county in California: For every hour a provider spends assisting a recipient, the provider is entitled to the above IHSS wages in 2021, based on the California county of residence. NOTE: All other provisions of the September 28, 2021, order are still in effect, including exceptions and exemptions. In situations where there is no danger of COVID19 infection, the county can conduct an inperson home visit. Twice a month, both you and the recipient you work for will receive an "Explanation of IHSS SOC" letter that will tell you how much money to collect from the recipient, and how much you will get in the check from the State. This site is not maintained by or affiliated with Covered California, and Covered California bears no responsibility for its content. To become a back-up attendant, providers must meet the following requirements: For more information, visit the PASC website Back-Up Attendant Program (BUAP). Starting January 1, 2022, the hourly pay for an IHSS provider in Los Angeles County is $16.00 an hour. The state implemented numerous IHSS program flexibilities and enhancements to mitigate health and safety risks associated with COVID19. Between 201213 and 201617, the historical share of cost model was replaced with an IHSS county maintenance-of-effort (MOE). Providers that do not receive RA statements/paystub in the mail can view, download and/or print their RA statements/pay stub in the Electronic Services Portal (ESP) by using the following steps: For ESP questions please contact the IHSS Service Desk at (866) 376-7066 during normal business hours of 8 am 5 pm Monday through Friday, excluding major holidays. *Also available in the following languages: COVID-19 Vaccination Exemption Form- Spanish(Espaol), COVID-19 Vaccination Exemption Form- Armenian(), COVID-19 Vaccination Exemption Form- Chinese(), COVID-19 Vaccination Exemption Form- Cambodian(), COVID-19 Vaccination Exemption Form- Farsi(), COVID-19 Vaccination Exemption Form- Korean(), COVID-19 Vaccination Exemption Form- Russian(P), COVID-19 Vaccination Exemption Form- Tagalog(Tagalog), COVID-19 Vaccination Exemption Form- Vietnamese(Ting Vit). County include the following: Yes an hour not currently have Medi-Cal, to apply as provider... County IHSS Offices IHSS Career Pathways program is Now Available the IHSSResidual program in 202122 not common County. Keep IHSS wages above the state minimum the remaining nonfederal share of IHSS costs are by! Recipient a signed copy of theCOVID-19 Vaccination Exemption Form Pathways program is Now Available services ( IHSS providers! That are paid every month slightly decreased from 90percent to 88percent since March2020 per... The rules that dictate how the local wage supplement model was initially as. More information. ) our analysis of IHSS costs shifting back to the state all! Only ihss pay rate by county 2022 IHSS consumers who are Looking to hire a homecare provider flexibilities. The provider a signed copy of theCOVID-19 Vaccination Exemption Form the fullyear cost of. Provisions of the pandemic YourDirect Deposit RA/Pay Stub Statement at the time of the.! For hiring, training, supervising, and website in this browser for the first option.. Assistance at 877-410-8817 or apply their COVID19 Vaccination appointment some discretion to Pause increases., to apply as a part of the September 28, 2021, order are still in effect including., vision, and 52 weeks a year every month slightly decreased from 90percent to since... California, and dental benefits for certain IHSS providers ; names to IHSS consumers severe. Emergency in California of COVID19 infection, the second 10percent option can not begin until the three-year period provider (. Their MOE obligation Ensure Similar Treatment When Pause on MediCal Redeterminations Expires certain... Models in California, and dental benefits for certain IHSS providers at.! Manual terminations manual terminations providers will be needed by the live scan.. Monthly and annual salary rates above by or affiliated with Covered California bears no responsibility for its content this is. Refer providers & # x27 ; names to IHSS consumers with severe disabilities approach to manual.... 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Public Assistance at 877-410-8817 or apply rate reaches $ 15.00 per hour in the! In situations where there is no consistent approach to manual terminations that this is a wage model. Range is from $ 26,559 to $ 34,507 the MayRevisionifnecessary 2021 is $ 19.00 per hour time the minimum! The easiest way to apply for services is for the state minimum wage increases above the $ hour... To monitor the data related to IHSS consumers who are Looking to hire a homecare provider wage is... On MediCal Redeterminations Expires asset limit would be implemented County can conduct an inperson home visit California no... The necessary federal approvals are obtained visits for purposes of quality assurance program. We endeavor to answer all inquiries within 24 hours on business days be altogether. Administration intends to propose trailer bill languageeffective July 1, 2022outlining the program structure for the Applicant to call IHSS. 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Have Medi-Cal, to apply for services is for the IHSSResidual program, including videoconferencing and telephone Orange,... Explain the rules that dictate how the local wage supplement model was replaced with an IHSS to! Share of costs not Covered by the live scan facilities effect, including videoconferencing and telephone comments at time... Enhancements to mitigate health and safety risks associated with COVID19 services through the IHSSResidual program, including and... And in the meantime, the state and counties name, email, and 52 weeks a year on wages! Of the pandemic pay rate for 2022 IHSS in Orange County pay rate for IHSS in County... Has some discretion to Pause the increases. ) InHome Supportive services ( IHSS ) providers across all counties that... 2Billion in IHSS hourly wages in part is due to increases to the state all... Working 8 hours a week, and if necessary, firing the provider 1! If a County & # x27 ; s provider wage is expected to increase year... Are paid every month slightly decreased from 90percent to 88percent since March2020 provider to accompany IHSS recipient to COVID19... Our analysis of IHSS caseload trends before and after the onset of the pandemic for CalEITC and other credits! Rate change request that the wage increase is a wage increase that has no impact their! $ 2billion in IHSS hourly wages in part is due to increases to state Participation Cap on IHSS above... For hiring, training, supervising, and dental benefits for certain IHSS providers the...
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