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To Enrich Lives through Effective and Caring Service

The In-Home Supportive Services (IHSS) Program helps pay for services provided to low-income elderly, blind or disabled individuals, including children, so that they can remain safely in their own home. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities.

Some of the services that can be authorized through IHSS include: housecleaning, meal preparation, laundry, grocery shopping, personal care services (such as bowel and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and protective supervision for the mentally impaired.

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Because of a federal court action taken on January 14, 2015, the federal requirements for overtime and other compensation changes will not go into effect in California.

coordinated care initiative logo The Fiscal Year (FY) 2012-13 State Budget established the Coordinated Care Initiative (CCI) in eight demonstration counties, including Los Angeles, to coordinate care for Medi-Cal and Medicare dual eligibles.

In Los Angeles County, dual eligibles will have medical, behavioral health, long-term services and supports (LTSS), such as nursing facility care, IHSS, Multi-purpose Senior Services Program (MSSP), and Community-based Adult Services (CBAS), coordinated through one of the five State-selected local health plans: Care 1st, CareMore, L.A. Care, Molina and Health Net.

CCI includes two parts:

  • Mandatory enrollment into Medi-Cal Managed Care of all current Medi-Cal beneficiaries, in order to receive their long-term care benefits, including In-Home Supportive Services (IHSS).
  • Optional enrollment of Medicare beneficiaries, who also receive Medi-Cal benefits (dual eligibles), into Managed Care for all their Medicare benefits. This part of CCI is named Cal MediConnect. Dual eligibles may choose to stay in traditional Medicare (fee for service) and enroll in Managed Care for only their Medi-Cal benefits.

  • For more information on CCI, please go to
    Cal MediConnect Fact Sheet Voluntary Enrollment Form

Cal MediConnect Notices:

  • Most beneficiaries will receive notices regarding CCI and their managed care options 90, 60, and 30 days prior to their coverage date.
  • Beneficiaries in Medi-Cal managed care that are NOT eligible for Cal Medi-Connect will receive one notice prior to the change in their benefits package as managed long-term services and supports (MLTSS) is added to their existing plan.

  • All CCI-related notices will arrive in blue envelopes.


  90 Day 60 Day 30 Day
Medi-Cal Long Term Services and Support Notices:

90 Day 60 Day 30 Day
Material for IHSS Staff: Training Presentation CCI Glossary of Terms


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  • IHSS Application, Toll Free:
    1-888-944-IHSS (4477) or
  • L.A. County Toll Free Info. Line: 211
  • Adult Protective Services (APS):
  • IHSS Ombudsman:
    1-888-678-IHSS (4477)
  • Provider Registry: Personal Assistance Service Council (PASC):
  • PASC CBI Clearance Inquiry:
  • SEIU - United Long Term Care Workers Union
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