IHSS Provider Health Benefits Contact us Today! Department of Disability and Aging Services (DAS) DAS oversees the entire IHSS system for the City to ensure that IHSS Providers and IHSS Recipients receive their services and benefits, including: Receiving applications for IHSS Usually, these consumers are being discharged from the hospital or another facility without anyone at home to help them; their regular provider is not available; or they have not yet been able to hire a provider. Please contact Healthy Worker at 415-547-7800 if you do not receive a copy. For employer information, call the Public Authority at (415) 593-8125. Once the criteria(s) are met, you may re-apply again. Contact us at the San Francisco IHSS Public Authority. <>/Metadata 157 0 R/ViewerPreferences 158 0 R>> Most independent In-Home Support Service (IHSS) employees in San Francisco who are recorded with IHSS as authorized to work for two consecutive months, and for at least 25 hours in one of those months, are eligible to apply for health care coverage through Healthy Workers. San Francisco IHSS Public Authority, Benefits Coordinator, Betty Hon, at 415-593-8125, www.sfihsspa.org. Apply for In-Home Supportive Services in San Francisco in three ways: Website, click here. Because of [my IHSS Provider] I feel much more comfortable having people over, even for a brief hello. If you do not have 25 or more authorized hours for three consecutive months, your insurance will be terminated. Just contact San Francisco Health Plan and a representative will change your clinic and will mail you a new ID card or replacement card. 2023 San Francisco Health Plan. To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. SEIU Local 2015 represents IHSSProviders. We are always in search of Providers to join our Registry. $47 <> We base your eligibility on paid hours data and the check issue date, not the hours worked. South San Francisco, California, United States Assisting elderly with walking or moving about the . How many hours the consumer needs according to State guidelines. Please contact Healthy Worker at 415-547-7800 if you do not receive a copy. If you suspect there is an emergency requiring immediate intervention, call 911. If you elect to have dental coverage, the premium contribution will be deducted from your paycheck each month. Simply subscribe, enter your details, and start connecting within minutes. In order to be eligible, data records must show that you are authorized and were paid to work 25 or more hours a month for six months. The EPO plan allows you to pick from a large network of If you need help selecting a doctor: refer to Provider directory or visit SFHP's "Find a Provider" website to filter doctors by location, language, and specialty: https://www.sfhp.org/programs/healthy-workers/find-a-provider/. Learn more. All the images and content are the property of San Francisco In-Home Supportive Services Public Authority and may not be used without permission. Please allow time for a response. % How much does an Ihss Provider make in Hydesville, CA? How do I do this? The LDP100 plan provides services through a smaller group of dentists with no co-payment for most services. Substance Use Disorder and Chemical Dependency Services, Outpatient visits for crisis intervention. Open enrollment will take place in November and December of each year and is effective January 1st of the following year. Message and data rates may apply. To re-enroll, you must also meet eligibility requirements, that is, have worked a minimum of 25 hours per month for the six previous months. Your completed and signed Enrollment Form must be received by the IHSS Public Authority on or before the twelfth of any month to be effective the first of the following month. For medical insurance with SFHP you can (re-)enroll at any time during the year. If you worked and received paid for a minimum of 25 hours before insurance terminates, you must contact the number in the warning letter within 30 days from termination date for reinstatement. Providers are covered under HEALTHYWORKERS, which is administered by San Francisco Health Plan (SFHP) and includes doctor visits, hospitalization, pharmacy services, and vision care. It's the perfect place to start if you are looking for work in the homecare industry. Once you have met the eligibility requirements, it may take up to 60 days for your coverage to begin. Contact SFHP if you have not received your ID card within 60 days of submitting your application to check the status. IHSS provides assistance to income eligible aged, blind, and/or disabled adults so that they can remain safely in their own home. Providers can mail the L564 form to SF IHSS PA at 832 Folsom street, 9TH floor, SF, CA 94107. Fill out the application form and mail or hand deliver it to the Public Authority. Apply for In-Home Supportive Services in San Francisco in three ways: In-person: Visit the Department of Disability and Aging Services Benefits and Resource Hub at 2 Gough St., Monday Friday, 8am to 5pm. We have WageWorks as our COBRA administrator. It is a cultural and financial centre of the westernUnited Statesand one of the countrys mostcosmopolitan cities. The Public Authority also offers Fingerprint Services for Providers. Under the Fair Labor Standards Act (FSLA), all IHSS Public Authority Providers are paid at least minimum wage and are entitled to overtime pay. $5 co-payment per prescription for generic drugs, Equipment suitable for use in the home, such as blood glucose monitors, apnea monitors, asthma-related equipment, and supplies. If your insurance is terminated, you must complete a new application form and meet the corresponding eligibility criteria before your insurance can start again. The IHSS System The IHSS system includes our community partners and related services. About the benefits/procedures covered? Can I add my spouse or dependents to my Health and Vision Insurance? The premium contributions will be deducted from your second paycheck each month. Language Interpreter Services & Materials in Alternate Formats, Emergency and Post-Stabilization Services, Physical Accessibility Review Survey Resources, Peer Review Physician Credentialing Committee, A temporary exempt employee with less than three (3) years of City service who has worked at least 450 hours during the twelve-month period ending the first date of the previous quarter; or, A temporary exempt employee with at least three (3), but less than six (6) years of City service who has worked at least 300 hours during the twelve-month period ending the first date of the previous quarter; or, A temporary exempt employee with six (6) or more years of City service who has worked at least 200 hours during the twelve-month period ending the first date of the previous quarter. 1035 Market St L-1 San Francisco, CA 94103. Under this ordinance, employers with at least 20 employees must contribute toward those benefits for eligible employees, but employers can choose exactly how to direct the funds. IHSS provides assistance to income eligible aged, blind, and/or disabled adults so that they can remain safely in their own home. The best way for each consumer to receive home care. Click to open/close the website accessibility panel. Si usted es un proveedor elegible de IHSS y est interesado en inscribirse en el registro de la Autoridad Pblica, vea este video informativo sobre la agencia antes de presentar la solicitud. IHSS helps older adults and people with disabilities with daily activities such as bathing, dressing, laundry, shopping, and cooking. The amount you contribute is dependent on the plan you enroll in: In addition to your monthly fees, you may be required to pay a share of the cost for some of the services you receive. The IHSS program is designed to assist adults or children with disabilities or seniors 65 years of age or older. Is there a deadline for the application if I want insurance to start next month? Famous for grand-dame Victorians, cable cars, a dynamic waterfront, and a soaring golden bridge, this city truly has it all. The In-Home Supportive Services (IHSS) program provides payment for non-medical in-home care for qualified individuals who are unable to remain safely in their homes without this assistance. If I lose my eligibility, can I purchase continued coverage? San Francisco, city and port, coextensive with San Francisco county, northernCalifornia, U.S., located on a peninsula between thePacific OceanandSan Francisco Bay. SEIU Local 2015 represents IHSS Providers. English | | Espaol| |Filipino |Ting Vit, Learn more about available PPEs:English||Espaol||Filipino|Ting Vit. The dental benefit plan you select will continue as long as you are providing IHSS home care services. Flexibility Health Insurance Free Skills Training Future Career Complete and sign the Enrollment Form and send it to the IHSS Public Authority in the enclosed envelope. If you voluntarily decide to terminate your dental coverage, you will not be allowed to re-enroll for dental benefits until the next Open Enrollment period. The IHSS program provides payment for non-medical in-home care for qualified individuals who are unable to remain safely in their homes without this assistance. Important: Are you enrolled in Medi-Cal? Once enrolled, IHSS may pay the wages of a home care worker that you select. The SF IHSS PA is a consumer-directed program, meaning consumers have the right to choose who . IHSS Provider Resources Direct Deposit With Direct Deposit, your IHSS/WPCS paycheck is deposited directly into your checking or savings account, or onto a pay card of your choice, instead of being mailed to you through the U.S. Post Office. The Public Authority assists Providers with job placement and paid skills training to ensure they are prepared and have the support they need. Anything about services, coverages, change clinics and pharmacy contact: Health and Vision coverage: date records must show that you are authorized and were paid to work with a minimum of 25 hours for the most current 2 consecutive months. In-person: Visit the . A pay card is a reloadable card you can use for direct deposit and to make purchases and withdrawals. dentists. Federal law requires that all workers have the right to purchase their group coverage for a specific period of time after employment ends. If eligible, an IHSS social worker will determine: What types of services the consumer needs. You will be notified by mail onemonth before your insurance ends. A new optional ID card for IHSS Providers: Learn more. What is an insurance premium? (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. Yes, you will be offered COBRA when insurance terminates. For further questions regarding health and dental benefits, look through our Frequently Asked Questions below. TheSummary of Benefitsmatrix is intended to be used to help you compare coverage benefits and is a summary only. Yes, you can change clinics anytime or asked for a replacement card. No. With trend-defining cuisine ranging from Michelin-starred dining to outrageous food trucks; world-renowned symphony, ballet, theater, and opera; plus almost boundless outdoor adventures, San Francisco justifiably stands out as one of the ultimate must-visit cities on any travelers wish list. 3 0 obj Has your contact information changed in the last two years? By helping Consumers to stay engaged, Providers strengthen the San Francisco community. Want to take advantage ofHomebridgesservices? For a premium cost of $3 per month you may add 2 or more dependents to be covered by the LDP100 plan. Open enrollmentseason is a period of time when IP may elect or change thebenefitoptions for their Dental plan. To learn about being an Independent Provider on our Registry, please. How can I get my health coverage restored if I lose it? You do not have to wait until Open Enrollment, but you must re-enroll by filing out the application(s) again. This may allow you to qualify for CalEITC and other tax credits. If your disenrollment is received by the twelfth of the month, dental coverage and premium withholding will end the first of the following month. Medically necessary skilled care (not custodial); home visits, physical, occupational and speech therapy up to 100 days per year. Register and learn how to use electronic timesheets. Temporary, exempt as-needed employees of the City and County of San Francisco: You may be eligible for the Healthy Workers HMO program if you are: To find out if youre eligible for Healthy Workers HMO or to apply, contact the Department of Human Resources at 1(415) 557-4942. Learn more. To apply for IHSS, please call (415) 355-6700, 8:00AM - 5:00PM Mon - Fri. Will my family be covered in the new plan? You will lose your benefits if you are paid less than 25 hours in three consecutive months. 1 0 obj Liberty Dental Plan: when you have worked and been paid by IHSS for 6 consecutive months for at least 25 hours a month, you are eligible to apply for coverage for yourself. endobj Who can sign this for me? When you are enrolled, you will receive an ID card from the insurance company welcoming you to the plan. In San Francisco, IHSS consumers must be assignedHomebridgesservices and are unable to independently become aHomebridgeclient. Workers Compensation provides wage replacement and medical benefits should you become injured while working for an IHSSRecipient. IHSS applications are taken by mail, email, fax, through our website or by phone. Could you benefit from In-Home Supportive Services? Please allow time for a response. SEIU Local 2015 represents IHSSProviders. Applications are automatically mailed to those who are eligible. (|Espaol||Ting Vit|Filipino|English). Click to open/close the website accessibility panel. Has your contact information changed in the last two years? %PDF-1.7 (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. cash and credit cards accepted. Can I voluntarily terminate my insurance? A warning letter will be sent to you a month before termination date. The Public Authority offers two good options for dental benefits. Learn more Provide In-Home Services The days and times you are available for work. The applicant must be 65 years or older, blind, and/or be a disabled child or adult. New eligible IPs will automatically get enrollment packets from SFHP. If Public Authority received the form by the 12th of the month, your insurance will be cancelled effective the first day of the next month. This law is called COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985). Yes, you can voluntarily dis-enroll from the dental benefit plan at any time by providing written notice to the Public Authority. You will receive an ID packet from LIBERTY welcoming you to the plan. Public Authority Registry Main: 510-577-3552 Consumers: 510-577-1980 Fax: 510-577-3579 Providers: 510-577-5694 www.ac-pa4ihss.org Training: 510-577-3554 Health Benefits Department TASC, COBRA Administrators 510-577-3551 800-422-4661 Alameda County IHSS File a Workers Compensation claim by completingthe, For employer information, call the Public Authority at, Provider verification for doctor/medical provider visits. Yes, you can request to cancel health benefits by filling out a cancellation request form. Contract mode is typically used by a consumer who is unable to manage his or her own services. For a premium cost of $2 per month you may add one dependent to be covered by the LDP100 plan. Important: Are you enrolled in Medi-Cal? Once I enroll in the LDP100 or the EPO, can I change to the other plan? If your insurance is terminated, you must reapply for coverage when you are eligible. LIBERTY Dental Plan at 1-888-703-6999. If you enroll by the 12th day of the month, your coverage will start on the first day of the following month. You'll receive a salary, insurance, and other benefits when you work for one or more IHSS Recipients. IHSS IHSS Public Authority, , , . LDP100 providers can also be found by visiting www.libertydentalplan.com. You may not add dependents to the EPO plan. Learn more. San Francisco IHSS Public Authority, Benefits Coordinator, Betty Hom at 415-593-8125. How can I get my dental coverage restored if I lose it? By helping Consumers to stay engaged, Providers strengthen the San Francisco community. Note: There are no co-payments for preventive visits or for members under the age of 24 months for well-baby care and office visits. endobj If I change my mind, can I drop dental coverage? Be willing and able to: Work anywhere necessary in the City, provide all personal care necessary, commit to minimum 3-hour shifts, and commit to four (4) plus days per week. This plan covers 80% or more of the cost of most services. IHSS Info In San Francisco. To be covered, employees need to have . Contact us at the San Francisco IHSS Public Authority. You will be responsible to pay the full amount of premium to continue under this coverage. Click to open/close the website accessibility panel. 2 0 obj In an effort to help Providers enroll in IHSS, the Public Authority offers lower cost fingerprinting services to complete the mandatory Department of Justice (DOJ) background check. Learn more about howour Department of Disability and Aging Services (DAS) partners with the IHSS Public Authority and the nonprofit organization, Homebridge, to oversee and deliver high-quality services of the IHSSsystem. How do I know I am enrolled after I submit the application? (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. Individuals who qualify for IHSS may also qualify for CalFresh, formerly known as the food stamp program. All the images and content are the property of San Francisco In-Home Supportive Services Public Authority and may not be used without permission. Follow the steps for becoming a Homecare Provider and joining the Provider Registry. In 2020, the HCSO requires San Francisco business owners to contribute at least $2.05 per payable hour to eligible employees. To join our Registry, you will need a current (within one year) TB clearance test and to take our 48-hour Basic Homecare Training class (for which you will be paid upon completion). Contact the San Francisco Medi-Cal Office at 1(415) 558-4700 or 1(855) 355-5757 (toll-free). In San Francisco, the Countys Human Services Agency oversees the administration of IHSS Services. Click on "For Members", then on "Find a Dentist", and when filling out the information on the next page, be sure to set it to "EPO" by "Select a Network". If you should have a period of lower than 25 hours in any month, you will receive a warning letter, however if you are paid 25 hours or more the following month your benefits will not be affected. San Francisco IHSS Public Authority application. If you do not have 25 or more authorized hours for three consecutive months, your insurance will be terminated. Once your eligibility ends, you will have 60 days to elect coverage with no lapse in coverage. LDP100 Plan: Employee Only - $1 per month, LDP100 Plan: Employee + 1 dependent - $2 per month, LDP100 Plan: Employee + 2 or more dependents - $3 per month. Watch this video for easy to follow steps to become an IHSS Provider: Visit Our Job Opportunities page How will I pay for my premiums? The Public Authority Registry is a service that assists IHSS Consumers in finding qualified homecare Providers so they can remain safe and independent in their homes. If you no longer work in San Francisco, you will lose your insurance and you will need to apply with the county you are currently working. Providers have the flexibility to set their own hours and work throughout San Francisco. Is there an open enrollment period for Medical Insurance? Please see the Evidence of Coverage for a detailed description of coverage benefits and limitations. Receive In-Home Services Get free assistance with your personal care and daily chores from a qualified, IHSS Provider who comes to your home. If you canceled Health insurance, you can reapply anytime. The In-Home Supportive Services (IHSS) program provides payment for non-medical in-home care for qualified individuals who are unable to remain safely in their homes without this assistance. If you are an IHSS Public Authority employee and want to find out if youre eligible for the Healthy Workers HMO program, or to apply, contact the IHSS Public Authority at 1(415) 243-4477. Preparing for Power Outages - Recipient Registration Register for the IHSS Website to: View your timesheet and payment statuses Enter and submit timesheets No longer mail paper timesheets Request additional timesheets Enroll in direct deposit Claim sick leave Registration FAQs (PDF) How long does it take after I submit my application for my insurance to start? on the FSLA and your rights: 832 Folsom Street, 9th Floor San Francisco, CA 94107 1086 Grand Avenue, Arroyo Grande, CA 93420 | P.O. You should wait until you receive these packets to obtain services. HEALTHYWORKERS: when you are authorized to work for 2 consecutive months for at least 25 hours a month, you are eligible to apply for coverage for yourself. If you do not have 25 or more authorized hours for 3 consecutive months, your health and dental insurance will be terminated. 832 Folsom Street, 9th Floor San Francisco, CA 94107 You can find a provider by searchingIHSS Connect. Yes, our monthly deadline is the 12th of each month. All Rights Reserved. Your insurance company San Francisco Health Plan will mail out the 1095B form around March of each year. If you do not choose a dentist at the time you enroll, a dentist will be selected for you based on your home zip code and language preference. How do I reinstate my eligibility before my insurance get terminated? Get free assistance with your personal care and daily chores from a qualified, IHSS Provider who comes to your home. The benefit plans you select will continue as long as you are providing IHSS services in San Francisco. In-Home Supportive Services (IHSS) Program The IHSS Program will help pay for services provided to you so that you can remain safely in your own home. Provider Benefits Health & Dental Coverage .$K2K,OYX&Ht.Ho_z oL[a3J?X4i/3yf''LUT2OsE\>'l\P*OUf)`5 gi&*d*-RJ. Donald. To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. If I am enrolled, can I change my Health Clinic or asked for a replacement card? Please submit your timesheets as soon as the pay period ends. I just feel more responsive and ready to act. Contact the San Francisco Medi-Cal Office at 1(415) 558-4700 or 1(855) 355-5757 (toll-free). If you lose your benefit, you must re-enroll. An insurance premium is the amount of money an individual pay for an insurance policy. If your application form is received by the Public Authority on or before the 12th of the month, your coverage will start on the 1st day of the following month. If you enroll by the 12th day of the month, your coverage will start on the first day of the following month. Applications are available in English, Chinese, Russian, Spanish, Tagalog, and Vietnamese. If you meet all the eligibility requirements, you can request a health and dental application by emailing the Public Authority at benefits@sfihsspa.org with your full name and IHSS Provider ID number. About which providers I can see? <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 1224 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> I need to change information (Social Security number/Date of birth/Address) for my benefits. When is the Annual Open Enrollment for Dental? LIBERTY Dental Plan at 1-888-703-6999. If you work less than 25 hours for two or more months consecutively, you will lose eligibility for all benefits. English | | Espaol| |Filipino |Ting Vit, Learn more about available PPEs:English||Espaol||Filipino|Ting Vit, CalFresh Food Stamps, free meals and groceries, P-EBT, Medi-Cal health coverage, fitness programs, Adult and Child Protective Services, Conservatorships, Child Care, Early Education, Parenting Help, Foster Care, Adoptions, If you meet all the eligibility requirements, you can request a health and dental application by emailing the Public Authority at, File a Workers Compensation claim by completingthe, For employer information, call the Public Authority at, Provider verification for doctor/medical provider visits. Provide care for a family member, a friend, or a referral. All the images and content are the property of San Francisco In-Home Supportive Services Public Authority and may not be used without permission. EPO providers can also be found by visiting www.firstdentalhealth.com. Benefits to Becoming an IHSS Provider Homecare Providers are dedicated, trusted professionals working to make a positive impact in the lives of our Consumers with compassion and personal care. IHSS Providers with Healthy Worker Health Insurance will receive the 1095-B Health Coverage Form by the end of January 2023 through San Francisco Health Plan. I also feel more confidence when I meet people in the community, especially in the social justice organizations I belong to. New IHSS Providers will automatically receive insurance enrollment forms by mail through the insurance company when you become eligible. Dental coverage is offered under Liberty Dental Plan. 415-243-4477 and ask for an application to be email to you. IHSS includes a wide range of services for those who qualify. IHSS Public Authority is the employer-of-record for collective bargaining for members in wage increases, benefits coverage, working conditions, and grievance procedures. 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