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". IHSS provides assistance to income eligible aged, blind, and/or disabled adults so that they can remain safely in their own home. In-Home Supportive Services (IHSS) is a California government benefit program. and apply online: If you are an eligible IHSS provider and are interested in applying to be registered in the Public Authority's registry, please view this informational video about the agency before applying. We are always in search of Providers to join our Registry. Please contact Healthy Worker at 415-547-7800 if you do not receive a copy. For further questions regarding health and dental benefits, look through our Frequently Asked Questions below. If you choose the EPO plan you do not need to choose a primary care provider, but when you go to a dentist you should check the provider list to make sure your chosen dentist is an in-network doctor. To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. Once this criteria has been met, you may re-apply. endobj No. (|Espaol||Ting Vit|Filipino|English). https://www.sfhp.org/programs/healthy-workers/find-a-provider/. 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. 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. San Francisco IHSS Public Authority application. Applications are available in English, Chinese, Russian, Spanish, Tagalog, and Vietnamese. When is the Annual Open Enrollment for Dental? When you are enrolled, you will receive an ID card from the insurance company welcoming you to the plan. What is an insurance premium? Learn more. (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. Learn more Provide In-Home Services See the New Consumer Protection Law Notice (AB72) for information about protection from surprise medical bills. Being a homecare Provider can be a pathway to future employment opportunities in the healthcare field. To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. Who can sign this for me? It's the perfect place to start if you are looking for work in the homecare industry. Because of [my IHSS Provider] I feel much more comfortable having people over, even for a brief hello. To apply for IHSS, you can get an application from the. If you need an application because you are not enrolling for the first time (or did not automatically receive an application), you can contact PA: Applications are available in English, Chinese, Spanish, Russian, Tagalog, and Vietnamese. The Public Authority will notify you by letter a month before your insurance ends. If you enroll in the LDP100 plan you can choose a dentist from the provider network provided in the enrollment packet. For a premium cost of $2 per month you may add one dependent to be covered by the LDP100 plan. Applications are automatically mailed to those who are eligible. Future increases will go into effect if the City appropriate funds in the next budget. 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 English | | Espaol| |Filipino |Ting Vit, Learn more about available PPEs:English||Espaol||Filipino|Ting Vit. If you need assistance with choosing a provider for either the LDP100 plan or EPO plan please contact LIBERTY Dental Plan at 1-888-703-6999. Substance Use Disorder and Chemical Dependency Services, Outpatient visits for crisis intervention. IHSS Provider Health Benefits Contact us Today! The LDP100 plan provides services through a smaller group of dentists with no co-payment for most services. * By sending a text, you have agreed that your phone number will be used for SMS message notifications sent by the San Francisco IHSS Public Authority. on the FSLA and your rights: 832 Folsom Street, 9th Floor San Francisco, CA 94107 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. LIBERTY Dental Plan at 1-888-703-6999. The IHSS program is designed to assist adults or children with disabilities or seniors 65 years of age or older. Interview with On-Call staff and complete the On-Call application. The SF IHSS PA is a consumer-directed program, meaning consumers have the right to choose who . The best way for each consumer to receive home care. Can I voluntarily terminate my insurance? Individuals who qualify for IHSS may also qualify for CalFresh, formerly known as the food stamp program. 2023 San Francisco Health Plan. 3 0 obj If you work less than 25 hours for two or more months you will lose eligibility for dental benefits. The form will be mailed back within 2 business days upon received. San Francisco, city and port, coextensive with San Francisco county, northernCalifornia, U.S., located on a peninsula between thePacific OceanandSan Francisco Bay. 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. 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 IHSS Public Authority is the employer-of-record for collective bargaining for members in wage increases, benefits coverage, working conditions, and grievance procedures. You will be responsible to pay the full amount of premium to continue under this coverage. 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. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 1224 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Contact the San Francisco Medi-Cal Office at 1(415) 558-4700 or 1(855) 355-5757 (toll-free). How long will I receive insurance benefits? What are the eligibility criteria to apply for Healthy Workers and Vision Insurance? The days and times you are available for work. 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). Provide care for a family member, a friend, or a referral. 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. Or if youre a provider, you can search jobs and post your resume onIHSS Connect. If you are an IHSS Consortium employee and want to find out if you are eligible for Healthy Workers HMO, or to apply, contact the Homebridgeat 1(415) 255-2079 or 1(800) 283-7000. 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. Providers have the flexibility to set their own hours and work throughout San Francisco. I just feel more responsive and ready to act. You will receive an ID packet from LIBERTY welcoming you to the plan. In San Francisco, the County's Human Services Agency oversees the administration of IHSS Services. To learn about being an Independent Provider on our Registry, please. 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. Simply subscribe, enter your details, and start connecting within minutes. endobj IHSS includes a wide range of services for those who qualify. Complete a SOC426 form with the IHSS Consumer. If I am enrolled, can I change my Health Clinic or asked for a replacement card? 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. A warning letter will be sent to you a month before termination date. IHSS Public Authority is the employer-of-record for collective bargaining for members in wage increases, benefits coverage, working conditions, and grievance procedures. 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 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. Your insurance company San Francisco Health Plan will mail out the 1095B form around March of each year. Yes, you can request to cancel health benefits by filling out a cancellation request form. To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. %PDF-1.7 You can also text your question to 415-593-8125. (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. How long does it take after I submit my application for my insurance to start? Follow the steps for becoming a Homecare Provider and joining the Provider Registry. Open enrollment will take place in November and December of each year and is effective January 1st of the following year. IHSS Public Authority is the employer-of-record for collective bargaining for members in wage increases, benefits coverage, working conditions, and grievance procedures. The days and times you are available for work. SEIU Local 2015 represents IHSS Providers. You may change plans only during the annual open enrollment period. Contact us at the San Francisco IHSS Public Authority. Complete and sign the Enrollment Form and send it to the IHSS Public Authority in the enclosed envelope. 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. Before I had an IHSS worker I felt too self-conscious to have people over. A new optional ID card for IHSS Providers: Learn more. Please allow time for a response. If you wish to change to another contracted dentist, you may do so by the 20th day of any month for the change to be effective the first day of the following month. % Contact the San Francisco Medi-Cal Office at 1(415) 558-4700 or 1(855) 355-5757 (toll-free). Homecare Providers are dedicated, trusted professionals working to make a positive impact in the lives of our Consumers with compassion and personal care. 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. How can I get my dental coverage restored if I lose it? For medical insurance with SFHP you can (re-)enroll at any time during the year. 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. $5 co-payment per prescription for generic drugs, Equipment suitable for use in the home, such as blood glucose monitors, apnea monitors, asthma-related equipment, and supplies. You can then begin work as an IHSS Provider. Benefits Provider Training Other Resources Provider Availability Update Updating your preferences and availability is easily done by calling us at (415) 243-4477 or email registry@sfihsspa.org, and provide the following information: Your complete name. Open enrollmentseason is a period of time when IP may elect or change thebenefitoptions for their Dental plan. IHSS Info In San Francisco. 832 Folsom Street, 9th Floor San Francisco, CA 94107 Providers who work 25 plus hours per month are eligible for very low-cost health and dental insurance. There is an additional monthly cost for dependent coverage. .$K2K,OYX&Ht.Ho_z oL[a3J?X4i/3yf''LUT2OsE\>'l\P*OUf)`5 gi&*d*-RJ. 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. IHSS provides assistance to income eligible aged, blind, and/or disabled adults so that they can remain safely in their own home. TheSummary of Benefitsmatrix is intended to be used to help you compare coverage benefits and is a summary only. If you do not have 25 or more authorized hours for three consecutive months, your insurance will be terminated. You can text your question to 415-593-8125. We base your eligibility on paid hours data and the check issue date, not the hours worked. Click to open/close the website accessibility panel. dentists. cash and credit cards accepted. 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) 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. Medically necessary skilled care (not custodial); home visits, physical, occupational and speech therapy up to 100 days per year. SEIU Local 2015 represents IHSSProviders. How can I get my health coverage restored if I lose it? Enrollment - San Francisco Health Plan Our Programs Healthy Workers HMO Enrollment If you joined Healthy Workers HMO as a provider for In-Home Supportive Services (IHSS) Report change of address, phone number, or last name Get program eligibility and enrollment information stream If you do not have 25 or more authorized hours for three consecutive months, your insurance will be terminated. If you go to an out-of-network doctor, you may have a higher out-of-pocket expense. 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. Dental coverage is offered under Liberty Dental Plan. The applicant must be 65 years or older, blind, and/or be a disabled child or adult. My recipient was in the hospital for two weeks and I was not paid, will I lose my benefits? How will I pay for my premiums? 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. IHSS Info In San Francisco. If you received income from the In-Home Support Services (IHSS) program for providing care to someone you live with, you have the option to include or exclude all or none of that income as earned income on your tax return. You are required to pay a monthly premium contribution. This law is called COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985). 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. 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. New IHSS Providers will automatically receive insurance enrollment forms by mail through the insurance company when you become eligible. Learn more. Message and data rates may apply. Federal law requires that all workers have the right to purchase their group coverage for a specific period of time after employment ends. You will be notified by mail onemonth before your insurance ends. Please contact Healthy Worker at 415-547-7800 if you do not receive a copy. The benefit plans you select will continue as long as you are providing IHSS services in San Francisco. If your insurance is terminated, you must reapply for coverage when you are eligible. Important: Are you enrolled in Medi-Cal? You should wait until you receive this packet to obtain dental services. If your insurance is terminated, you must complete a new application form and meet the corresponding eligibility criteria before your insurance can start again. How do I reinstate my eligibility before my insurance get terminated? . 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. You may also download & print the same FAQs information inside The premium contributions will be deducted from your second paycheck each month. endobj If I lost my insurance due to a reduction of hours or stopped working and started back again, do I have to wait to enroll during Open Enrollment? Visit the U.S. Department of Labor website below for more information Fill out the application form and mail or hand deliver it to the Public Authority. 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. Some use the SF IHSS Public Authority to find a provider, Some are assigned to contract mode, provided byHomebridge. In-person: Visit the . The Evidence of Coverageshould be consulted for a detailed description of coverage benefits and limitations. 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. How much does an Ihss Provider make in Hydesville, CA? Benefits and Covered Services Evidence of Coverage. Medically necessary skilled care; room and board; x-ray, laboratory, and other ancillary services; medical social services; drugs, medications, and supplies Skilled nursing services are covered from the day of admission and are limited to 100 days during any benefit year. Member Login; Provider Login; For Providers; Code Lookup; Info: 1(415) 547-7800; . Will my family be covered in the new plan? About which providers I can see? 4 0 obj No, you will not be enrolled automatically. This plan covers 80% or more of the cost of most services. San Francisco IHSS Public Authority, Benefits Coordinator, Betty Hom at 415-593-8125. If you canceled Health insurance, you can reapply anytime. 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. If you need to change your information, you must contact IPAC at 415-557-6200, Located at 2 Gough street, SF, CA 94103. A warning letter will be sent to you a month before termination date. How do I do this? Just contact San Francisco Health Plan and a representative will change your clinic and will mail you a new ID card or replacement card. Contact us at the San Francisco IHSS Public Authority. How do I know I am enrolled after I submit the application? Has your contact information changed in the last two years? LIBERTY Dental Plan at 1-888-703-6999. Once enrolled in IHSS, IHSS may pay the wages of a home care worker that you select. Providers are covered under HEALTHYWORKERS, which is administered by San Francisco Health Plan (SFHP) and includes doctor visits, hospitalization, pharmacy services, and vision care. Prescriptions drug are covered per the SFHP Formulary. ALL SERVICES: Food CalFresh Food Stamps, free meals and groceries, P-EBT; Health Medi-Cal health coverage, fitness programs; Financial Assistance CAAP, CalWORKs, tax help; In-Home Supportive Services (IHSS) Caregivers, care recipients Jobs SFHSA jobs, JobsNOW!, and job training; Protection + Safety Adult and Child Protective Services, Conservatorships; Disability + Aging Services The hours worked a representative will change your Clinic and will mail out the 1095B form March... Over, even for a brief hello plan or EPO plan please contact dental! To apply for Healthy Workers and Vision insurance, physical, occupational and speech therapy up to days! Met, you may have a higher out-of-pocket expense Medi-Cal eligible or must be Medi-Cal eligible or must be eligible... Go into effect if the City appropriate funds in the next budget are eligible continue as long as you available... 3 0 obj if you do not receive a copy are providing IHSS services in Francisco... At 415-547-7800 if you work less than 25 hours for three consecutive months, your insurance.! What are the eligibility criteria to apply for Healthy Workers and Vision insurance this law is COBRA! Hom at 415-593-8125 assist adults or children with disabilities or seniors 65 years or older company Francisco! A month before termination date 1095B form around March of each year of age older. Covered by the LDP100 plan or EPO plan please contact Healthy Worker 415-547-7800. 'S the perfect place to start in-home Supportive services ( IHSS ) is a California benefit... 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Please contact Healthy Worker at 415-547-7800 if you need assistance with choosing a Provider for either LDP100... 355-5757 ( toll-free ) inside the premium contributions will be sent to a. Providing IHSS services in San Francisco not have 25 or more months you will receive an card... Contact information changed in the healthcare field medical insurance with SFHP you can anytime. Hours for three consecutive months, your insurance company when you become eligible receive an ID card from Provider. Worker at 415-547-7800 if you canceled Health insurance, you can request to cancel Health by! People over Russian, Spanish, Tagalog, and grievance procedures you should wait you! Steps for becoming a homecare Provider and joining the Provider Registry responsive and to... Provide in-home services See the new plan staff and complete the On-Call application full. Plans you select will continue as long as you are looking for work government! 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