[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-638757-105":59,"doc-detail-638757-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","in-home-supportive-services-program-history-program-development","In-Home Supportive Services Program - History - Program Development","","In-Home Supportive Services (IHSS) provides supportive care for approximately 448,000 low-income aged, blind, and disabled consumers, supported by more than 372,000 providers so clients can safely remain in their own homes instead of institutional care. The document traces program evolution from California’s 1950s Attendant Care Program and Homemaker Chore additions through later case management systems, statutory caps, quality assurance initiatives, and Medi-Cal options such as CFCO. It also covers CMIPS II rollout to improve payroll, case management, and reporting.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/in-home-supportive-services-program-history-program-development/638757/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/in-home-supportive-services-program-history-program-development/638757.png","ImageObject",300,407,{"name":92,"@type":93},"Cart","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-10-22",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What services does the IHSS Program provide to eligible consumers?","Question",{"text":112,"@type":113},"IHSS includes Personal Care, Domestic and Related services, Protective Supervision, and Paramedical services to support consumers in remaining safely at home.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How did the program evolve from the 1950s Attendant Care Program to IHSS?",{"text":117,"@type":113},"California established Attendant Care in the 1950s and later added the Homemaker Chore Program in the 1970s. The Homemaker Chore Program was funded through state general funds, limited federal funds, and county cost sharing, and it evolved into what is now the IHSS Program.",{"name":119,"@type":110,"acceptedAnswer":120},"What major policy and system changes occurred in the 2000s and early 2010s?",{"text":121,"@type":113},"In 2004, the IHSS/Quality Assurance Initiative introduced ongoing social worker training, QA monitoring, hourly task guidelines, fraud prevention efforts, and annual error-rate studies. CFCO was enacted in 2010 to expand community-based care, and CMIPS II was rolled out in 2012–2013 to modernize payroll and case management.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},638757,1792811385,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":39,"preview_page_count":4},18829141979164,"https://eur-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","In-Home Supportive Services Program  \nBackground  \nThe In-Home Supportive Services (IHSS) Program provides services to approximately 448,000 low-income aged, blind, and disabled consumers. Over 372,000 providers allow them to remain safely in their homes as an alternative to out-of-home institutional care. Services include:  \n• Personal Care,  \n• Domestic and Related,  \n• Protective Supervision, and  \n• Paramedical  \nHistory  \nIn the 1950s, California established the Attendant Care Program to enable elderly and disabled consumers who needed assistance to remain safely in their own homes. This program provided grants to consumers so they could contract with providers to provide various domestic services and was funded jointly by the county and state governments. This program has evolved over the years to assist the most vulnerable population in California. For example, in the 1970s, the Homemaker Chore Program (also known as the Chore Program) was added to the Attendant Care Program to provide personal care services. This addition also enabled those consumers who could not hire or supervise their own providers the opportunity to receive services through county employees or contract with an outside agency. California established the Homemaker Chore Program (now the IHSS Program) which was funded by State General Funds, limited federal funds, and county share-of-cost.  \nIn the 1980s, the IHSS Program went through a tremendous amount of caseload growth which led to statutory monthly caps placed on service hours (283 severely impaired and 195 non-severely impaired) . In addition, the California Department of Social Services (CDSS) enhanced a payrolling system for individual providers to incorporate a management information feature which became known as the Case Management, Information, and Payrolling System (CMIPS) . Counties were then able to access real-time consumer information, produce turn-around eligibility documents, and utilize the system to calculate a consumer’s share-of-cost for services. Subsequently, legislation (Welfare and Institutions Code 12309) was enacted which required CDSS to develop and implement a standardized process to make authorization of supportive services equitable while at the  \nsame time continue to provide assessments that are individualized based on the needs of the consumer. Henceforth, the Uniformity System was implemented.  \nThe 1990s also brought about changes to the IHSS Program. These changes included a state/local realignment which increased the countyshare of funding; authorized CDSS to define the role of Public Authorities as the employer of record for collective bargaining ; and established the Personal Care Services Program with 50 percent Medi-Cal funding while California maintained the IHSS Residual Program to fund services received by consumers ineligible for federal funding.  \nMany other changes came in the early 2000s. One significant change came about in 2004 when the CDSS enacted the IHSS/Quality Assurance (QA) Initiative as part of the Budget Trailer Bill Senate Bill 1104. The key features are ongoing social worker training, state/county QA monitoring, development of Hourly Task Guidelines with exceptions criteria, interagency collaboration to prevent/detect fraud and maximize overpayments recovery, and annual error-rate studies. In addition, the IHSS Plus Waiver (IPW) Program became effective in August 2004 utilizing Medi-Cal funding primarily for services provided by parents and spouses. In August 2009 , the IPW Program was replaced by the IHSS Plus Option (IPO) Program with no change in program eligibility requirements.  \nIn March 2010, the Affordable Care Act (ACA) was enacted allowing for the establishment of a new Medi-Cal state plan option, Community First Choice Option (CFCO) . This option enhanced the ability of IHSS to provide community-based personal attendant care services to certain enrollees who would otherwise require institutional care. It also provided a six perc","cbCaibO1ehYucuzb","https://ap.wps.com/l/cbCaibO1ehYucuzb","pdf",23826,"English","# Background\n# History\n## 1950s–1980s Program Foundations and Systems\n## 1990s–Early 2000s Funding Realignment and Quality Initiatives\n## 2004–2013 Program Options and System Modernization","[{\"question\":\"What services does the IHSS Program provide to eligible consumers?\",\"answer\":\"IHSS includes Personal Care, Domestic and Related services, Protective Supervision, and Paramedical services to support consumers in remaining safely at home.\"},{\"question\":\"How did the program evolve from the 1950s Attendant Care Program to IHSS?\",\"answer\":\"California established Attendant Care in the 1950s and later added the Homemaker Chore Program in the 1970s. The Homemaker Chore Program was funded through state general funds, limited federal funds, and county cost sharing, and it evolved into what is now the IHSS Program.\"},{\"question\":\"What major policy and system changes occurred in the 2000s and early 2010s?\",\"answer\":\"In 2004, the IHSS/Quality Assurance Initiative introduced ongoing social worker training, QA monitoring, hourly task guidelines, fraud prevention efforts, and annual error-rate studies. CFCO was enacted in 2010 to expand community-based care, and CMIPS II was rolled out in 2012–2013 to modernize payroll and case management.\"}]","In-Home Supportive Services Program - History - Program Development | PDF",1792699306]