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The document requires the provider to complete mandatory enrollment orientation and acknowledge understanding of IHSS provider responsibilities and fraud consequences. It explains provider reporting limits on timesheets, timelines for submitting signed timesheets, and conditions affecting payment processing. 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By signing the timesheet, the provider confirms the information is true and correct, and the signed timesheet must be submitted within two weeks after each pay period ends.",{"name":116,"@type":107,"acceptedAnswer":117},"How are authorized weekly hours and maximum weekly hours determined?",{"text":118,"@type":110},"Authorized weekly hours are the recipient’s monthly authorized hours divided by four. Maximum weekly hours act as a guideline for the highest hours a provider can work in a workweek, and the exact distribution may be adjusted across weeks depending on month length.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},305711,1791139378,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":73},962084928904,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES  \nIN HOME SUPPORTIVE SERVICES (IHSS) PROGRAM  \nPROVIDER ENROLLMENT AGREEMENT  \n\n|  |\n| --- |\n| PROVIDER NUMBER |\n\nPROVIDER NAME (FIRST, MIDDLE, LAST)  \n1. I attended the required provider enrollment orientation for IHSS providers and I understand and agree to the following:  \n• I was given information about being a provider in the IHSS program.  \n• I was informed of my responsibilities as an IHSS provider.  \n• I was informed of the consequences of committing fraud in the IHSS program.  \n• I was given the Medi Cal toll free telephone fraud hotline number, 1 800 822 6222 and web site, [http://www.dhcs.ca.gov/individuals/Pages/StopMedi CalFraud.aspx](http://www.dhcs.ca.gov/individuals/Pages/StopMedi CalFraud.aspx)[ ](http://www.dhcs.ca.gov/individuals/Pages/StopMedi CalFraud.aspx)[for reporting suspected fraud or abuse in the IHSS program.](for reporting suspected fraud or abuse in the IHSS program.)  \n2. I understand the following:  \n• The only hours I am allowed to report on my timesheet are the hours I worked providing authorized services for the recipient.  \n• By signing my timesheet I am saying that the information I reported on it is true and correct.  \n• I must submit my timesheet (signed by both my recipient and me) within two weeks after the end of each pay period. If I submit my timesheet on time, and it is properly completed, I will get paid within 10 days of the day it is received atthe timesheet processing facility. If I do not submit my timesheet within two weeks after the end of the pay period, my pay will be delayed.  \n• If I am convicted of fraudulently reporting information on my timesheet, in addition to any program or criminal penalties, I may be required to pay back any overpayment I received and to pay civil penalties of at least $500, and not more than $1,000, for each act of fraud.  \n3. I received information regarding the maximum weekly hour and travel time requirements. This information included the following topics:  \nOvertime Pay  \n• Beginning February 1, 2016, IHSS providers will get paid overtime (one and a half times the regular pay rate) when they work more than 40 hours in a workweek. The workweek begins at 12:00 a.m. (midnight) on Sunday and ends at 11:59 p.m. on the following Saturday.  \nPROVIDER NUMBER  \nWhat Does My Recipient’s “Authorized Weekly Hours” Mean?  \nMy recipient’s authorized weekly hours mean his/her monthly authorized hours divided by four. For example, if my recipient is authorized to receive 125 hours of service monthly, my recipient’s authorized weekly hours are 125 ÷ 4 = 31 hours, 15 minutes.  \nMaximum Weekly Hours  \nThe maximum weekly hours amount is a guideline that tells me the highest number of hours I can work in a workweek so my recipient can budget his/her service hours in the month to ensure all his/her monthly service hours are received.  \n•  If I work for just one recipient, the maximum hours that I may work in a workweek is my recipient’s monthly authorized hours divided by 4. However, since most months are slightly longer than 4 weeks, I will work with my recipient to spread his/her hours throughout the month to make sure he/she has enough hours of service at the end of the month.  \nFor example: There are 31 days in the month of December. If I work for just one recipient, and she receives 100 monthly authorized hours, my maximum weekly hours are 25 hours (100 monthly authorized hours divided by 4) . However, since December is actually 4½ weeks, my recipient would need to decide how many hours to take away from each of the first four weeks in order to have enough hours left for the last few days at the end of the month. My recipient could, for example, set up a schedule for me to work 22 hours in each of the first four weeks of December, which would leave her with 12 authorized service hours left over for the final few days of the month (22 X 4 = 88 hours;  \n88 hours + 12 h","cbCaibuVC7CXxXrY","https://ap.wps.com/l/cbCaibuVC7CXxXrY","pdf",64114,6,"English","# Provider Enrollment Agreement\n## Provider Attestation and Orientation\n## Timesheet Reporting Rules\n## Fraud and Penalties\n## Overtime and Workweek Definition\n## Authorized Weekly Hours and Maximum Weekly Hours\n## Scheduling Across Recipients and Providers","[{\"question\":\"What must IHSS providers do before agreeing to this enrollment agreement?\",\"answer\":\"Providers must attend the required IHSS provider enrollment orientation and understand and agree to the listed terms, including their responsibilities and fraud consequences.\"},{\"question\":\"What are the timesheet submission and accuracy requirements?\",\"answer\":\"Providers may report only hours worked delivering authorized services. By signing the timesheet, the provider confirms the information is true and correct, and the signed timesheet must be submitted within two weeks after each pay period ends.\"},{\"question\":\"How are authorized weekly hours and maximum weekly hours determined?\",\"answer\":\"Authorized weekly hours are the recipient’s monthly authorized hours divided by four. Maximum weekly hours act as a guideline for the highest hours a provider can work in a workweek, and the exact distribution may be adjusted across weeks depending on month length.\"}]","PROVIDER ENROLLMENT AGREEMENT | PDF",1789827487]