Authorizations
IHSS in California: What Home Care Agencies Need to Know
IHSS is consumer-directed: the recipient hires the provider and the state pays. Agencies mostly serve IHSS clients with private-pay hours, plus contract mode in a few counties.
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Call-out coverage finder New Who can cover without overtime Overtime calculator Weekly and daily OT EVV visit checker New Will this visit get paid? 15-minute unit converter Minutes, units and hoursLast verified October 17, 2026 · All Florida resources
Yes, through 2 programs we verified. In Florida, the main way to get paid to care for a relative is the Participant Directed Option in Medicaid's managed long-term care program. The enrollee can hire family members, and the state's waiver says this can include a spouse. The person receiving care must be enrolled in SMMC Long-Term Care and live at home. Families of people with developmental disabilities on the iBudget waiver can use CDC+ to hire relatives.
| Can a spouse be paid? | Yes, in at least one program |
|---|---|
| Can a parent of a minor child be paid? | Not confirmed |
Yes. Veterans may qualify for VA programs that pay or support family caregivers: Veteran Directed Care and the Program of Comprehensive Assistance for Family Caregivers.
Pay rates are set by each managed care plan, so ask the plan for its PDO rate.
Authorizations
IHSS is consumer-directed: the recipient hires the provider and the state pays. Agencies mostly serve IHSS clients with private-pay hours, plus contract mode in a few counties.
Authorizations
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
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