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.
Plan the day
Drag-and-drop scheduling Move visits when plans change Route optimization Each day in an efficient orderIn the field
GPS check-in & EVV Verified check-in at the home Caregiver app The whole day on their phone AI note taking New Talk through the visit, then signBack office
Timesheets & QuickBooks Coming soon Verified hours to payroll and billing HIPAA & compliance Records handled to HIPAA standards
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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 Pennsylvania resources
Yes, through 2 programs we verified. In Pennsylvania, people who get home care through the state's Office of Long-Term Living waiver services, or through the state-funded Act 150 program, can choose participant direction. This lets them employ their own personal attendant instead of using an agency. We could not confirm on an official page which family members can be hired, so ask before you apply.
| Can a spouse be paid? | Not confirmed |
|---|---|
| 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.
We could not confirm on an official page whether spouses, parents or other relatives can be paid in Pennsylvania. Ask the Independent Enrollment Broker or your Community HealthChoices plan.
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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