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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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 Washington resources
Yes, through 2 programs we verified. In Washington, people who qualify for Medicaid in-home personal care can choose an individual provider, and relatives such as an adult child, sibling or grandchild can be hired. Individual providers are employed through Consumer Direct of Washington. Parents can be paid to care for an adult child with a developmental disability through DDA services.
| 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.
State training rules mention caregivers who serve only a spouse, but we could not confirm which Medicaid programs pay spouses or parents of minor children. Ask your DSHS case manager.
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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