How many hours the consumer needs according to State guidelines. Interview with On-Call staff and complete the On-Call application. Language Interpreter Services & Materials in Alternate Formats, Emergency and Post-Stabilization Services, Physical Accessibility Review Survey Resources, Peer Review Physician Credentialing Committee, In-licensed hospital, skilled nursing facility, hospice, behavioral health facility; office or home physician visit, Chemotherapy, dialysis, surgery, anesthesiology, radiation, and associated medically necessary facility charge, Room and board, general nursing care, ancillary services including operating room, intensive care unit, prescribed drugs, laboratory, and radiology during inpatient stay, 24-hour care for sudden, serious, and unexpected illness, injury, or condition requiring immediate diagnosis in and out of the Plan, Ambulance transportation when medically necessary. Public Authority Registry Main: 510-577-3552 Consumers: 510-577-1980 Fax: 510-577-3579 Providers: 510-577-5694 www.ac-pa4ihss.org Training: 510-577-3554 Health Benefits Department TASC, COBRA Administrators 510-577-3551 800-422-4661 Alameda County IHSS 832 Folsom Street, 9th Floor San Francisco, CA 94107 Provide care for a family member, a friend, or a referral. You will automatically receive a COBRA packet with a given election period of 60 days to choose whether or not to continue with same coverage. File a Workers Compensation claim by completingthe, For employer information, call the Public Authority at, Provider verification for doctor/medical provider visits. Important: Are you enrolled in Medi-Cal? Contact the San Francisco Medi-Cal Office at 1(415) 558-4700 or 1(855) 355-5757 (toll-free). If you meet all the eligibility requirements, you can request a health and dental application by emailing the Public Authority at benefits@sfihsspa.org with your full name and IHSS Provider ID number. Contract mode is typically used by a consumer who is unable to manage his or her own services. Under this ordinance, employers with at least 20 employees must contribute toward those benefits for eligible employees, but employers can choose exactly how to direct the funds. Anything about services, coverages, change clinics and pharmacy contact: Health and Vision coverage: date records must show that you are authorized and were paid to work with a minimum of 25 hours for the most current 2 consecutive months. Learn more. If you need an application because you are not enrolling for the first time (or did not automatically receive an application), you can contact PA: Applications are available in English, Chinese, Spanish, Russian, Tagalog, and Vietnamese. Please contact Healthy Worker at 415-547-7800 if you do not receive a copy. You will lose your benefits if you are paid less than 25 hours in three consecutive months. Donald. Under the Fair Labor Standards Act (FSLA), all IHSS Public Authority Providers are paid at least minimum wage and are entitled to overtime pay. If you canceled Health insurance, you can reapply anytime. IHSS Provider Benefits. For a premium cost of $2 per month you may add one dependent to be covered by the LDP100 plan. The In-Home Supportive Services (IHSS) program provides payment for non-medical in-home care for qualified individuals who are unable to remain safely in their homes without this assistance. See the attached Comparison of Benefits and decide which is the best plan based on your needs. San Francisco IHSS Public Authority, Benefits Coordinator, Betty Hom at 415-593-8125. Usually, these consumers are being discharged from the hospital or another facility without anyone at home to help them; their regular provider is not available; or they have not yet been able to hire a provider. Learn more Provide In-Home Services In-Home Supportive Services (IHSS) IHSS Provider Wages IHSS Provider Wages As of July 2021, the pay rate for IHSS Providers serving IHSS Recipients residing in San Francisco is $18 per hour. Your insurance company San Francisco Health Plan will mail out the 1095B form around March of each year. Member Login; Provider Login; For Providers; Code Lookup; Info: 1(415) 547-7800; . The Public Authority offers two good options for dental benefits. The amount you contribute is dependent on the plan you enroll in: In addition to your monthly fees, you may be required to pay a share of the cost for some of the services you receive. There is an additional monthly cost for dependent coverage. I need to fill out a L564 form to apply for Medicare. Audiological evaluations, hearing aids, supplies, visits for fitting, counseling, adjustments, repairs, Annual exams to determine the need for corrective lenses, Therapeutic radiological services, ECG, EEG, mammography, other diagnostic laboratory and radiology tests, laboratory tests for the management of diabetes, Orthoses and prostheses as prescribed by SFHP providers. Click on "For Members", then on "Find a Dentist", and when filling out the information on the next page, be sure to set it to "EPO" by "Select a Network". stream Updating your preferences and availability is easily done by calling us at (415) 243-4477 or email registry@sfihsspa.org, and provide the following information: To keep your status as an active Provider, please update your availability the first week of each month. You will be responsible to pay the full amount of premium to continue under this coverage. 1 0 obj Please allow time for a response. It is a cultural and financial centre of the westernUnited Statesand one of the countrys mostcosmopolitan cities. San Francisco, city and port, coextensive with San Francisco county, northernCalifornia, U.S., located on a peninsula between thePacific OceanandSan Francisco Bay. New eligible IPs will automatically get enrollment packets from SFHP. The Public Authority also offers Fingerprint Services for Providers. The IHSS program is designed to assist adults or children with disabilities or seniors 65 years of age or older. IHSS Providers with Healthy Worker Health Insurance will receive the 1095-B Health Coverage Form by the end of January 2023 through San Francisco Health Plan. To apply for IHSS, please call (415) 355-6700, 8:00AM - 5:00PM Mon - Fri. You are required to pay a monthly premium contribution. Applications are available in English, Chinese, Russian, Spanish, Tagalog, and Vietnamese. No. % HEALTHYWORKERS: when you are authorized to work for 2 consecutive months for at least 25 hours a month, you are eligible to apply for coverage for yourself. Is there a deadline for the application if I want insurance to start next month? English | | Espaol| |Filipino |Ting Vit, Learn more about available PPEs:English||Espaol||Filipino|Ting Vit. Yes, our monthly deadline is the 12th of each month. The IHSS program provides payment for non-medical in-home care for qualified individuals who are unable to remain safely in their homes without this assistance. You can then begin work as an IHSS Provider. I need to change information (Social Security number/Date of birth/Address) for my benefits. IHSS helps older adults and people with disabilities with daily activities such as bathing, dressing, laundry, shopping, and cooking. Flexibility Health Insurance Free Skills Training Future Career If you lose your benefit, you must re-enroll. You may not add dependents to the EPO plan. Go online or call Department of Aging and Adult Services (DAAS) to Schedule: 415-557-6200 or www.sfhsa.org.org/1970.htm. Get free assistance with your personal care and daily chores from a qualified, IHSS Provider who comes to your home. Dependent coverage is only available under the LDP100 plan. For medical insurance with SFHP you can (re-)enroll at any time during the year. If you work less than 25 hours for two or more months consecutively, you will lose eligibility for all benefits. Once you have met the eligibility requirements, it may take up to 60 days for your coverage to begin. Providers who work 25 plus hours per month are eligible for very low-cost health and dental insurance. %PDF-1.7 Contact us at the San Francisco IHSS Public Authority. Has your contact information changed in the last two years? If you no longer work in San Francisco, you will lose your insurance and you will need to apply with the county you are currently working. Medically necessary skilled care; room and board; x-ray, laboratory, and other ancillary services; medical social services; drugs, medications, and supplies Skilled nursing services are covered from the day of admission and are limited to 100 days during any benefit year. My recipient was in the hospital for two weeks and I was not paid, will I lose my benefits? CalFresh Food Stamps, free meals and groceries, P-EBT, Medi-Cal health coverage, fitness programs, Adult and Child Protective Services, Conservatorships, Child Care, Early Education, Parenting Help, Foster Care, Adoptions, IHSS Independent Provider Assistance Center (IPAC), Department of Disability and Aging Services (DAS). This law is called COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985). Please contact Healthy Worker at 415-547-7800 if you do not receive a copy. See the attached Comparison of Benefits for any additional co-payments that might be required. Language Interpreter Services & Materials in Alternate Formats, Emergency and Post-Stabilization Services, Physical Accessibility Review Survey Resources, Peer Review Physician Credentialing Committee, A temporary exempt employee with less than three (3) years of City service who has worked at least 450 hours during the twelve-month period ending the first date of the previous quarter; or, A temporary exempt employee with at least three (3), but less than six (6) years of City service who has worked at least 300 hours during the twelve-month period ending the first date of the previous quarter; or, A temporary exempt employee with six (6) or more years of City service who has worked at least 200 hours during the twelve-month period ending the first date of the previous quarter. IHSS Public Authority is the employer-of-record for collective bargaining for members in wage increases, benefits coverage, working conditions, and grievance procedures. IHSS Providers with Healthy Worker Health Insurance will receive the 1095-B Health Coverage Form by the end of January 2023 through San Francisco Health Plan. You will be notified by mail onemonth before your insurance ends. IHSS includes a wide range of services for those who qualify. Individuals who qualify for IHSS may also qualify for CalFresh, formerly known as the food stamp program. IHSS includes a wide range of services for those who qualify. If you do not have 25 or more authorized hours for three consecutive months, your insurance will be terminated. Some use the SF IHSS Public Authority to find a provider, Some are assigned to contract mode, provided byHomebridge. Benefits to Becoming an IHSS Provider Homecare Providers are dedicated, trusted professionals working to make a positive impact in the lives of our Consumers with compassion and personal care. Benefits and Covered Services Evidence of Coverage. With trend-defining cuisine ranging from Michelin-starred dining to outrageous food trucks; world-renowned symphony, ballet, theater, and opera; plus almost boundless outdoor adventures, San Francisco justifiably stands out as one of the ultimate must-visit cities on any travelers wish list. Once cleared, to be matched with an IHSS Consumer actively looking for a Provider, complete the San Francisco IHSS Public Authority application. If you need assistance with choosing a provider for either the LDP100 plan or EPO plan please contact LIBERTY Dental Plan at 1-888-703-6999. A warning letter will be sent to you a month before termination date. If you do not keep your availability updated monthly, you will be deactivated, removed from the registry and your name will not be referred to Consumers until you update your availability. No, you will not be enrolled automatically. The LDP100 plan provides services through a smaller group of dentists with no co-payment for most services. The days and times you are available for work. Complete a SOC426 form with the IHSS Consumer. IHSS applications are taken by mail, email, fax, through our website or by phone. Enrollment - San Francisco Health Plan Our Programs Healthy Workers HMO Enrollment If you joined Healthy Workers HMO as a provider for In-Home Supportive Services (IHSS) Report change of address, phone number, or last name Get program eligibility and enrollment information How long does it take after I submit my application for my insurance to start? IHSS provides assistance to income eligible aged, blind, and/or disabled adults so that they can remain safely in their own home. You do not have to wait until Open Enrollment, but you must re-enroll by filing out the application(s) again. For employer information, call the Public Authority at (415) 593-8125. About the benefits/procedures covered? We have WageWorks as our COBRA administrator. The EPO plan allows you to pick from a large network of Please checkherefor office locations and contact info. IHSS provides assistance to income eligible aged, blind, and/or disabled adults so that they can remain safely in their own home. IHSS Info In San Francisco. endobj Learn more. Before I had an IHSS worker I felt too self-conscious to have people over. I just feel more responsive and ready to act. Note: There are no co-payments for preventive visits or for members under the age of 24 months for well-baby care and office visits. What are the eligibility criteria to apply for Healthy Workers and Vision Insurance? Fill out the application form and mail or hand deliver it to the Public Authority. Can I add my spouse or dependents to my Health and Vision Insurance? In order to be eligible, data records must show that you are authorized and were paid to work 25 or more hours a month for six months. A pay card is a reloadable card you can use for direct deposit and to make purchases and withdrawals. When is the Annual Open Enrollment for Dental? Providers are covered under HEALTHYWORKERS, which is administered by San Francisco Health Plan (SFHP) and includes doctor visits, hospitalization, pharmacy services, and vision care. An insurance premium is the amount of money an individual pay for an insurance policy. Temporary, exempt as-needed employees of the City and County of San Francisco: You may be eligible for the Healthy Workers HMO program if you are: To find out if youre eligible for Healthy Workers HMO or to apply, contact the Department of Human Resources at 1(415) 557-4942. IHSS Public Authority is the employer-of-record for collective bargaining for members in wage increases, benefits coverage, working conditions, and grievance procedures. The applicant must be 65 years or older, blind, and/or be a disabled child or adult. Most independent In-Home Support Service (IHSS) employees in San Francisco who are recorded with IHSS as authorized to work for two consecutive months, and for at least 25 hours in one of those months, are eligible to apply for health care coverage through Healthy Workers. You will continue to be eligible as long as you continue to work at least 25 hours a month. Can I voluntarily terminate my insurance? In San Francisco, the County's Human Services Agency oversees the administration of IHSS Services. Yes, you can change clinics anytime or asked for a replacement card. 1035 Market St L-1 San Francisco, CA 94103. If you do not have 25 or more authorized hours for three consecutive months, your insurance will be terminated. The Evidence of Coverageshould be consulted for a detailed description of coverage benefits and limitations. Workers Compensation provides wage replacement and medical benefits should you become injured while working for an IHSSRecipient. Liberty Dental Plan: when you have worked and been paid by IHSS for 6 consecutive months for at least 25 hours a month, you are eligible to apply for coverage for yourself. If your insurance is terminated, you must reapply for coverage when you are eligible. If you enroll in the LDP100 plan you can choose a dentist from the provider network provided in the enrollment packet. How can I get my health coverage restored if I lose it? If you are an IHSS Consortium employee and want to find out if you are eligible for Healthy Workers HMO, or to apply, contact the Homebridgeat 1(415) 255-2079 or 1(800) 283-7000. Providers can mail the L564 form to SF IHSS PA at 832 Folsom street, 9TH floor, SF, CA 94107. How do I know I am enrolled after I submit the application? The days and times you are available for work. A warning letter will be sent to you a month before termination date. Individuals who qualify for IHSS may also qualify for CalFresh, formerly known as the food stamp program. Just contact San Francisco Health Plan and a representative will change your clinic and will mail you a new ID card or replacement card. Includes DOJ State Fees; dentists. This plan covers 80% or more of the cost of most services. To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. A new optional ID card for IHSS Providers: Learn more. <>/Metadata 157 0 R/ViewerPreferences 158 0 R>> Contact SFHP if you have not received your ID card within 60 days of submitting your application to check the status. To apply for IHSS, you can get an application from the. If you worked and received paid for a minimum of 25 hours before insurance terminates, you must contact the number in the warning letter within 30 days from termination date for reinstatement. Click to open/close the website accessibility panel. 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