To the extent that both County A and County B implemented a $1.00 local wage increase sometime in 2018, the state and county share of costs would depend on the level of the state participation cap. It is based on working 8 hours a day, 40 hours a week, and 52 weeks a year. ___________________________________________________________________________________________________________________________, Attention Providers: View YourDirect Deposit RA/Pay Stub Statement at the ESP. MotherFatherGuardianOther, State Fact Sheets This is the equivalent of $640/week or $2,773/month. We help California households access information on California Medi-Cal including California Medicaid eligibility, income limits, how to apply, IHSS program and more. While counties are expected to begin to transition back to inperson reassessments whenever possible, they may continue to use telephone and videoconferencing to conduct annual reassessments as needed. All Rights Reserved. These systems allow IHSS providers to submit their IHSS timesheets and the IHSS recipients to review, reject, or approve timesheets using a computer, laptop, tablet, smartphone, and/or by phone. 6. For instance, the second 10percent option cannot begin until the three-year period for the first option ends. The Governors budget reflects the baseline IHSSsavings and transfer of funds in the Department of Health Care Services budget. Approved IHSS services in Los Angeles County include the following: Yes. In this post, we will answer the question How much will IHSS pay in 2022 in California? They can either enroll in the Electronic Timesheet System (ETS) or the Telephonic Timesheet System (TTS) to complete, submit, and manage their IHSS timesheet and payment accounts. However, the costs for subsequent local wage supplements are not added to a countys MOE obligation. However, this gives you an idea of how much you could make working full-time as an IHSS provider in Los Angeles County. In 2016, the state passed legislation (Chapter4 of 2016 [SB3, Leno]) to increase the statewide minimum wage from $10.50 per hour in 2017 to $15 per hour by January 1, 2022 (increasing by inflation annually in 2023-24 and onwards). In this post, we are going to answer both questions, including how much you will make weekly, monthly, and annual salary. These benefit contributions are usually negotiated at the local level and vary in scope, cost, and eligibility requirements. Your email address will not be published. IHSS Career Pathways Program Is Now Available! Everything you need to know about California Medicaid and Medi-Cal. (We note that in the event of a recession, the Governor has some discretion to pause the increases.) The form may be taken to any of the authorized locations listed in the link:Approved Los Angeles County Live Scan Location. Therefore, understanding your responsibilities as a provider to someone you already know is vital to success when you are wearing two hats.. The state was responsible for the remaining 65percent of IHSS service costs and 70percent of IHSS administrative costs. Counties may use videoconferencing for initial assessment only if an applicant or someone in the applicants household has been infected with COVID19, has symptoms of COVID19, or has been exposed to COVID19 in the previous two weeks. Required fields are marked *. How much do you pay? These savings will be transferred to the HCBS ARP Fund and spent on federally approved HCBS enhancements and expansions. As of December 1, 2018, eight counties have applied the 10percent option to locally established wage and benefit increases. Additionally, an IHSS provider can work up to a maximum of 90 hours per workweek, if granted an exemption. To serve as State BUPS IHSS Providers, providers must meet the following criteria: For more information, visit the PASC website State Back-Up Provider System (BUPS). This ramp down results in roughly $2billion in IHSS costs shifting back to the General Fund in 202223. Given that Omicron has become the prevailing COVID19 variant in California since the development of the Governors budget, the Legislature may want to consider whether any IHSSprogram flexibilities or temporary supports warrant an extension. Here are the most frequently asked questions about IHSS pay. As a result, the state would pay for 65percent of the nonfederal costs associated with the $1.00 wage increase, while County A would pay for the remaining 35percent. As a result of this proposal, all undocumented immigrants, regardless of age, will be eligible for fullscope MediCal and IHSS. As an IHSS provider, you may take a vacation, however, you will not be paid during the time you are not working for your Recipient. Covered California, California Health Benefit Exchange, and the Covered California Logo are registered trademarks or service marks of Covered California, in the United States. The IHSS agency provides additional supports, services and training to help you live independently and fully participate in your community. (Looking for more details, or to apply as a provider? How much will IHSS pay in 2022 in California? In March2018, additional clarifying language was passed. The IHSS recipient or his/her authorized representative is responsible for hiring, training, supervising and if necessary, firing the provider. County A has a wage level of $11.00 per hour, while County B has a wage level of $12.50 per hour. For example, the Legislature could extend the expenditure authority of any unspent funds originally provided for the temporary emergency backup provider system to June30,2022. The 201718 budget package established a temporary costsharing structure for counties with total wages and benefits above the current state participation cap$12.10 per hour. Everything you need to know about California Medicaid and Medi-Cal. What is the IHSS Orange County Pay Rate for 2022? The Public Authority Registry refer providers' names to IHSS consumers who are looking to hire a homecare provider. We note that counties can use this 10percent option up to two times, as long as the wage and benefit increases begin prior to the state minimum wage increasing to $15 per hour (scheduled to occur on January 1, 2022) and other conditions are met. To be exempted, providers must provide their recipient a signed copy of theCOVID-19 Vaccination Exemption Form. Based on our analysis, we found that hourly wages and hours per case generally continue to grow at a rate similar to historical levels. Give us a call or fill in the form below and we will contact you. Similarly, if that family moved from San Diego County to San Francisco County and the son still qualified for 283 hours of IHSS, then his mother would be entitled to $5,094 per month (283 x$18.00). We will continue to monitor the data related to IHSS paid hours per case and provide further comments at the time of the MayRevisionifnecessary. The 201718 budget package established provisions that changed how costs for locally established wage and benefit increases are shared between the state and counties. As of January 2022, 50counties have IHSS hourly wages above the state minimum wage ($15perhour). Call 1-866-376-7066, choose option 4, for technical assistance such as; password reset and devise issues. Here are two questions we often get from IHSS providers in Los Angeles County or those interesting in becoming a provider: How much does an IHSS provider make in Los Angeles County in 2022? specify in both the collective bargaining agreement and in the rate change request that the wage increase is a wage supplement. However, counties may provide IHSS wages above the state minimum wagelargely as a result of local collectively bargained agreements. The state implemented numerous IHSS program flexibilities and enhancements to mitigate health and safety risks associated with COVID19. Lake County's new agreement will see local wages fall more into a medium statewide pay range for providers. In this case, County As MOE obligation would increase by its share of the cost of the first wage supplement. *Also available in the following languages: COVID-19 Vaccination Exemption Form- Spanish(Espaol), COVID-19 Vaccination Exemption Form- Armenian(), COVID-19 Vaccination Exemption Form- Chinese(), COVID-19 Vaccination Exemption Form- Cambodian(), COVID-19 Vaccination Exemption Form- Farsi(), COVID-19 Vaccination Exemption Form- Korean(), COVID-19 Vaccination Exemption Form- Russian(P), COVID-19 Vaccination Exemption Form- Tagalog(Tagalog), COVID-19 Vaccination Exemption Form- Vietnamese(Ting Vit). How much will IHSS pay in 2022 in California? Electronically via the Electronic Services Portal (ESP). Present your photo ID and Social Security card; Complete and return the required enrollment forms; and, The County IHSS wage rate for providers is, The Back-Up Attendant Program (BUAP) provider wage rate is, The State Back-Up Provider System (BUPS) provider wage rate is, Business Hours: Monday - Friday8:00 AM to 8:00 PM (PST), Work 100 hours for an IHSS recipient to earn paid sick leave hours; and. (Available 24/7 for Emergencies and Service Requests) (719) 400-2222. While these wage and benefit provisions are complex, they generally mitigate the costs counties would otherwise accrue as a result of establishing local wages and benefits above the state minimum wage. When the pause on MediCal redeterminations expires, there likely will be an increase in MediCal terminations due to beneficiaries not completing the redetermination process. The video below provides details on how the ETS and TTS systems work. Over 550,000 IHSS providers currently serve over 650,000 recipients. Historically, counties paid 35percent of the nonfederal share of IHSS service costs and 30percent of the nonfederal share of IHSS administrative costs. County APS Offices For example, when the state minimum wage reaches $12.00 per hour (scheduled to occur on January 1, 2019), the state participation cap will equal $13.10 per hour (state minimum wage plus $1.10). Asshown in Figure3, the average IHSS hourly wage has increased by 6percent annually since 2014. Please choose an optionAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming, Have you received a Notice of Action? IHSS Fraud Hotline: 888-717-8302 You may also come into the office and apply in person. Assuming all eligibility rules were met, the state would pay 65percent of the nonfederal costs associated with the $1.00 wage increase under the 10percent option. The current wage and benefit level for County B, however, exceeds the state participation cap. Anticipated Expiration of Temporary Pause of MediCal Redeterminations and Subsequent IHSS Terminations. County IHSS Offices The wage supplement would continue to increase IHSS provider wages by an additional $1.00 in County A every time the state minimum wage increases. Are you seeking more IHSS hours for your loved one? Specifically, this cost estimate partially reflects the fullyear impact of the state minimum wage increase to $15perhour (effective January 1,2022). Currently, seniors and persons with disabilities must have assets at or below $2,000 (or $3,000 for couples) to be eligible for MediCal. Specifically, following the next state minimum wage increase, IHSS provider wages in County A would increase by an additional $1.00 per hour. Postpone the implementation of adverse actions, such as reduction of IHSS hours and termination from IHSS program, resulting from the IHSS redetermination. Currently, IHSS provider wages in County A and County B equal or exceed the state minimum wage$11.00 per hour in 2018. However, the recent changes to IHSS wage and benefit provisions provide counties with options to increase IHSS wages and benefits while limiting their share of cost. This increase in federal Medicaid funding is expected to offset over $1billion in baseline IHSS General Fund spending across 202021 and 202122. |. Since IHSS primarily is delivered as a MediCal benefit, the federal share of cost is determined by the Medicaid reimbursement rate, which typically is 50percent. This site is not maintained by or affiliated with Covered California, and Covered California bears no responsibility for its content. IHSS provider wages mainly increase in two ways(1)through collective bargaining at the local county level, and (2)in response to state minimum wage increases. Be sure to check out our other articles about Medi-Cal in California, including: Your email address will not be published. The Governors budget, however, assumes slower paid caseload growth in 202122 (2.8percent) and 202223 (2.7percent). Notify me of follow-up comments by email. TheGovernors budget estimates that average hours per case will remain roughly the same in 202122 and slightly increase in 202223 by 1. percent (to119.6 hours per case). MediCal redeterminations were paused during the COVID19 public health emergency. However, you can only request paid sick leave if you have earned paid sick leave. IHSS Timesheet Issues/Questions: Beginning in 201213, however, the historical county shareofcost model was replaced with an IHSS county maintenanceofeffort (MOE), meaning county costs would reflect a set amount of nonfederal IHSScosts as opposed to a certain percent of nonfederal IHSScosts. Since 201617, the number of IHSS paid hours per case increased by about 2.5percent annually, reaching 118.7 hours per case in 202021. This will not affect your IHSS paper warrant or direct deposit payments. (213) 534-6890Hablamos Espaolsupport@ihsslaw.com IHSS Law: We Help With IHSS Assessments IHSS Appeals Rehearing Requests State Court Petitions Guide to Protective Supervision in CA About However, it can be tricky to be the paid IHSS care provider to a family member or close friend. As a part of the 202122 budget, the Legislature did not approve the administrations approach to address this different treatment (which was to automatically terminate all IHSS recipients who do not complete their MediCal redetermination and require them to reinstate their MediCal eligibility before reentering the IHSS program). As of January 2022, 50 counties have IHSS hourly wages above the state minimum wage ($15 per hour). The temporary COVID19 backup provider system expired on December 31, 2021. Note: There is no set end date for the state of emergency in California. VDOMDHTMLTML>. Those who are not yet eligible for a booster dose must comply within 15 days after the recommended time frame for the booster. Starting January 1, 2022, the hourly pay for an IHSS provider in Los Angeles County is $16.00 an hour. Please see our page IHSS Office Info by County for more information.). Denver: Info@voyagerhomehealth.com. Save my name, email, and website in this browser for the next time I comment. Under the 10percent option, the states and counties share of cost are based on the historical cost-sharing ratios for nonfederal IHSS service costs (65percent and 35percent, respectively). The state participation cap in 2018 is currently $12.10 per hour, which is $1.10 above the current state minimum wage ($11.00 per hour). As shown in Figure2, beginning in 2017, the state minimum wage is expected to increase every year. How Are IHSS Payments Made? If you have an account registered on the IHSS Electronic Services Portal website, you may fill out a request for sick leave electronically. A wage supplement will be . Changes in Caseload Trends Before and After the Onset of the Pandemic. On October 1, 2022, the State Back-Up Provider System (BUPS) was launched. The following rates represent dollars per hour effective through March 2022. Step 2: Medi-Cal Eligible. SEIU has announced several other new contracts with other counties over the last few months which are increasing pay rates across the state. However, we found that IHSS paid caseload continues to grow at a slower rate relative to preCOVID19 growth trends. This means that County B would pay 100percent of the nonfederal costs associated with the $1.00 wage increase. Registry caregivers must be: . Easy enrollment by phone or online. Resources The local wage supplement model was initially established as a part of the 201718 budget package. In that case, county costs would increase as a result of locally established wage and benefit increases. As an alternative, counties may accept mailedin or faxed photocopies of the original identification documentation. The Governor's budget includes about $400 million General Fund ($877 million total funds) in 202223 for IHSS previously set, or agreed upon, wage increases. While counties could keep IHSS wages and benefits at the state minimum wage, counties could also decide to increase IHSS wages and benefits above this level. Allow IHSS parent provider in twoparent household to continue to be an eligible IHSS provider even if the second parent becomes a suitable care provider because the parent is not working or attending school or vocational program. Check out our blog post for how to get the hours you deserve. More information about the Golden State Stimulus can be found the FTBGolden State Stimulus Page. The growth in IHSS hourly wages in part is due to increases to the state minimum wagefrom $8 per hour in January 1, 2014 to $15 perhour in January 1, 2022. This ruling applies to State Income Tax (SIT) as well. In general, the current average number of new applicants and denials are similar to preCOVID19 levels. When a wage supplement is first negotiated and applied, there is an adjustment to the County IHSS MOE for the county share of the wage supplement. The salary range is from $27,871 to $36,211. Be sure to check out our other articles about Medi-Cal and California Medicaid program, including: Your email address will not be published. Multilingual support and materials are available. Inpatient Rates eff. Continued IHSS Paid Caseload Growth, but at a Slower Rate. For example, if a mother in San Diego County is the primary provider for her daughter, who qualifies for 283 hours per month of IHSS protective supervision, then the mother would be entitled to $4,386.50 per month (283 x $15.50) in 2022. Your email address will not be published. As shown in Figure4, many of these program flexibilities and enhancements have expired. The average number of service hours that will be provided to an estimated 598,000 IHSS recipients is projected to be 120 hours per month in 202223. While MediCal redeterminations are paused, essentially no IHSS recipient would need to be eliminated from IHSS due to failure to complete their MediCal redetermination. COVID-19 VACCINE BOOSTER DOSE REQUIREMENT. This website is owned and maintained by Empower Media Group, which is solely responsible for its content. Overall, the effective federal reimbursement rate for IHSS is about 54percent. Learn more at: Questions & Answers: Adult Care Facilities and Direct Care Worker Vaccine Requirement. The rate paid to provider in San Bernardino County is $13.50 per hour. Are You Thinking About Being an IHSS Provider? Counties can increase wages and benefits by 10percent all at once or over a three-year period. Under the 2017 IHSS MOE, however, the state is fully responsible for the nonfederal costs of IHSS wage increases due to state minimum wage increases. Once MediCal redeterminations begin again, some IHSS recipients who do not complete their MediCal redetermination may move to the IHSSResidual program (fully statefunded IHSS program), while others may lose their eligibility for IHSS. Masks can be obtained from the, The most recent payment will display if it was made in the last 14 days, If no recent payment was made in the last 14 days, you can enter the payment date you are seeking, Select either email or download or print in the blue section. The emergency backup provider system expired on December 31, 2021. The state is responsible for covering the remaining nonfederal share of costs not covered by the IHSS county MOE. Additionally, the Governors budget includes the fullyear cost impact of locally negotiated wage increases above the $15per hour state minimumwage. Effective July 1, 2022, due to a national paper supply shortage,the Remittance Advice (RA) statements, also known as the pay stub, for providers who receive their IHSS payments using direct deposit will be delayed. You may contact the PASC at (877) 565-4477 for more information. Temporarily suspend requirement for IHSS provider to complete fingerprintbased criminal background check. At the start of the COVID19 pandemic, the state created a temporary backup provider system to assist IHSS recipients when their regular provider could not work due to circumstances related to COVID19. The costs of subsequent wage supplements, however, would not be added to County As MOE obligation. Hawaii beats the national average by 4.1%, and Tennessee furthers that trend with another $2,200 (6.7%) above the $32,914. Some of the reasons why authorized cases may not receive paid services include recipients not yet hiring an IHSS provider or being temporarily hospitalized or admitted into a licensed care facility. (We note that these examples are for illustrative purposes only and do not reflect any county in particular.). 2022 New Rhino, LLC. This is based on working 8 hours a day, 40 hours a week, and 52 weeks a year. LAO Bottom Line: Phasing in MediCal Asset Limit Repeal Will Increase IHSS Caseload. Beginning in 201718, counties and unions can collectively bargain a local wage supplement, meaning local IHSS provider wages will always exceed the state minimum wage by a fixed dollar amount. In contrast, the average number of terminations are below preCOVID19 levels, which in part is due to the temporary pause of MediCal redeterminations (which we discuss in more detail in a later section). Wait 60 days or work an additional 200 hours, whichever comes first, before using paid sick leave hours. The IHSS consumer is the employer. The annual IHSS provider paid sick leave hours for the Fiscal Year 2021/2022 are 16 hours beginning July 1, 2021. Providers are responsible for maintaining their own vaccination cards or vaccination exemption documents and weekly testing results. Asa condition of receiving these funds, the state is required to spend an equal amount of funding on new HCBS enhancements and expansions. 3. Is IHSS getting a raise in July 2022? Specifically, recent state minimum wage increases and budget-related legislation adopted in 201718 instituted both temporary and permanent changes to how counties can increase IHSS provider wages and benefits with varying effects on state and county costs. Have filed your 2020 taxes by October 15, 2021. Verification of Medi-Cal eligibility is required before IHSS services can be authorized. Effect of State Participation Capa on State and County IHSS Wage Costs, Share of Nonfederal Cost for Wage Increase. Covered California, California Health Benefit Exchange, and the Covered California Logo are registered trademarks or service marks of Covered California, in the United States. Below, we discuss these three new wage and benefit provisions in detail. 9/1/22. The federal government conditionally approved the various HCBS enhancements and expansions included in the states HCBS spending plan. Provider Fraud and Elder Abuse complaint line: Historically, incomeeligible undocumented immigrants only qualified for restrictedscope MediCal coverage, which covers their emergency and pregnancyrelated service costs. How much will IHSS pay in 2022 in California? This effectively reduced the number of terminated IHSS recipients and the number of IHSS recipients entering the IHSSResidual program. Who will be my employer? If a countys total IHSS wages and benefits exceed the state participation cap, the county will pay 100percent of the nonfederal costs for the amount above the state participation cap. LAO Bottom Line: Consider Possible Ways to Address Gap in IHSS BackUp Provider Services Given Delay in Permanent BackUp ProviderSystem. The information in this post is not legal advice, nor is it intended to be. Save my name, email, and website in this browser for the next time I comment. Counties may perform home visits for purposes of quality assurance and program integrity remotely using telehealth, including videoconferencing and telephone. Another example of how the 2017 IHSS MOE differs from the historical share-of-cost model is how county IHSS costs are adjusted in future years. We describe in more detail key cost increases and cost shifts in this section. We will continue to monitor the data related to IHSS paid hours per case and provide further comments at the time of the MayRevisionifnecessary. Temporarily suspend requirement for IHSS providers to complete inperson provider orientation. Additionally, one possible COVID19related reason may be that recipients with nonlivein providers or nonlivein providers themselves may be hesitant to interact with individuals outside of their household due to public health concerns. Heres how it works: IHSS Providers in Los Angeles County can receive payment for: However, a provider cannot work formore than 66 hours per workweek unless granted an exemption. Educational Videos, IHSS Providers: To learn more about HCBWs, contact the Department of Health Care Services In-Home Operations at 1-916-552-9105. Required fields are marked *. Based on the pay rates above, the Los Angeles County IHSS hourly pay rate is slightly above the county average in California: That is $16.00 per hour in Los Angeles County versus $15.83 per hour county average in California. The California Department of Social Services (CDSS) recently published the 2022 IHSS wages for individual providers. If you are going to be using paid sick leave for a planned medical appointment, you must notify your recipient(s) at least 48 hours prior to using the sick leave. Under Internal Revenue Service (IRS) Notice 2014-7, the wages received by WPCS providers who live with the recipient of those services are not considered part of gross income for purposes of Federal Income Tax (FIT). That means we may earn a commission for purchases made through our website. Possible Ways to Address Gap in IHSS BackUp Provider Services. How to Become an IHSS Provider How to Appeal if You are Denied IHSS Provider Resources County IHSS Wage Rate Effective January 1, 2022: The County IHSS wage rate for providers is $16.00 per hour. As of January 2022, IHSS providers are paid $17.70 per hour and $26.05 for overtime (overtime limits apply). This health orderdoes notapplyto a provider who: Providers may be eligible for an exemption if they have a qualified medical reason or for religious beliefs. Under the Families First Coronavirus Response Act, the federal government increased the federal match rate for Medicaid services by 6.2percentage points for the duration of the national public health emergency caused by COVID19. We found, however, that IHSS paid caseload is growing at a slower rate since the start of COVID19 (from 4percent annually to 2percent in202021). Pay Rate for IHSS in Los Angeles County, CA Plus FAQs, Pay Rate for IHSS in Orange County, CA Plus FAQs. Recent legislation has created various options counties can pursue to increase IHSS provider wages and benefitsall of which have different implications for state and county costs. You will continue to receive your paper paycheck like you do now. End of the state of emergency in California. 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( ESP ) dose must comply within 15 days after the recommended time frame for the booster costs subsequent! Your IHSS paper warrant or direct Deposit payments or over a three-year period provider system on... Portal website, you may also come into the office and apply in person,! Across the state minimum wage ( $ 15perhour ) 15perhour ( effective January 1,2022 ) responsible hiring! Assumes slower paid Caseload growth in 202122 ( 2.8percent ) and 202223 ( 2.7percent ) ; password reset and issues. Success when you are wearing two hats must provide their recipient a signed copy of vaccination! For a booster dose must comply within 15 days after the recommended time frame the. Please choose an optionAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming have... 2017, the Governors budget reflects the fullyear cost impact of the nonfederal share of costs not by! Option 4, for technical assistance such as ; password reset and devise issues slower paid continues... Have expired Medicaid funding is expected to increase every year is required to spend an equal of. 90 hours per case and provide further comments at the time of the first option ends per... Your community wage supplement to hire a homecare provider new applicants and denials similar... A booster dose must comply within 15 days after the recommended time frame the... Specify in both the collective bargaining agreement and in the link: approved Los Angeles include. To the HCBS ARP Fund and spent on federally approved HCBS enhancements expansions... The Electronic Services Portal website, you can only request paid sick leave electronically while County has... Information. ) any of the nonfederal share of nonfederal cost for wage ihss pay rate by county 2022 to 15perhour... Exceeds the state was responsible for the remaining 65percent of IHSS paid Caseload to... Budget, however, the costs of subsequent wage supplements are not added to County as MOE.. Number of IHSS service costs and 30percent of the authorized locations listed the! Call 1-866-376-7066, choose option 4, for technical assistance such as reduction of IHSS service and! Medicaid and Medi-Cal 15, 2021 x27 ; s new agreement will see local wages more... For maintaining their own vaccination cards or vaccination exemption form rates across the.!
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