IHSS Program Integrity and Fraud Prevention

The In-Home Supportive Services (IHSS) Quality Assurance (QA) program was established through Senate Bill 1104 (Chapter 229, Statutes of 2004), which outlined a number of enhanced responsibilities for CDSS and counties including: routine scheduled desk reviews, home visits, targeted reviews, general verification of receipt of services, third-party liability, and cooperation with data match and error rate studies.

In October 2009, Assembly Bill (ABX) 4 19 (Chapter 17, Statutes of 2009) of the Fourth Extraordinary Session, provided counties an allocation for program integrity/anti-fraud positions to strengthen program integrity efforts within the IHSS program.

Subsequently, in March 2013, CDSS released the Uniform Statewide Protocols for Program Integrity Activities in the IHSS Program.  These protocols reflect the guiding principles of the IHSS Program Integrity and Fraud Prevention Stakeholder Workgroup: process transparency, recipient well-being, recipient and provider dignity, emphasizing program education, safe and respectful mitigation, a commitment to ensuring that no one is unfairly targeted, with minimal disturbance or confusion caused to the vulnerable members of the IHSS community.  The following are IHSS resources related to Program Integrity.

Statewide Reports of County Quality Assurance/Quality Improvement Activities

• ACIN I-41-23 (October 26, 2023)
  Release Of The Statewide Report Of County Quality Assurance/Quality Improvement Activities In The In-Home Supportive Services Program For Fiscal Year 2021-22
• ACIN I-24-22  (April 15, 2022)
  Release Of The Statewide Report Of County Quality Assurance/Quality Improvement Activities In The In-Home Supportive Services Program For Fiscal Year 2020-21
• ACIN I-23-21 (April 6, 2021)
  Release of the Statewide Report of County Quality Assurance/Quality Improvement Activities in the In-Home Supportive Services Program for Fiscal Year 2019-20

IHSS Program Integrity Anti-Fraud Reports

• ACIN I-40-23 (November 7, 2023)
  Release Of The Statewide Report Of Program Integrity And Anti-Fraud Efforts In The Ihss Program For Fiscal Year 2021-22
• ACIN I-28-22 (April 1, 2022)
  Release Of The Statewide Report Of Program Integrity And Anti-Fraud Efforts In The IHSS Program For Fiscal Year 2020-21
• ACIN I-46-21 (May 26, 2021)
  Release of the Report of Program Integrity and Anti-Fraud Efforts in the In-Home Supportive Services (IHSS) Program for Fiscal Year 2019/20
• ACIN I-12-20 (February 6, 2020)
  Release of the Report of Program Integrity and Anti-Fraud Efforts in the In-Home Supportive Services (IHSS) Program for Fiscal Year 2018/19

Guiding Authority

• CA Statute - Welfare and Institutions Code: 12300
• IHSS Regulations:  MPP Sections 30-700 to 30-785
• ACL 13-110 (December 31, 2013)
  Release Of California Department Of Social Services (CDSS) In-Home Supportive Services (IHSS) Quality Assurance/Quality Improvement (QA/QI) Policy Manual

Forms

To maintain statewide consistency, please do not alter the wording of any forms below, except in the identified sections.

• Program Integrity Webcast on how to correctly complete the IHSS Quality Assurance/Quality Improvement Activities Forms (SOC 824) and the IHSS Fraud Data Reporting From (SOC 2245).
  • To start the Webcast, select "Read Only" at the password prompt then put the PowerPoint into Slide Show mode by clicking on the   icon in the bottom taskbar
• ACIN I-39-16 (June 13, 2016)
  Webcast on How to Correctly Complete the IHSS Quality Assurance/Quality Improvement Activities Form SOC 824 and the IHSS Frau Data Reporting Form SOC 2245 
• SOC 824 (10/18) - In-Home Supportive Services (IHSS) Quality Assurance/Quality Improvement (QA/QI) Quarterly Activities Report
• SOC 2245 (9/20) - In-Home Supportive Services (IHSS) Fraud Data Reporting Form
• IHSS QA/QI Annual Budget Instructions
• IHSS QA/QI Annual Budget Plan 
• Targeted Review Outcome Report Checklist
• Quality Improvement Outcome Report Checklist

Program Integrity Resources

• ACL 22-43 (June 21, 2022)
  In-Home Supportive Services Quality Improvement Action Plan Templates
• ACIN I-51-19 (August 8, 2019)
  Review of The In-Home Supportive Services Fraud Referral Process
• ACIN I-58-21 (June 14, 2021)
  In-Home Supportive Services Application Processing and Reassessment Compliance
• ACIN I-13-20 (February 14, 2020)
  In-home Supportive Services Annual Quality Assurance/Quality Improvement Plan Components and Submission Requirements