IHSS Quality Assurance (QA)
The In-Home Supportive Services (IHSS) Quality Assurance (QA) measures began when the Department of Social Services
(CDSS) proposed an IHSS/PCSP QA Initiative as an element of the Governor’s 2004/05 State Budget (as outlined in ACIN
I-69-04). The proposal outlined a number of enhanced activities to be performed by CDSS, the counties, and the
California Department of Health Care Services (DHCS) to improve the quality of IHSS/PCSP service needs assessments,
enhance program integrity, and detect and prevent program fraud and abuse. The proposal requested: (1) State
and county staffing augmentations specifically for QA activities, (2) funding to establish an ongoing State training
component for IHSS workers, and (3) funding for specified system changes tied to QA and program integrity
The CDSS QA proposal was adopted by the Administration. Funding for new State and county QA staff, the
IHSS/PCSP training program, and systems changes was included in the Fiscal Year (FY) 2004/05 Budget Act. In FY
2004/05, trailer bill amended existing California Welfare and Institutions Code (WIC) in Section 12300.
Subsequently, both the IPO State Plan Amendment (2009) and the Community First Choice Option State Plan Amendment
(2011) are included in all QA Initiative requirements.
CDSS, in partnership with counties and other stakeholders, continues to improve upon the IHSS program so that
recipients are able to remain safely in their homes and communities.
For information and requirements regarding: IHSS QA Monitoring or IHSS QA Program
Integrity and Fraud Prevention
Letters and Notices
Error Rate Studies
QA Monitoring Activities Report