Item Coversheet

REPORT TO SHASTA COUNTY IN - HOME SUPPORTIVE SERVICES - PUBLIC AUTHORITY


BOARD MEETING DATE:  August  22, 2017
CATEGORY:  Public Authority Governing Board Item - Regular-2.

SUBJECT:

In-Home Supportive Services Public Authority Rate Modification.

DEPARTMENT: Health and Human Services Agency-Business and Support Services

Supervisorial District No. :  All

DEPARTMENT CONTACT:  Tracy Tedder, Director HHSA Business & Support Services (530) 229-8425

STAFF REPORT APPROVED BY:  Tracy Tedder, Director HHSA Business & Support Services

Vote Required?

Simple Majority Vote
General Fund Impact?

No Additional General Fund Impact 

RECOMMENDATION

Approve and authorize the Chairman to sign the In-Home Supportive Services-Public Authority Rate Modification Application and Cover Letter for submission to the California Department of Social Services to increase the In-Home Supportive Services provider hourly rate to $12.43 (comprised of hourly wage $10.50, administrative cost $0.14, employer paid payroll taxes $1.29, locally negotiated wage supplement $0.50) effective November 1, 2017.

SUMMARY

N/A

DISCUSSION

The California Department of Social Services (CDSS) requires the submission of a Rate Modification Package whenever changes are made to any component of the In-Home Supportive Services (IHSS) hourly rate calculation. The proposed rate reflects the hourly wage increase to $11.00 per hour, payroll taxes of $1.29 per hour, and the hourly administration cost increasing to $0.14 per hour, which reflects the Fiscal Year (FY) 2017-18 In-Home Supportive Services-Public Authority (IHSS-PA) budget. The recommended action will allow the Health and Human Services Agency to formally submit its rate modification package to CDSS.

 

State statute requires counties, as the employer of record for IHSS providers, to develop a rate in order to establish an hourly reimbursement level for the IHSS-PA. The rate is calculated by combining the IHSS provider hourly wage, payroll taxes, and the IHSS-PA administrative costs.  The hourly administrative costs are derived by dividing the total IHSS-PA budget by the total projected paid IHSS hours for the year.  The rate package documents the maximum direct and indirect operating expenses of the IHSS-PA, including provider wages that will be paid by the State.  The FY 2017-18 IHSS-PA administrative cost rate is $0.14 per hour, representing a total of expenditures in the FY 2017-18 budget of $506,816 divided by an estimated 3,538,950 provider hours.  Reconciliation is completed quarterly to determine actual administrative costs and revenue is adjusted accordingly by the state.

ALTERNATIVES

The submission of a Rate Modification Application is mandated with any change in wages or budgeted administration cost.  The State requires up to 60 days to review and approve a rate/wage increase.  A delay in submission could potentially affect the implementation of and reimbursement for the IHSS rate change.


OTHER AGENCY INVOLVEMENT

CDSS provided technical assistance in helping to determine the rate and complete the submission process.  The County Administrative Office reviewed the recommendation.


FINANCING

ATTACHMENTS:
DescriptionUpload DateDescription
Line Item Budget8/14/2017Line Item Budget
IHSS Rate Worksheet8/14/2017IHSS Rate Worksheet
SOC4498/16/2017SOC449