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-08-20 (January 31, 2020)
    Release of the Statewide Report of County Quality Assurance/Quality Improvement Activities in the In-Home Supportive Services Program for Fiscal Year 2018-19
  • ACIN I-17-19E (April 3, 2019)
    Release of the Statewide Report of County Quality Assurance/Quality Improvement Activities in the In-Home Supportive Services Program for Fiscal Year 2017-18
  • ACIN I-87-18 (December 20, 2018)
    Release of the Statewide Report of County Quality Assurance/Quality Improvement Activities in the In-Home Supportive Services Program for Fiscal Year 2016-17

IHSS Program Integrity Anti-Fraud Reports

  • 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
  • ACIN I-46-19 (July 26, 2019)
    Release of the Report of Program Integrity and Anti-Fraud Efforts in the In-Home Supportive Services (IHSS) Program for Fiscal Year 2017/18
  • ACIN I-26-17 (May 3, 2017)
    Release of the Report of Program Integrity and Anti-Fraud Efforts in the In-Home Supportive Services (IHSS) Program for Fiscal Year 2014/15

Guiding Authority

Forms

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

Program Integrity Training Resources 

Quick Links

Suspect Fraud?