The maximum monthly hours for IHSS are 283, but that is only for people who require at least 20 hours a week of personal care and paramedical services. If you don't, then what's going to happen is protective supervision is all or nothing. So whatever monthly hours you're awarded, they assign it by weekly hours, and then they multiply it by 4.33 to get the monthly hours. And then on top of that, they will add 195 protective supervision hours. So they're not covering 24/7 care; it's a block of hours toward that 24/7 care. So it's 195.
The only time you ever see partial is with people who have that “severely impaired” classification, where, if they require more than 20 hours a week, they're not going to get all 195 of the IHSS protective supervision hours. There's a maximum of around 45 hours a week that they can award for protective supervision. But if somebody has 40 to 50 hours a week of paramedical ]and personal care and all these other services, the number of hours they're actually going to get awarded for protective supervision is going to be very small, but that's only because protective supervision brings you up to the maximum. But they don't document it. The remainder of the 195 is unmet need.
If you have more than 20 hours a week of care, protective supervision just bumps you up to the max of 283; it doesn't put you over. They don't document that as extra needs. So if you see somebody who only has 10 hours a week of protected supervision, it's because they have so many other services that there's not enough room for the total amount they need.
For more information, see our article on IHSS protective supervision.
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