Public Authority (PA) Services introduced the On-Call Registry (OCR) on October 1, 2022, replacing the Urgent Care Registry service.This initiative serves as a state-mandated backup provider system for eligible In-Home Supportive Services (IHSS) consumers who temporarily lack an Independent Care Provider (IP) due to unforeseen circumstances.
The OCR consists of current IHSS IPs from the Registry.The Registry has pre-screened and fully enrolled providers for the consumer to interview and hire to be their caregiver.When an IP works on-call hours for a consumer, these providers receive an additional $2 per hour in addition to their regular In-Home Supportive Services pay.
Not all consumers qualify for the OCR program; in order to utilize the OCR, the following must apply to them:
- Require personal care services, and without them, their health and safety could be at risk, potentially leading to emergency services or out-of-home placement.
- Are transitioning to in-home care and need temporary support until a permanent IP is secured.
Qualifying consumers can access up to 80 hours of OCR services each fiscal year (from July to the following June).
An exception may allow up to 160 hours for those with severe impairments.
It’s important to note that the OCR does not cover IP vacations; it is strictly for unexpected and urgent needs.
Consumers are encouraged to seek help from family, friends, neighbors, or other reliable sources when their regular IP is unavailable for short periods.

