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In-Home Supportive Services
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The In-Home Supportive Services (IHSS) program provides services to assist eligible aged or blind persons or persons with disabilities who are unable to remain safely in their own homes without this assistance. IHSS is an alternative to out-of-home care, such as nursing homes or board and care facilities. Recipients must be eligible for or receiving Medi-Cal. The types of services which may be authorized through IHSS include:
IHSS Advisory Committee - Minutes and Agenda
IHSS Public Authority
The program, which is a Medi-Cal-based program, serves qualifying California residents living in their own homes or a home of their choosing who need IHSS to remain safely in their own homes.
Note: Acute care facilities, long term care facilities, and licensed community care facilities are not considered "own home".
To qualify for IHSS, you must:
Income of individuals who do not receive SSI/SSP is considered in determining if there is a share of cost which must be paid to the IHSS care provider. Individuals who do not receive SSI/SSP, but apply for IHSS, will also apply for Medi-Cal. A Medi-Cal worker will determine their eligibility and share of cost for that program.
Individuals who are eligible for Medi-Cal and who need IHSS in order to remain safely in their own homes, will receive both IHSS and Medi-Cal and be required to pay the Medi-Cal share of cost. Where applicable, the Medi-Cal share of cost is compared to the Aged and Disabled Federal Poverty Level. This may reduce a share of cost to zero.
An individual may obtain additional information or initiate the IHSS application process by calling our Information and Referral number, (661) 868-1000, or our toll free number, (800) 510-2020. The Information and Referral worker will complete a referral form and assign it to an IHSS intake social worker for processing.
Information needed to complete a referral includes name, address, telephone number, birth date, Social Security number of the individual being referred, names and relationships of other persons residing in the same household, source and amount of income, physicians' names, medical conditions, and types of services needed. In addition, if the person being referred does not receive SSI/SSP, Medi-Cal eligibility must be determined. Medical information will be requested from the individual's primary physician.
The assigned intake social worker will conduct an initial phone interview and, if appropriate, schedule a home visit to interview the individual to determine eligibility and specific service needs based on the individual's ability to safely perform certain tasks. If the individual is determined to need IHSS the social worker will authorize hours needed to perform the services. If the individual is determined to be able to remain safely at home without IHSS, the worker will deny the IHSS application.
The social worker will send the individual Notice of Action advising of the approval or denial of services. If denied, the Notice will state the reason for the denial. If approved, the Notice will show the services and authorized hours.
The individual recipient and care provider must complete, sign, and date time sheets verifying delivery of the authorized hours of service. The California Department of Social Services issues the checks for provider payments, twice per month.
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Online Electronic Timesheet Service - ETS (PDF)
Electronic Timesheet Frequently Asked Questions (PDF)
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