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IHSS Process

Understanding the IHSS Process for Recipients & Care Providers

 

What Is IHSS?

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In-Home Supportive Services (IHSS) is a county-administered program that helps eligible individuals remain safely in their own homes instead of moving into a care facility.

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IHSS provides funding for caregivers to assist with daily living activities and personal care needs.

 

The program is overseen through the county social services department and works closely with Regional Center of the East Bay when individuals also receive developmental services, like SLS.

 Overview of the IHSS Process
 

  • Apply for IHSS through the county social services department

  • An IHSS Social Worker is assigned to the case

  • Home assessment completed to review care and support needs

  • Physician completes required medical certification paperwork

  • County issues approved IHSS hours through a Notice of Action (NOA)

  • Recipient selects a care provider (family member, friend, or caregiver)

  • Provider completes enrollment, fingerprinting, orientation, and payroll setup

  • Provider is linked to the recipient’s case and timesheets are activated

  • Services begin based on approved tasks and monthly hours

  • Ongoing timesheet approvals, schedule coordination, and communication maintained

What IHSS Can Help With

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IHSS services may include support with:

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  • Bathing & hygiene

  • Dressing & grooming

  • Meal preparation

  • Grocery shopping

  • House cleaning

  • Laundry

  • Medication reminders

  • Transportation to appointments

  • Protective supervision

  • Mobility assistance

  • Toileting/incontinence care

  • Paramedical services (if approved)

  • Accompaniment to medical appointments

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Services are based on:

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  • The individual’s needs

  • Safety concerns

  • Medical conditions

  • Functional abilities

  • Living situation

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