For IHSS Recipients

Information for individuals who need or currently receive in-home supportive services.

What is IHSS?

The IHSS program provides assistance to eligible older adults and persons with disabilities who, without this care, would be unable to remain safely in their homes. IHSS provides services according to the recipient’s ability to perform daily activities, and can include bathing, grooming, dressing, bowel and bladder care, light housekeeping, laundry, shopping, meal preparation and clean up, and other services.

IHSS recipients are responsible for hiring, supervising, and scheduling their providers, for signing provider timesheets, and for firing the provider if the services are not performed according to the recipient’s specifications. Providers can be the recipient’s family member, friend, or acquaintance. Or, if no such person is already in mind, a recipient can hire someone through the registry of providers maintained by the IHSS Public Authority

Am I eligible for IHSS?

To be eligible for IHSS, you must be a resident of San Francisco and meet all four of the following criteria:

  1. Live at home (not a board and care facility, nursing home, or hospital);
  2. Be a U.S. citizen or legal permanent resident;
  3. Have Medi-Cal or be eligible for Medi-Cal; and
  4. Demonstrate functional needs for assistance with activities of daily living.

What happens after I apply?

A social worker from the Department of Aging and Adult Services will interview you at your home to see if you qualify for IHSS. Based on your ability to safely perform certain tasks for yourself, the social worker will assess the types of services you need and the number of hours you will be eligible to receive from a provider. This assessment will include information given by you and, if appropriate, by your family, friends, physician, or other licensed health care professional.

A completed Health Care Certification (SOC 873) must be received by the IHSS program before we can grant services.

You will get a letter by US mail telling you if IHSS has been approved or denied. If denied, you will be told the reason for the denial and you can appeal the decision. If approved, you will be told the types of services and the number of hours per month which have been authorized for you.

If you are approved for IHSS, you must hire a provider to perform the authorized services. You are considered your provider's employer and, therefore, it is your responsibility to hire, train, and manage this individual.

If you experience challenges in hiring, training, or managing your own provider, the IHSS social worker may authorize your services to be provided by our contracting agency, Homebridge. Homebridge has a staff of home care providers who perform IHSS services under the supervision of case managers. They are responsible for hiring, training, and supervising their staff, rather than the IHSS recipient.

For more information

Community resources

IHSS Public Authority
Self-Help for the Elderly is a non-profit organization that provides homecare services for individuals not eligible for IHSS