The IHSS System

The IHSS system includes our community partners and related services.

Department of Disability and Aging Services (DAS) 
DAS oversees the entire IHSS system for the City and County of San Francisco to ensure that Care Providers and Care Recipients receive their services and benefits, including: 

  • Receiving applications for IHSS
  • Determining financial eligibility for IHSS and Medi-Cal
  • Visiting Care Recipients' homes in order to grant IHSS services according to consumer need and state regulations;
  • Adjusting IHSS services as consumer needs change
  • Working with partners in the long-term care continuum to ensure Care Recipients maintain independence in the community
  • Accessing the Independent Provider Assistance Center (IPAC) for help to
    • Become and IHSS Care Provider
    • Process  timesheets and assist with payment issues

IHSS Public Authority contracts with DAS to provide high-quality services for IHSS Care Recipients, including:

  • A registry of screened Care Providers for Care Recipients who need assistance finding and hiring a care giver
  • Emergency On-Call services when a Care Recipient's regular Care Provider is unavailable
  • A Mentorship Program serving Care Recipients to transition out of hospital settings and following them into their communities; assisting individuals to further their knowledge of the IHSS process while empowering them to hire, train, and supervise Providers in a manner that best meets their needs; and providing in and out of home training, education, and support through workshops and presentations
  • Serving as “employer of record” for Care Providers that engages in collective bargaining with their union
  • Administering health and dental benefits for Care Providers
  • Receives and analyzes background checks as part of the Care Provider enrollment process, in coordination with DAS

Homebridge is a non-profit organization that contracts with DAS to provide services to IHSS Care Recipients who need help managing their role as employer for their Care Providers.* In these cases, Homebridge will::

  • Act as the Care Provider's employer 
  • Is responsible for the hiring, scheduling, payroll, training, and supervision of the home Care Providers
  • Ensures each of its Care Providers has a minimum of 75 hours of specialized training in paramedics and behavior or health issues.
  • Provides frequent contact and support to both IHSS Care Recipients and Care Providers in order to overcome barriers to service delivery


Our Other Partners

The California Department of Social Services (CDSS)
Seniors and Disability Action – a non-profit advocacy organization of seniors and persons with disabilities
Self-Help for the Elderly – a non-profit that provides a wide range of services for the elderly:
San Francisco-Marin Food Bank
Meals on Wheels