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 

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
  • Mentorship serving Care Recipients who are transitioning from the hospital to the community and to hire and manage providers.
  • 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 assists IHSS Care Recipients with managing their role as employer for their Care Providers* by

  • Acting as the Care Providers' employer 
  • Assisting with hiring, scheduling, payroll, training, and supervision of the home Care Providers
  • Ensuring that each of its Care Providers has a minimum of 75 hours of specialized training in paramedics and behavior or health issues
  • Helping IHSS Care Recipients and Care Providers overcome barriers to service delivery