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 to ensure that IHSS Providers and IHSS Recipients receive their services and benefits, including: 

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

IHSS Public Authority 

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

  • A registry of screened IHSS Providers for IHSS Recipients who need assistance finding and hiring a care giver
  • Emergency On-Call services when an IHSS Recipient's regular IHSS Provider is unavailable
  • Mentorship serving IHSS Recipients who are transitioning from the hospital to the community and to hire and manage IHSS Providers.
  • Serving as “employer of record” for IHSS Providers that engages in collective bargaining with their union
  • Administering health and dental benefits for IHSS Providers
  • Receives and analyzes background checks as part of the IHSS Provider enrollment process, in coordination with DAS


Homebridge assists IHSS Recipients with managing their role as employer for their IHSS Providers* by

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