In-Home Supportive Services (IHSS)
We base our materials on the law at the time we write them. The law can change at any time. If you have a question about the legal accuracy of the materials, contact us or another legal resource.
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If you currently reside in a nursing home, hospital, or other facility and would like to move home, counties are required to process your application for In-Home Supportive Services (IHSS).
California Department of Social Services (CDSS) All County Letter 02-68 outlines the responsibility of county welfare departments to conduct assessments of applicants ready for discharge from medical facilities and non-medical out-of-home placements.
1. Can I receive IHSS hours for my provider to take me to doctors’ appointments?
Yes, this is called “accompaniment to medical appointments.” Medical accompaniment to “health care appointments” (e.g. medical appointment at a doctor’s office, dentist and to other health practitioners) is an IHSS service certain IHSS recipients can receive. Medical accompaniment can be authorized when a recipient needs another IHSS service in order to get to and from a medical appointment or alternative resource, and/or at their destination.1 For example, if a recipient has been authorized for accompaniment to medical appointments, the provider can also be paid to help the IHSS recipient travel to and from medical appointments.
This publication explains what In-Home Supportive Services (IHSS) county staff can do to prevent fraud. They want to prevent fraud to make sure, only people eligible for IHSS get services. They want IHSS recipients to only get the services they are supposed to get.
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Protective supervision is an IHSS service for people who, due to a mental impairment or mental illness, need to be observed 24 hours per day to protect them from injuries, hazards or accidents.
There are a number of different programs in California that can help individuals with disabilities and/or seniors who receive Medi-Cal remain in their homes, or help them return home from a long-term care facility (including hospitals, nursing homes, and other medical facilities). This publication provides an overview of these programs, but if you need assistance getting services, you can contact Disability Rights California toll free at (800) 776-5746 or TTY: (800) 719-5798. You can also visit our website at www.disabilityrightsca.org.
If you request a California State Fair Hearing and you cannot attend the hearing at the designated location in the county due to medical, physical, transportation limitations or other reason, you can request a home hearing. MPP 22-045.11 “If the claimant is unable to attend the hearing at the hearing location for reasons of poor health, the hearing shall be held in the claimant's home or in another place agreed to by the county and the claimant.”
This fact sheet explains how to obtain transportation to your medical appointments from your Medi-Cal Managed Care Plan (MCP). The end of this publication discusses how to obtain transportation services if you have Fee-For-Service (FFS) Medi-Cal.
Home visits have always been part of the assessment or reassessment process for IHSS services. IHSS social workers do these home visits. In 2009, California law was amended requiring the California Department of Social Services (CDSS) to establish a stakeholder group to develop protocols for state and county roles and responsibilities for implementing integrity and fraud prevention measures in the IHSS program. The stakeholder group developed the Uniform Statewide Protocols for Program Integrity Activities in the IHSS Program (Protocols).