Can IHSS Affect My Taxes or Other Income Reporting?

If you're a parent or caregiver receiving payment through In-Home Supportive Services (IHSS), it's important to understand how those payments may—or may not—affect your taxes and income reporting. Many people are surprised to learn that IHSS income can be treated differently from other types of income, especially when the provider and the recipient live in the same home.

Let’s break it down.

IHSS Income and Federal Taxes

Whether or not your IHSS income is taxable depends on two key factors:

1. Do you live in the same home as the person you're caring for?

If you live in the same home as the IHSS recipient—such as a parent caring for their child—your IHSS income may be excluded from gross income for federal tax purposes, under IRS Notice 2014-7.

This rule applies even if you are:

A parent caring for your child with disabilities
A relative caregiver living with the recipient
Providing care under IHSS or WPCS (Waiver Personal Care Services)

Under this IRS guidance, your IHSS payments can be considered difficulty-of-care payments, which are not subject to federal income tax.

2. Are you paid through the IHSS program or a waiver program?

The rule applies to both regular IHSS and WPCS programs as long as:

You’re providing non-medical support
You live with the person you're caring for

However, if you live outside the recipient’s home, your IHSS income is generally taxable.

Do I Need to File Taxes If My IHSS Income Is Excluded?

Even if your IHSS income is excluded from federal taxes, you still need to:

Report it to the IRS correctly on your tax return, if required
Keep accurate records of your IHSS payments
Consider filing a return anyway if you qualify for tax credits (like the Earned Income Tax Credit or Child Tax Credit), even with little or no taxable income

Also, the IRS may still issue you a W-2 form for your IHSS income, even if it ends up being non-taxable.

What About State Taxes in California?

As of now, California follows the IRS guidance, meaning that IHSS income that qualifies as difficulty-of-care is also excluded from state income tax.

But it's a good idea to double-check your situation with a tax professional, as tax rules can change or be interpreted differently depending on your unique case.

Does IHSS Income Count Toward Other Benefits?

Even if IHSS income is excluded for tax purposes, it may still count as income for other programs. For example:

CalFresh (food stamps): IHSS income is generally excluded.
Section 8 or subsidized housing: It may or may not be counted; check with your local housing authority.
SSI/SSDI or Medi-Cal: The income rules are different depending on your role and your child’s eligibility.

Always report IHSS income honestly when applying for or renewing benefits and clarify how it’s treated in each program.

Key Takeaways

If you live with the person you’re caring for, your IHSS income may be non-taxable under federal and state law.
You may still receive a W-2 form, even if the income is excluded.
IHSS income may affect other benefit programs, depending on their specific rules.
When in doubt, consult a tax professional familiar with IHSS and public benefit rules.

Understanding the tax and income implications of IHSS payments is crucial, especially for parents caring for children with special needs. Taking the time to report everything correctly can help you avoid tax issues and protect your eligibility for other services.

Need help? In California, the In-Home Supportive Services (IHSS) program provides crucial financial help for families raising children with special needs. American Advocacy Group is on the front lines every day, making positive change happen for people diagnosed with autism, Down syndrome, and a range of diagnoses across the continuum. As a leading advocate for all people with intellectual and developmental disabilities and their families, and the premier provider of the support and services people want and need, we understand the system and know how to take action regarding your best interests.

CONTACT US FOR HELP. Dial (877) 762-0702 or email us at [email protected].

What Services Are Not Covered by IHSS?

The In-Home Supportive Services (IHSS) program provides critical support for children and adults with disabilities so they can safely remain in their homes. However, not all types of care or assistance are covered under this program. If you’re a parent or caregiver applying for IHSS for your child, it’s important to understand what services IHSS does not pay for—so you can plan accordingly and avoid confusion during the application process.

IHSS Only Covers Certain Types of Care

IHSS is designed to support daily living needs that help a person remain safely in their home. These are tasks the individual would not be able to perform on their own due to their physical, mental, or developmental condition.

But it does not cover everything a caregiver might do. Below are some of the key services that IHSS does not cover:

1. Medical Services or Skilled Nursing Tasks

IHSS providers are not expected or allowed to perform skilled medical procedures. This includes:

Administering injections (other than insulin)
Inserting or caring for feeding tubes
Wound care requiring medical training
Catheter insertion or maintenance (unless very basic)
Adjusting oxygen flow without direction

While IHSS allows certain paramedical services, these must be ordered by a doctor and approved by the program. They still do not include most skilled nursing care.

2. Supervision for Educational or Employment Activities

IHSS does not pay for time when:

A child is at school (even if they need supervision there)
A caregiver is helping with homework or tutoring
A provider is accompanying someone to a job or vocational program

Even if your child needs 1:1 support during those times, IHSS won’t cover it. The program focuses on care needed inside the home, not during public activities.

3. Household Tasks Not Related to the Recipient’s Needs

IHSS providers are allowed to perform some domestic chores (like cooking, cleaning, or laundry), but only if they are specifically for the person receiving IHSS.

It does not cover:

Cleaning the entire house or spaces unrelated to the IHSS recipient
Cooking for the whole family
Doing household laundry not used by the child
General yard work or home maintenance

If a parent is caring for their child, tasks must be clearly for that child’s benefit.

4. Childcare or Babysitting

Many parents are surprised to learn that IHSS does not pay for typical childcare. The state assumes that all children require a certain level of supervision based on age, so IHSS only pays for care that goes above and beyond what is considered age-appropriate.

You cannot receive IHSS for:

Watching your child while you work or run errands
General babysitting services
Supervision of a child without specific, documented needs

Only Protective Supervision is covered, and even that has strict criteria and must be medically justified.

5. Transportation to Non-Medical Activities

IHSS does not pay for:

Driving your child to school
Taking them to social events, therapy groups, or extracurriculars
Running errands or shopping (unless directly related to their IHSS needs)

Transportation is only covered when it’s essential to medical appointments or to get medical supplies.

Final Thoughts

IHSS is a valuable program, but it has strict limitations. The focus is on help with personal care and safety within the home, not general parenting, household help, or skilled medical care. Knowing what’s not covered can help you prepare better for your assessment and avoid misunderstandings about what services you or your child may be eligible for.

CONTACT US FOR HELP. Dial (877) 762-0702 or email us at [email protected].

What Should I Do If My IHSS Timesheet Is Rejected or Delayed?

If you're a paid caregiver through California’s In-Home Supportive Services (IHSS)—especially if you're a parent caring for your own child—a rejected or delayed timesheet can be stressful and financially disruptive. Fortunately, most issues can be resolved with the right steps.

Here’s what to do if your IHSS timesheet is rejected or delayed, and how to prevent it in the future.

1. Identify the Reason for Rejection

When your timesheet is rejected, you should receive a notification—either by mail or in your online IHSS account—stating the reason. Common reasons include:

Missing or incorrect hours
Overlapping hours with another provider
EVV (Electronic Visit Verification) errors
Dates outside the pay period
Incomplete or unsigned timesheet
Provider or recipient information mismatch

Tip: If you're unsure, call the IHSS Timesheet Processing Unit or check the ESP (Electronic Services Portal) for error codes or alerts.

2. Correct the Problem Quickly

Once you understand the issue, fix it as soon as possible:

Paper Timesheet: You may need to request a replacement timesheet if the original was filled out incorrectly. Use black ink, write clearly, and make sure both provider and recipient sign it.
Online Timesheet (ESP): You may be able to correct errors directly in the system or withdraw and re-submit the timesheet with the right information.
EVV Users: If you forgot to check in/out or the system shows overlapping time, go into the app or portal and correct the entries before resubmitting.

3. Contact IHSS for Help

If you’re stuck or didn’t receive any explanation, don’t wait—contact IHSS right away:

IHSS Provider Help Line: 1-866-376-7066 (available M–F)
County IHSS Office: Your local office can provide more specific help and escalate issues if needed.
Electronic Services Portal (ESP): Log in at https://www.etimesheets.ihss.ca.gov to check status and make corrections.

Keep records of every call you make, who you spoke to, and what was said.

4. Check for Processing Delays

Sometimes the timesheet is correct, but payment is simply delayed due to:

System errors
High volume of submissions
Holidays or weekends
Banking issues (especially for direct deposit)

To track a payment:

Log into the ESP
Go to the “Payment History” section
See if the timesheet has been received, approved, or issued

If your payment was issued but not received, contact Provider Direct Deposit Help Desk: 1-866-376-7066.

5. Prevent Future Problems

Avoid delays and rejections by:

Submitting timesheets on time
Carefully reviewing hours before submitting
Keeping a copy of each timesheet
Ensuring recipient and provider signatures are complete and accurate
Using the EVV mobile app correctly every time

If you’re new to EVV or online timesheets, take advantage of free IHSS training webinars or your county’s orientation support.

Final Thoughts

A rejected or delayed IHSS timesheet can cause unnecessary stress, but it’s usually fixable. The key is to act quickly, stay organized, and communicate clearly with IHSS.

If your timesheet was delayed through no fault of your own and you’re experiencing hardship, ask your county if emergency pay assistance is available.

CONTACT US FOR HELP. Dial (877) 762-0702 or email us at [email protected].

Regular IHSS vs. Protective Supervision: What's the Difference?

If you're applying for California's In-Home Supportive Services (IHSS) for a child or adult with disabilities, you may have come across the term Protective Supervision. But how is it different from standard IHSS services? Understanding the distinction is key to getting the right level of support for your family.

What Is Regular IHSS?

IHSS provides support to help people with disabilities or chronic conditions live safely at home. For children and adults, regular IHSS services may include:

Help with bathing, dressing, and grooming
Meal preparation and feeding
Diapering and toileting
Mobility assistance
Light housework
Accompaniment to medical appointments

The number of hours approved depends on the individual’s ability to complete these tasks on their own.

What Is Protective Supervision?

Protective Supervision is an additional IHSS service for individuals with severe mental impairments who need constant supervision to stay safe.

It’s not about helping with physical tasks—it’s about providing non-medical observation to prevent injury due to unsafe behaviors such as:

Running into traffic
Climbing out windows
Ingesting harmful items
Wandering away from home

Protective Supervision can provide up to 24 hours of paid care per day if eligibility requirements are met.

Key Differences

Category	Regular IHSS	Protective Supervision
Purpose	Assist with daily tasks	Prevent injury due to unsafe behavior
Based On	Physical and/or cognitive limitations	Mental impairment and safety risk
Type of Help	Hands-on personal care	Non-medical supervision
Hours	Limited to approved tasks	Up to 24 hours/day
Requires Diagnosis?	Sometimes	Yes—must be a mental/psychiatric condition
Common Conditions	Physical disabilities, age-related needs	Autism, epilepsy, intellectual disability, psychiatric disorders

How to Qualify for Protective Supervision

To be approved, you must show that:

Your child or dependent has a qualifying mental impairment
They lack awareness of personal safety
You or another caregiver provide ongoing supervision to prevent injuries
The need for supervision is continuous, not just occasional

You’ll need detailed documentation, including the SOC 821 form, a doctor’s statement, and specific examples of unsafe behaviors or incidents.

Final Thoughts

Regular IHSS helps with basic care needs. Protective Supervision goes a step further, offering intensive support for those at high risk of injury due to mental impairments. If your child needs constant watchfulness for safety, Protective Supervision may be essential.

Understanding the difference can help you build a stronger IHSS application—and ensure your family gets the full support it needs.

CONTACT US FOR HELP. Dial (877) 762-0702 or email us at [email protected].

What Are Paramedical Services — and Can I Be Paid for Those Too?

If you’re caring for a child with a disability or chronic health condition through California’s In-Home Supportive Services (IHSS) program, you may have heard about something called Paramedical Services — but what exactly does that mean?

More importantly:
Can you, as a parent or caregiver, get paid for providing those services?
The answer is yes — and understanding this part of IHSS can make a big difference in how your child’s care is recognized and supported.

The answer is yes — and understanding this part of IHSS can make a big difference in how your child’s care is recognized and supported.

What Are Paramedical Services?

Paramedical Services under IHSS are tasks that:

Are prescribed by a licensed medical professional, and
Would normally be performed by a nurse or trained medical staff,
But are being done at home by a non-medical caregiver (like a parent).

These are not basic daily tasks like bathing or feeding — they are medically necessary procedures that require special training, supervision, or instruction.

Examples of Paramedical Services

Here are some common tasks that qualify:

G-tube feedings or care
Seizure management and emergency intervention
Oxygen administration or suctioning
Diabetes management (insulin injections, blood sugar monitoring)
Wound care
Catheter care
Medication administration (if prescribed and requires oversight)
Use of adaptive medical equipment (CPAP, ventilators, etc.)

If your child has a medical condition that requires you to do any of the above, you may be eligible for paid Paramedical hours.

Can a Parent Be Paid for These Services?

Yes. IHSS allows a parent provider to be paid for Paramedical Services if:

The task is prescribed by a doctor, and
The parent receives instruction and supervision (typically informal training from a healthcare provider), and
The child cannot safely perform the task on their own.

This is especially important for parents of children with complex medical needs, where caregiving goes well beyond what is typical for the child’s age.

How to Get Paramedical Services Approved

To receive IHSS hours for Paramedical Services, you need to:

1. Have the doctor complete form SOC 321

This is the official Paramedical Services Request form, and it must:

Describe each task in detail (what, how often, how long)
Be signed by an MD, NP, or other authorized professional
Indicate that the parent has been instructed in how to do the task

2. Submit the form to your county IHSS office

It will be reviewed during your child’s IHSS assessment or reassessment.

3. Discuss with the IHSS social worker

Be prepared to explain how often each task is done, how long it takes, and how the child would be at risk without it.

How Many Hours Can You Get?

The number of authorized hours will depend on:

Frequency of the task (daily, multiple times a day?)
Duration of each task
Whether tasks are done separately or grouped together
The child’s ability to cooperate or tolerate the procedure

For example:

A child who requires G-tube feeds 4 times a day at 30 minutes each may receive 60–120 hours/month, just for that one task.

Paramedical hours can be approved in addition to Protective Supervision and other IHSS services.

Tips for Success

Be specific when listing tasks on the SOC 321 — “medications” isn’t enough; write “administer 4 prescribed oral meds 3x/day.”
Keep a care log of how long each task takes — it helps support your claim.
Make sure your doctor understands that this form affects your IHSS benefits — and needs to be accurate and detailed.

Bottom Line

Paramedical Services are one of the most underutilized parts of IHSS — and often overlooked by parents who are already providing complex medical care at home.

If you’re doing tasks that go beyond typical parenting — and you’re trained or instructed by a doctor — you have the right to be paid for that work under IHSS.

Need help? In California, the In-Home Supportive Services (IHSS) program provides crucial financial help for families raising children with special needs. American Advocacy Group is on the front lines every day, making positive changehappen for people diagnosed with autism, Down syndrome, and a range of diagnoses across the continuum. As a leading advocate for all people with intellectual and developmental disabilities and their families, and the premier provider of the support and services people want and need, we understand the system and know how to take action regarding your best interests.CONTACT US FOR HELP. Dial (877) 762-0702 or email us at [email protected].