The In-Home Supportive Services (IHSS) program is designed to provide support for individuals who need assistance with daily living tasks due to a disability or medical condition. But what if your child only requires minimal assistance, such as supervision, rather than hands-on personal care? Can you still receive IHSS?

The short answer is yes, but there are specific conditions under which supervision can qualify for IHSS. In this blog post, we’ll explore how supervision works within the IHSS framework, what you need to know about eligibility, and how you can navigate the process to ensure your child gets the care they need.

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What is IHSS?

IHSS is a California state program that provides personal care services to individuals who are aged, blind, or disabled, and who need assistance to remain safely in their homes. The services are intended to support people with disabilities or medical conditions, allowing them to live independently. IHSS services are provided by personal caregivers, which can include family members or hired help, depending on the situation.

The most common services covered by IHSS include assistance with:

• Personal care (bathing, dressing, grooming)
• Housekeeping (cleaning, laundry)
• Meal preparation
• Ambulation (help with walking or getting in and out of bed or chairs)
• Transportation to medical appointments

But there’s another type of service provided under IHSS that is often overlooked: supervision.

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What is Protective Supervision?

Protective supervision is a service that falls under the broader category of IHSS care and specifically applies to individuals who need constant oversight to ensure their safety. This is not the same as hands-on personal care, but it’s still crucial for families who are caring for children with conditions that could put them at risk if left unsupervised.

For children who have developmental, cognitive, or behavioral disabilities, protective supervision might include:

• Monitoring the child to ensure they are safe and not engaging in harmful behaviors
• Keeping an eye on the child in situations where they might be at risk (e.g., near water, street traffic, or harmful objects)
• Supervising a child with a medical condition who might require constant observation for potential emergencies

In other words, even if your child doesn’t need assistance with daily activities like bathing or dressing, they might still qualify for IHSS if they require supervision for safety reasons.

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How Does IHSS Determine Eligibility for Supervision?

To determine if your child is eligible for protective supervision under IHSS, the county will assess their condition and needs. The key factor in this assessment is whether your child has a cognitive or behavioral condition that puts them at risk of harm if not supervised.

Here’s what you need to know about the process:

1. Assessment by a Social Worker: An IHSS social worker will conduct an assessment to evaluate your child’s needs. This will involve looking at:
   • Your child’s medical history and diagnosis
   • The nature of their disability or condition
   • Their ability to care for themselves and make decisions
   • Whether they require constant supervision to ensure their safety
   • Documentation from medical providers that supports the need for supervision
2. Eligibility Criteria for Supervision: In general, IHSS provides protective supervision if the child has a serious medical or developmental condition that:
   • Affects their ability to understand danger
   • Poses a risk of harm to themselves or others if left unsupervised
   • Requires a level of monitoring that goes beyond normal caregiving

For example, children with autism, severe developmental delays, or certain medical conditions like epilepsy might require supervision due to the potential for dangerous behavior or medical emergencies.

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What Does Protective Supervision Cover?

If your child qualifies for protective supervision under IHSS, the services can cover the time spent monitoring your child’s safety. However, it’s important to understand that it’s not just about being present; the supervision must be active and continuous. For instance:

• Monitoring: The caregiver must be within sight or hearing distance of the child to prevent harm.
• Engagement: Simply being in the same room as the child may not be sufficient; you must be actively ensuring their safety, especially in risky environments (e.g., near water or traffic).
• 24/7 Care: In some cases, protective supervision may be required throughout the day and night, depending on the child’s condition.

It’s important to note that IHSS doesn’t cover “general supervision” or “sitters.” The supervision must be linked to a specific risk, such as the potential for self-harm, wandering, or an inability to understand dangerous situations.

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How Do I Apply for IHSS Protective Supervision for My Child?

Applying for protective supervision under IHSS follows the same basic process as applying for any other IHSS service. Here’s how to get started:

1. Complete an Application: You’ll need to apply for IHSS through your local county office. Some counties have online portals where you can submit your application, while others may require you to apply in person or by mail.
2. Provide Medical Documentation: Along with your application, you’ll need to provide medical documentation that supports your child’s need for protective supervision. This could include:
   • A doctor’s note or medical records detailing your child’s condition
   • Evaluations from specialists (e.g., pediatricians, neurologists, or therapists)
   • A statement about why your child needs continuous supervision for their safety
3. Interview with a Social Worker: After submitting your application, an IHSS social worker will schedule an interview or home visit to assess your child’s needs. During this process, the social worker will ask about your child’s condition, their daily activities, and how they require supervision.
4. Assessment of Hours: Based on the evaluation, the social worker will determine how many hours of supervision are required. These hours are usually based on the risk level and the amount of time your child needs supervision each day.
5. Approval and Reassessments: If your application is approved, you’ll begin receiving IHSS hours for protective supervision. However, keep in mind that IHSS hours are typically reassessed annually to ensure they continue to meet your child’s needs.

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Can I Get More Hours for Supervision?

If your child’s needs increase or if your initial assessment doesn’t fully account for the amount of supervision required, you can request a reassessment. This might happen if your child’s condition changes or if they require more frequent supervision due to evolving behaviors or health issues.

You may also request additional hours if your child’s condition improves and they require fewer hours of care. The goal of IHSS is to match the services with the actual needs of the individual, so regular reassessments are part of the process.

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What If My Application for Supervision is Denied?

If your application for protective supervision is denied, you have the right to appeal the decision. You can file an appeal with the California Department of Social Services (CDSS) and request a hearing. During the hearing, you can present additional medical documentation, advocate for your child’s needs, and make your case for why supervision is necessary.

If you’re unsure how to proceed with an appeal, organizations like Disability Rights California offer free legal advice and can help you navigate the process.

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Conclusion

If your child only needs minimal assistance, like supervision, you may still be eligible for IHSS under the protective supervision category. This service ensures that children with disabilities who are at risk for harm have the oversight they need to stay safe. The process may take time, and you’ll need to provide supporting medical documentation, but the support can make a significant difference in your family’s caregiving routine.

Remember that you are not alone in this process—there are advocacy organizations and support groups that can help guide you through the IHSS application, reassessment, and appeals process.

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].

If you're considering applying for In-Home Supportive Services (IHSS) or you've already applied, one of the most crucial steps in the process is the IHSS assessment. This IHSS assessment is where a social worker evaluates your needs to determine whether you're eligible for IHSS and, if so, how many hours of assistance you will receive each week. Understanding what happens during this assessment can help you feel more prepared, reduce any anxiety, and ensure the process goes smoothly.

In this post, we’ll break down everything you need to know about the IHSS assessment—from what to expect, what the social worker looks for, to how it impacts the level of care you receive.

What is the IHSS Assessment?

The IHSS assessment is an in-home visit conducted by a social worker or caseworker from your county’s Department of Social Services (DSS). The purpose of the assessment is to determine the level of assistance you require with activities of daily living (ADLs) and other essential tasks. ADLs can include things like bathing, dressing, grooming, cooking, and housekeeping. The social worker will also assess whether you have any medical or mental health needs that require additional help.

Why Is the Assessment Important?

The assessment plays a central role in determining whether you qualify for IHSS and how many hours of care you’re eligible for. The social worker will use a standardized tool to evaluate your needs, and the results will directly influence the type and amount of care provided. If you qualify, the assessment ensures that the services you receive match your specific care needs, helping you live as independently as possible.

What Happens During the IHSS Assessment?

1. Scheduling the Assessment

• Once you’ve submitted your IHSS application, you’ll receive a call or notice to schedule an assessment. The appointment will take place at your home, and you will be asked to be present during the visit.
• You’ll be given a time window for the assessment, and it’s important to be available during this time. If you need an interpreter or assistance during the assessment, you can request these services ahead of time.

2. Introduction to the Social Worker

• The social worker will introduce themselves and explain the purpose of the visit. They may also show identification to confirm they are part of the IHSS program.
• The social worker will discuss the assessment process and ask questions about your health, medical history, and daily routines.

3. Review of Medical and Functional Needs

• The social worker will review your medical history, health conditions, and any physical or cognitive limitations you may have. They may ask questions about your ability to perform everyday tasks such as:
  • Personal Care Tasks: Bathing, dressing, grooming, toileting, and eating.
  • Household Tasks: Cooking, cleaning, doing laundry, shopping, and running errands.
  • Health Management: Medication reminders, assistance with mobility, or using medical equipment like oxygen or a wheelchair.
• Be prepared to explain how these tasks affect your daily life, and if needed, provide medical documentation that supports your care needs.

4. The Functional Index Rating

• The social worker will use a Functional Index to score how much help you need with each task. The index helps determine your level of need and the appropriate number of IHSS hours.
• Tasks will be rated on a scale from minimal need to significant need, with more hours allocated to individuals with greater levels of dependence. The social worker may also ask you to demonstrate or describe how you perform certain tasks to better understand your abilities.

5. Assessment of Mental Health and Cognitive Needs

• In addition to physical care, the social worker will assess any cognitive or mental health challenges you may face. This includes evaluating your ability to manage tasks like:
  • Remembering to take medications
  • Keeping track of appointments
  • Recognizing danger or hazards in your environment (e.g., falls or burns)
• If you have memory loss, confusion, or difficulty making decisions, the social worker will take these factors into account when determining your need for supervision or assistance.

6. Evaluating Safety and Home Environment

• The social worker may observe your living environment to determine if it’s safe and accessible. For example, they may look at:
  • Whether your home is free from hazards (like loose rugs or inadequate lighting).
  • The accessibility of your kitchen, bathroom, or other important areas (e.g., whether your home has ramps or assistive devices).
  • The presence of any equipment you use, such as a walker, wheelchair, or other mobility aids.

7. Discussion of Caregivers and Support System

• The social worker will also inquire about who helps you with your daily tasks. Do you have family members or friends who assist with care? Are you already receiving help from another caregiver or agency?
• If you have a caregiver or plan to hire one, the social worker will discuss the process for enrolling them as an IHSS provider.

8. Clarification of Services Needed

• The social worker may ask for clarification on which specific services you need and how often. For example, they may ask how many hours you require for bathing, cleaning, or meal preparation. They may also explore the need for assistance with specialized tasks like medication management or transportation.
• They will ensure that the services you receive match your current functional abilities and care needs.

9. Wrap-Up and Next Steps

• At the end of the assessment, the social worker will explain the next steps in the process, including:
  • Notification of eligibility: You’ll receive a notice about whether you qualify for IHSS, the number of hours, and the types of services you are eligible for.
  • Provider enrollment: If you have a caregiver or want to hire one, the social worker will provide information on how to enroll them in the IHSS program.
  • Appeal Process: If you disagree with the decision about your eligibility or hours, the social worker will explain how to request a reassessment or appeal.

What to Prepare for the IHSS Assessment

To ensure the assessment goes smoothly, here’s a list of things you should prepare:

• Documentation: Bring any medical documents or records that support your needs, including doctor's notes, prescriptions, or hospital records.
• Details of Your Daily Routine: Be ready to explain how you manage your day-to-day activities, including any difficulties you may have with mobility, personal care, or household chores.
• Caregiver Information: If you have a family member or friend who is helping you, or if you plan to hire a caregiver, make sure they’re ready to discuss their role and responsibilities.
• Household Environment: Be prepared for the social worker to ask questions about your home’s safety and accessibility. Consider whether any changes need to be made (such as adding grab bars or ramps) to make it safer for you.

Final Thoughts

The IHSS assessment is an essential step in receiving the support and care you need. By being well-prepared and understanding what to expect, you can ensure that the process goes smoothly and that you receive the level of care that matches your needs. Whether you're seeking assistance with personal care, household chores, or health management, the assessment will help determine the appropriate support for your lifestyle.

If you have concerns or questions during the assessment process, don’t hesitate to ask the social worker for clarification. Remember, the goal is to ensure that you can live safely and comfortably in your home with the appropriate level of assistance.

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].

In-Home Supportive Services (IHSS) is a vital program for individuals who need help with daily tasks such as bathing, dressing, meal preparation, and housekeeping. However, one common question many IHSS recipients have is whether the program can help cover transportation costs to medical appointments. Whether you’re managing a chronic condition, receiving regular treatments, or simply need assistance getting to the doctor, knowing what IHSS can and cannot cover is crucial for planning your care.

In this post, we’ll explore whether IHSS can help with transportation to medical appointments, what your options are, and how to access the support you need.

IHSS Does Not Cover Transportation to Medical Appointments

The short answer is no, IHSS does not cover transportation to medical appointments. IHSS is designed to assist with activities of daily living (ADLs) such as bathing, dressing, cleaning, meal preparation, and help with mobility within the home. It does not provide coverage for non-medical transportation or travel to medical appointments, treatments, or hospital visits.

This limitation can be frustrating for many individuals who rely on IHSS for personal care but struggle to find reliable transportation to their medical appointments. However, there are other options available that can help fill this gap.

What Are Your Transportation Options?

While IHSS doesn’t cover transport to medical appointments, there are several alternative services that may be available to you, depending on where you live and your specific needs.

1. Medi-Cal’s Non-Emergency Medical Transportation (NEMT)

If you are a Medi-Cal recipient, you may be eligible for Non-Emergency Medical Transportation (NEMT). NEMT is a service that provides free or low-cost transportation to medical appointments for individuals who have no other means of transport due to physical, mental, or financial limitations.

• Eligibility: To qualify for NEMT, you generally need to be unable to drive or use public transportation due to a medical condition or disability. Eligibility requirements can vary by county, so it’s important to contact your local Medi-Cal office to determine if you qualify.
• How It Works: NEMT transportation can be provided by various methods, including:
  • Public transit passes
  • Private ride services (like taxis or rideshare programs)
  • Wheelchair-accessible vehicles or ambulances for those with special medical needs
• How to Access NEMT: To use NEMT, you will need to schedule your ride ahead of time, typically at least 2-3 days before your medical appointment. Contact your county’s Medi-Cal office to learn how to access this service in your area.

2. County-Specific Transportation Services

Many counties offer local transportation programs for residents who need assistance getting to medical appointments. These programs are often designed for elderly, disabled, or low-income individuals. Here are some examples of local transportation options:

• Paratransit Services: Many counties have paratransit services, which are accessible transportation options for people with disabilities. Paratransit services are usually curb-to-curb, meaning they pick you up from your home and drop you off at your destination.
• Senior/Disability Transportation Programs: Some counties have specific programs for seniors or individuals with disabilities that offer free or discounted rides to medical appointments, social services, and other essential destinations.
• Volunteer Driver Programs: Some community organizations provide volunteer drivers who take individuals to medical appointments. These programs may charge a small fee or request donations.

You can check with your local transportation department or the senior/disabled services in your county to find out what options are available.

3. Friends and Family

If you have family members or friends who can help with transportation, you may be able to rely on them for rides to medical appointments. While IHSS cannot pay family members or friends for transportation services, it’s often the most flexible and accessible option.

If you're using a family member as your IHSS provider, you might be able to schedule their time to provide personal care while you attend appointments, but remember that IHSS hours are generally reserved for caregiving and not for travel time.

4. Rideshare Services (e.g., Lyft, Uber)

If you have the financial resources to cover the cost, rideshare services like Lyft or Uber can be an excellent way to get to medical appointments. Some rideshare companies also offer programs that provide discounted or free rides to medical appointments for individuals who are eligible for assistance programs.

Some healthcare providers or insurance programs offer ride programs that partner with rideshare services to help patients get to medical appointments, so it’s worth checking with your healthcare provider to see if they have partnerships with these services.

5. Private Pay Services

If none of the above options are feasible, you can also consider hiring private transportation services that offer door-to-door assistance for medical appointments. These services can be particularly helpful if you need more personalized transportation (e.g., assistance getting into the vehicle or a wheelchair-accessible vehicle). However, these services typically come at a cost, and you will need to cover them out-of-pocket.

How to Make the Most of Your Transportation Options

Here are some tips to help ensure you can access transportation to your medical appointments efficiently and cost-effectively:

• Plan Ahead: Many transportation services, like Medi-Cal NEMT or paratransit, require advance booking. Make sure to schedule your rides early, particularly if your appointment is for a specialized treatment or procedure.
• Check for Discounts: Some counties offer discounted rates for seniors or individuals with disabilities on public transportation or rideshare services. Always ask about any available discounts when arranging transportation.
• Coordinate with Your Caregiver: If you have an IHSS provider, discuss with them if they can assist with any preparation you need before or after medical appointments (such as helping you prepare for your visit, assisting with packing a bag, or staying with you after your appointment). Though IHSS doesn’t cover the transportation itself, your provider might be able to assist you with other aspects of the trip.
• Explore Community Resources: Local nonprofits, senior centers, and churches often have volunteer programs or assistance for people who need rides to medical appointments. Check with community organizations in your area to see if any offer transportation services.

Final Thoughts: Alternative Transportation Options

While IHSS doesn’t cover transportation to medical appointments, there are multiple resources and programs available that can help fill this gap. Whether through Medi-Cal’s Non-Emergency Medical Transportation (NEMT) program, local paratransit services, rideshare options, or family and friends, there are options out there to help you get to your medical appointments.

It’s important to explore your options and plan ahead to ensure you have reliable transportation when you need it. If you have difficulty navigating transportation resources, your local IHSS office or community organizations can often provide guidance and help you find the best option for your situation.

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].

For parents of children with disabilities or chronic conditions, one of the biggest questions regarding in-home care is: Can I be my child’s IHSS caregiver? The answer is yes, in many cases. However, eligibility depends on several factors, including your child’s needs, your ability to provide care, and the specific rules of California’s In-Home Supportive Services (IHSS) program. This guide will help you understand how the process works, the benefits and challenges of being your child’s caregiver, and how to apply.

Can a Parent Be Paid as an IHSS Caregiver?

Yes, under certain conditions, a parent can be paid as an IHSS caregiver for their child. California allows parents to become IHSS providers if their child meets the eligibility requirements and if the parent qualifies under IHSS rules.

Eligibility Requirements

To become an IHSS caregiver for your child, the following criteria must be met:

1. Your Child Must Qualify for IHSS
   • The child must have a qualifying disability or medical condition that requires in-home supportive care.
   • A county social worker will assess your child’s needs to determine if they qualify for IHSS services and how many authorized hours of care they can receive.
2. You Must Meet the IHSS Parent Provider Requirements
   • You can only be paid as your child’s caregiver if there is no other responsible adult available to provide the necessary care.
   • If both parents live in the home, only one parent may qualify to be the paid provider.
   • If your child is under 18, you must demonstrate that you cannot work outside the home because your child requires full-time supervision and care.

How to Apply to Be Your Child’s IHSS Caregiver

If you meet the eligibility criteria, follow these steps to become your child’s IHSS caregiver:

1. Apply for IHSS
   • Contact your county’s IHSS office to start the application process.
   • A social worker will conduct an in-home assessment to evaluate your child’s needs and determine the number of authorized care hours.
2. Complete Provider Enrollment
   • If approved, you will need to enroll as an IHSS provider by completing required forms, including a provider agreement.
   • Submit to a background check (fingerprinting is required through the Department of Justice).
3. Attend an IHSS Orientation
   • All new IHSS providers must complete a mandatory orientation that explains provider responsibilities, timekeeping, and payment procedures.
4. Start Providing Care and Submitting Timesheets
   • Once approved, you can begin providing care and submit electronic timesheets for the hours worked.
   • Payment is processed through the California Department of Social Services (CDSS).

Benefits of Being Your Child’s IHSS Caregiver

Being your child’s IHSS provider offers several advantages:

• Personalized Care: You know your child’s needs better than anyone and can ensure they receive the best care possible.
• Financial Support: IHSS allows you to earn an income while staying home to care for your child.
• Familiarity and Trust: Your child may feel more comfortable receiving care from a parent rather than an outside caregiver.
• Flexibility: You can provide care on a schedule that best meets your child’s needs.

Challenges of Being an IHSS Caregiver for Your Child

While there are many benefits, there are also some challenges to consider:

• Approval Process: Not all parents qualify as IHSS providers, especially if the county determines that another adult can provide care or if the parent can work outside the home.
• Limited Hours: The number of paid IHSS hours is determined by the social worker’s assessment, which may not cover all the time you spend caring for your child.
• Emotional and Physical Demands: Providing full-time care can be overwhelming, and it’s important to have support systems in place.

Frequently Asked Questions

Can both parents be paid IHSS providers for the same child? No, only one parent can be the paid provider if both parents live in the home. However, if parents are divorced and living separately, the parent providing care in their home may qualify.

What if I already have a job? If you work outside the home, you may not qualify as your child’s IHSS caregiver unless you can prove that your child’s medical condition prevents you from working and requires you to be available full-time.

What happens if my child turns 18? Once your child turns 18, they are considered an adult, and you may still qualify to be their paid caregiver if they continue to receive IHSS benefits. However, the eligibility requirements change slightly, and they may be able to hire another caregiver if preferred.

Can I appeal if my request to be my child’s caregiver is denied? Yes. If IHSS denies your request, you can request a fair hearing to appeal the decision and provide additional evidence supporting your case.

Becoming your child’s IHSS caregiver can provide a great solution for families needing in-home care while allowing a parent to earn an income. However, the process requires meeting eligibility requirements, completing the application process, and understanding the responsibilities involved. If you think you qualify, contact your local IHSS office to begin the application process and ensure your child receives the care they need.

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].

In-Home Supportive Services (IHSS) is a vital program in California that helps eligible individuals with disabilities, elderly people, and those with chronic health conditions live safely and independently in their homes. IHSS provides a variety of services, including assistance with daily activities like bathing, cooking, cleaning, and personal care. A common question many people have when applying for IHSS is whether there are income limits to qualify for the program. While IHSS is primarily based on an individual’s need for care, there are income and resource limits that can affect eligibility. In this blog post, we’ll break down how these limits work and what factors are involved in determining eligibility for IHSS.

How Is IHSS Eligibility Determined?

The eligibility for IHSS is based on two main factors:

1. Functional Need: The first step in determining eligibility is assessing the individual’s functional need for assistance. This involves evaluating the person’s ability to perform basic activities of daily living (ADLs), such as bathing, dressing, meal preparation, and other personal care tasks. If the person is unable to perform these activities without help, they may qualify for IHSS.
2. Income and Resources: While IHSS is primarily a needs-based program, income and resources can still play a role in determining eligibility, especially for adult applicants (18 years and older). Your income and resources will be assessed during the application process to ensure you meet the financial requirements.

Are There Income Limits for IHSS?

Yes, there are income limits to qualify for IHSS, but these limits may vary depending on who is applying and what type of assistance they need. Below are the key aspects of the income and resource limits for IHSS:

1. Income Limits for Applicants

• For the IHSS Recipient: The income limits for the person applying for IHSS depend on the level of care they need. If the person requires IHSS services, their income will be considered during the application process to determine whether they are eligible for services. However, in general, there are no strict income limits for the IHSS recipient, because the program is primarily needs-based based on the applicant’s ability to perform daily living activities rather than a specific income cap.
  • Income Considered: Income that may be considered includes wages, Social Security benefits, retirement benefits, disability benefits, and other sources of income. However, certain income, such as Supplemental Security Income (SSI) or state-only cash assistance, is often excluded from the income calculations.
  • Income Not Considered: Some income, such as SSI, CalWORKs, or certain state-only cash assistance programs, is not counted when determining eligibility. This can help those with limited income qualify for services.
• For the IHSS Caregiver (Provider): If you are hiring a caregiver, they do not need to meet any income requirements to be eligible to provide care under IHSS. However, the caregiver's income is not considered when determining the eligibility of the person receiving care. The focus is on the recipient's need for care, not the caregiver’s financial status.

2. Resource Limits

In addition to income limits, there are also resource limits for individuals applying for IHSS. Resources include savings, investments, property, and other assets. The resource limits are designed to ensure that people who need assistance, but have significant financial means, are not using public funds for services they could afford to pay for themselves.

• For individuals receiving SSI, there are often no asset limits for IHSS eligibility, meaning SSI recipients are automatically eligible for IHSS services as long as they meet the functional need requirement.
• For non-SSI applicants, the individual’s resources (such as savings accounts, real estate, or other assets) will be considered. Typically, the resource limit is set at around $2,000 for individuals and $3,000 for couples.
  • Exempt Resources: Certain assets, such as your primary home and personal belongings, are excluded from the resource calculation. For example, if you own your home and it’s your primary residence, its value won’t be counted toward the resource limit.

3. Medi-Cal’s Role in IHSS Eligibility

IHSS is part of California’s Medi-Cal program, which is California’s Medicaid program. Therefore, eligibility for IHSS is often determined alongside eligibility for Medi-Cal. Medi-Cal has its own income and resource limits that must be met for eligibility, and these limits can affect your ability to qualify for IHSS.

• For Medi-Cal eligibility, the income limits are based on the Modified Adjusted Gross Income (MAGI), which is a measure of your gross income after certain adjustments. If you are eligible for Medi-Cal, you are generally also eligible for IHSS.
• If you exceed the income limits for Medi-Cal but still need in-home supportive services, you may still be able to qualify for IHSS by spending down your income to meet the Medi-Cal limits.

4. The IHSS Need Assessment

One of the most important factors in IHSS eligibility is your need for care. If you do not meet the income limits but have a significant need for assistance with activities of daily living, you may still qualify for IHSS.

The IHSS need assessment is conducted by a social worker who evaluates your ability to perform certain daily activities (such as bathing, dressing, and preparing meals). If the social worker determines that you need assistance with a certain number of hours per week, they will recommend the appropriate services, regardless of your income.

5. Income Disregards and Special Circumstances

For some individuals, there may be special disregards or allowances for income. For example, earned income disregards allow individuals who work to exclude some of their income when determining eligibility for IHSS. This can be particularly helpful for individuals who may have part-time work or other income sources but still need assistance.

In certain cases, an individual may be able to appeal an eligibility decision if they feel their income or resources have been incorrectly calculated, or if they believe special circumstances should apply to their case.

Final Thoughts

While there are some income and resource limits to qualify for IHSS, the program is primarily based on your need for care, not your financial status. The most important factors are your ability to perform daily living tasks and your overall health or disability status. If you meet the functional eligibility requirements, you may be able to qualify for IHSS assistance, even if your income exceeds the standard limits.

It’s also important to remember that income from certain programs (like SSI) may be excluded from the eligibility determination, and the resource limits are often set higher for individuals receiving SSI. If you’re unsure whether you qualify, the best step is to apply for IHSS and undergo the assessment process to determine your eligibility.

If you need help with the application process, it’s a good idea to reach out to your local IHSS office or Medi-Cal representative to get more personalized assistance based on your situation.

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].