In-Home Support Services (IHSS)

Handsome Four Year Old Disabled Boy In Wheelchair Opening Front

In-Home Support Services is a unique Medicaid program that allows family members and caregivers to take care of their loved ones who need long term care in the comfort and privacy of their own homes. Services provided under the program include attendant assistance with health maintenance activities, support for activities of daily living or instrumental activities of daily living and may also include personal care and homemaker services. Health maintenance activities are those routine and repetitive activities of daily living which are necessary for health and normal bodily functioning that an individual with a disability would carry out if he or she were physically able, or that would be carried out by family members or friends if they were available. The program enables individuals to maintain their independence in their home and participate in the community as an alternative to institutionalization.

Participants in the IHSS program have the freedom to select and train their attendants, and are allowed to direct the services provided by their attendants. This includes the time of day they arrive and the type of care they provide.  The agency will work with clients, their case managers and physicians to develop an IHSS plan of care. Additionally, the agency will assist clients in selecting an attendant and provide support and customized training to meet a client’s health care needs.  Attendants do not have to be certified nursing assistants (CNAs) in order to provide services. Clients have the right to dismiss an attendant at their will. The agency provides clients with on call back-up services 24/7.

IHSS services are available to clients who are Medicaid eligible and eligible for the Medicaid Home and Community-Based Services Waiver for Elderly, Blind and Disabled (HCBS-EBD), or enrolled in the Children’s Home and Community-Based Services Waiver (CHCBS).  Eligible HCBS-EBD clients services are prior authorized by Single Entry Point Case Managers (SEP) who refer them to IHSS agencies. Children who are enrolled in the HCBS Children’s Waiver will receive authorizations and referrals through Certified Case Management Agencies.

In-Home Support Service activities of daily living include:

  • Bathing
  • Feeding
  • Medication assistance
  • Bowel/bladder care
  • Transferring
  • Range of motion
  • Dressing
  • Grooming
  • Skin care
  • Oral care
  • Hair care
  • etc.