Dementia and Alzheimer’s care at home
IHSS personal care plus protective supervision education. The county still has to see the risk in this home.
Read dementia care at homeCare by condition
When a diagnosis changes what home has to look like
Updated September 16, 2026. Reviewed September 16, 2026 against public CDSS, DHCS, Medicare.gov, VA, and CareScout 2025 California tables. County wages, hours, and wait times still change. Official .gov pages decide.
Adult children often search by condition first. These pages explain how California in-home programs, hospital discharge, and family caregiving usually fit around dementia, stroke, Parkinson’s, frailty, and caregiver respite. They are not medical advice. County IHSS offices and Medi-Cal decide hours. Clinicians decide treatment.
A diagnosis does not come with a statewide hour chart. The county assesses this home, these tasks, and this person. Official CDSS, DHCS, and Medicare.gov pages remain the rule sources. Based on public CDSS, DHCS, Medicare.gov, VA, and California Department of Insurance pages retrieved 2026-09-16. County, Medi-Cal, Medicare, VA, and insurer staff decide what actually pays. Hourly rates, hour totals, waiver slots, and wait times are local and change.
After a stroke: home care and discharge
Medicare skilled home health may be short. IHSS and Medi-Cal paperwork should start before the return home.
Read the stroke discharge pathParkinson’s care at home
Daily tasks, medication routines, and county-authorized help. Progressive need is a reassessment conversation, not a guessed hour total.
Read Parkinson’s at homeFall risk, frailty, and help at home
When a parent is not safe alone with bathing, transfers, or meals. IHSS, private home care, and when to ask for a new assessment.
Read fall risk and frailtyRespite for family caregivers
IHSS is not the same as respite. Caregiver Resource Centers, MSSP, CBAS, and private coverage are different desks.
Read caregiver respiteAlso on this site
Who pays
Medicare, Medi-Cal, IHSS, VA, and insurance yes-or-no pages.
Open pay answersCost of care
Planning medians for home care and residential settings.
Open costsChecklists
Discharge, IHSS documents, and agency questions.
Open checklistsCare-need planner
Line up daily tasks and payer questions.
Open the plannerProtective supervision guide
The longer IHSS category page.
Open the guideGlossary
Short definitions, including protective supervision, ADLs, and memory care.
Open the glossaryEn español
Resumen de IHSS y Medi-Cal.
Abrir /esQuestions people ask
- Does a diagnosis guarantee IHSS hours?
- No. The county assesses tasks in this home. Two people with the same diagnosis can receive different notices.
- Where does protective supervision fit?
- It is an IHSS category the county may authorize when a mental impairment or mental illness creates a risk of injury if the person is left unsupervised. See the dementia page and the longer guide.
- Is this medical advice?
- No. Treatment questions go to clinicians. These pages are about programs, paperwork, and who typically pays.
Official sources
- CDSS: In-Home Supportive Services
- DHCS: Medi-Cal
- Medicare: home health services
- CDA: Caregiver Resource Centers
- CDA: Multipurpose Senior Services Program
- DHCS: Community-Based Adult Services
Official California sources
Official program pages: CDSS: In-Home Supportive Services, CDSS: IHSS for children, County IHSS offices, CDSS: IHSS providers, CDSS: county IHSS wage rates, CDSS: provider orientation, CDSS: Electronic Visit Verification, CDSS: Electronic Services Portal, DHCS: Medi-Cal, Apply for Medi-Cal, BenefitsCal, CDSS: hearing requests, CDSS: forms catalog, CDSS: IHSS overtime and workweek, DDS: regional centers.