What help can look like

What IHSS typically covers in California

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.

State law (WIC 12300) and CDSS regulations (MPP 30-757) list the service categories IHSS may authorize. A county social worker assesses each task. The lists below are educational. Your notice from the county is the list that counts.

Typically covered

  • Personal care such as bathing, grooming, dressing, and toileting
  • Help moving safely at home, transfers, and related personal care the assessment supports
  • Meal preparation, meal cleanup, and help with eating
  • Laundry and housecleaning related to staying safely at home
  • Shopping for food and other authorized errands
  • Accompaniment during necessary travel to health-related appointments or alternative resource sites
  • Protective supervision, when the county finds it is needed because of a mental impairment or mental illness
  • Paramedical services only when ordered by a licensed health professional and authorized
  • Heavy cleaning or yard hazard abatement only in the limited situations the county authorizes (hazard removal, not general chores)

Usually a different benefit

  • Skilled nursing, therapy, or medical procedures that licensed staff must do. Those usually go through a different benefit, such as home health
  • Care during a stay in a hospital, nursing facility, or licensed community care facility. Other programs cover those settings
  • Around-the-clock live-in hours follow the assessment when the county authorizes them
  • Home repairs, major modifications, or ordinary landscaping. Yard hazard abatement is a separate, limited IHSS service when authorized
  • Companionship visits on their own. IHSS hours are tied to authorized hands-on or household tasks
  • Driving or transportation, except authorized accompaniment to a health-related appointment or alternative resource site
  • Routine childcare. Protective supervision for a minor is only for the child’s functional limitations when authorized as IHSS

If you are unsure whether a task is in scope, ask the county social worker. They can tell you how a task is treated on your parent’s case.

Authorized tasks are still decided in the county where the parent lives. See IHSS pages for all 58 California counties.

Official California sources

Reviewed against CDSS, DHCS, Medicare.gov, and CareScout public pages. We do not quote IHSS wages. County IHSS offices and Medi-Cal decide eligibility, hours, and pay. For current county wage rates, use the official CDSS wage page. CDSS county IHSS wage rates.

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.

Guides on what IHSS can cover

FAQ

Frequently asked questions

Is California Home Help a county or Medi-Cal office?

California Home Help is a private service operated by Sevah Robotics, Inc. Sevah’s home care team helps families stay home and navigate IHSS paperwork. Your county IHSS office and Medi-Cal decide approvals, hours, and payments.

Who decides if I am approved or paid?

Your county IHSS office and Medi-Cal decide eligibility, authorized hours, and provider enrollment. A Sevah coordinator can help you get the paperwork ready so they can review a complete file.

I am helping a parent. What should I do first?

Check whether they already have Medi-Cal. If they are still applying, start that application on BenefitsCal or with the county. Then submit the IHSS application (SOC 295) to the county IHSS office and get SOC 873 to a licensed health professional. SOC 873 is the medical piece to return, unless the county asks for a specific extra page. Your county decides eligibility and hours.

Can an adult child be paid to care for a parent?

Often yes, once you finish provider enrollment. Adult children, other relatives, friends, and neighbors are commonly allowed. A spouse, or a parent of a child under 18, can be paid under some IHSS sub-programs. PCSP generally leaves those roles unpaid. Check with the county which program applies.

How long does this take?

Timing varies by county. Medi-Cal (if it is still pending), the wait for a social worker, and provider enrollment are the usual slow stretches. Confirm the packet is complete, then wait for the scheduled visit unless the county asks for something else. Your county office can tell you what is typical locally.

Does the family ever pay the caregiver?

The State issues the provider check for authorized hours. If the recipient has a Medi-Cal share of cost, CDSS says unpaid share of cost can be deducted from that check and the recipient then pays the provider. Ask the county whether a share of cost applies. Your county Medi-Cal office can confirm the amount.

Is this the same as home health or a nursing facility?

IHSS is in-home personal and household help for people who can live at home. Skilled nursing and therapy are different Medi-Cal or Medicare benefits.

What belongs on the county forms?

Send the pages the county asked for. The medical piece IHSS asks for is SOC 873, or acceptable alternative documentation. Keep hospital records, lab results, and a diagnosis dump for later unless the county asked for a specific page. On the California Home Help form, a name and a way to reach you is enough. Keep medical records and Social Security numbers for the county packet.

What do you need from me to start?

A name, a way to reach you, your county if you know it, and whether you are an adult child helping a parent, the caregiver, or the person who needs care. Keep medical records and diagnoses for the county forms. A Sevah coordinator will follow up about the paperwork and, if you want, care at home.

We can walk through the county steps with you.

Adult children usually track Medi-Cal, assessments, and provider enrollment themselves. A Sevah coordinator can help you organize those steps and talk about care at home. Your county decides eligibility and authorizes hours.

Ask for help navigating IHSS