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Changing an IHSS Provider 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.

The recipient can hire and fire the individual provider. How a new person enrolls, and why pay does not start until enrollment is done.

About 4 minutes to read. Based on CDSS and DHCS public program pages retrieved 2026-09-16. County offices apply these rules. Hourly rates, hour totals, and wait times are local and change.

Short answer

The IHSS recipient generally hires and can end the individual provider relationship. A new person must finish county enrollment before the State can pay them for authorized hours. Tell the county who is stopping and who is starting so timesheets and EVV follow the right provider.

Who decides

Your parent, as the recipient and usual employer, chooses the individual provider. The county IHSS office and Public Authority process enrollment. The State issues pay after enrollment and authorized timesheets.

What to do next

Ask the county how to remove or end the current provider on the case and how the new person starts orientation and provider forms.

The recipient chooses the individual provider

CDSS says the recipient generally hires, trains, supervises, and can end the individual provider relationship. If you are an adult child, that means your parent is usually the employer even when you are the one who found the helper. A change of provider is their decision, recorded with the county, not a sibling vote. Coordinating siblings helps you keep that line clear.

Providers may include family members, friends, neighbors, or someone from a county Public Authority list, after enrollment. Adult children are commonly allowed. A spouse, or a parent of a child under 18, depends on the IHSS sub-program. Ask the county which program applies before you plan a paid spouse or a paid parent-of-a-minor. The caregivers page and who can be paid state that split.

Tell the county both names

  1. Write the current provider’s name and provider number if you have it.
  2. Write the new person’s legal name as it will appear on enrollment forms.
  3. Ask the county IHSS office or Public Authority how to end or remove the current provider on the case.
  4. Ask which packet the new person uses: orientation, SOC 426, provider agreement, and a Department of Justice background check where required.
  5. Ask when the old provider should stop timesheeting and when the new provider may start.
  6. Ask whether EVV accounts must be closed or opened.

Talking to the county office is easier if you are listed. Put the request in writing when you can. Keep copies. See tracking paperwork.

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Questions people ask

Can I start paying myself before the new enrollment finishes?
The State pays enrolled providers for authorized time. Work you give before enrollment is not something to assume will be paid. Ask the county.
Does a provider change require a new assessment?
Usually the authorized tasks stay with the recipient. A new provider enrolls against the existing notice unless needs have also changed. Ask the worker.
Can two family members overlap during a handoff?
Ask the county how multiple providers or a transition period is set up. Do not invent a split on the timesheet.

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.

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