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Common situations

Starting IHSS: Phone, Office, SOC 295, and SOC 873

How families start IHSS: find the county office on the CDSS list, call or walk in as the county allows, file SOC 295, and return SOC 873 before services are authorized.

About 4 minutes to read. Based on CDSS and DHCS public program pages retrieved 2026-09-13. County offices apply these rules. Hourly rates, hour totals, and wait times are local and change.

Short answer

Start IHSS with the county office where the person lives. CDSS publishes the county IHSS office list. Counties take applications by phone, walk-in, mail, or upload as they allow. File SOC 295. Return SOC 873 from a licensed health professional before services can be authorized. Start provider enrollment in parallel if a family member will give the care. Wait times are local.

Who decides

Your county IHSS office accepts the application, assigns the social worker, and authorizes tasks. Medi-Cal still has to be determined for the case to finish.

What to do next

Look up the county IHSS office on the CDSS list, ask how they take SOC 295, confirm Medi-Cal, and take SOC 873 to the licensed clinician the person already sees.

Find the county office first, then pick the door they use

Common questions families ask include whether IHSS starts online, at a hospital, or with a statewide number. The application belongs to the county IHSS office for the county where the person lives. CDSS administers the program statewide. The county takes SOC 295, assigns the social worker, and authorizes tasks.

Call that office and ask how they accept applications: phone intake, walk-in, mail, fax, or upload. Rules are local. A neighboring county's website is not your instruction. Write down the name of the unit, the fax or portal they name, and the date you called.

SOC 295 is the application

SOC 295 is the IHSS application CDSS publishes. The recipient is the applicant. A family member can fill pages, gather signatures, and deliver the packet. Use the name that already appears on Medi-Cal when you can. Get the signature the form asks for. Keep a dated copy.

  • County office from the CDSS list for the home address
  • How that office wants SOC 295 returned
  • Medi-Cal status, or a BenefitsCal application in motion
  • How a family contact can be listed on the case

Incomplete packets sit. Extra hospital records rarely speed a file that is missing a signature. What to send with an application is the companion list. If you are helping after a hospital stay, that situation page adds discharge-specific cautions.

See if IHSS may apply

A coordinator can walk through Medi-Cal, county forms, and the home visit with you. The county still decides eligibility and hours.

For example: starting an IHSS application, provider enrollment, or county forms. Keep medical records and diagnoses for the county packet.

SOC 873 has to arrive before services are authorized

A licensed health professional completes the Health Care Certification, SOC 873, or acceptable alternative documentation. CDSS says that certification must reach the county before services are authorized. Take the blank form to the clinician the person already sees. Ask how the clinic returns it. Do not wait for a perfect diagnosis essay. The form asks for the professional's certification of need, not a family lecture.

If the person is new to California, ask whether an out-of-state letter is acceptable. Moving an elder to California puts Medi-Cal in front of this packet. If Medi-Cal is still pending, applying while pending explains what some counties will still take.

Provider enrollment in parallel, not after a first check

If a family member will give the care, start provider enrollment while the recipient's case moves: orientation, SOC 426, SOC 846, and a background check where required. Those steps do not create hours. They have to be finished before the State can pay authorized timesheets. When pay starts is the meeting point.

The recipient remains the employer of the individual provider. Living together may add SOC 2298 for EVV. That form does not replace SOC 295 or SOC 873.

Then the home visit, then a notice

After the packet is complete enough to assign, a social worker comes to the home. That wait is common and local. Call once to confirm the file is complete. Daily calls rarely change the queue. Prepare a typical-day picture. Family assessment checklist is the visit list. Do not inflate. Do not shrink.

The Notice of Action is the list of tasks and hours that later counts. Hearing information sits on that notice. This page does not invent how long the visit takes.

Official starting points

Use the CDSS IHSS page, the county office list, DHCS Medi-Cal, and BenefitsCal. If you want a person to sit with the order of pages, you can ask for help.

Questions people ask

Can I start everything with one phone call?
Some counties will take information by phone and tell you how to return signed pages. You still need SOC 295, SOC 873 or acceptable alternative documentation, and later an in-home assessment. Ask that office which door they use.
Do I have to wait for SOC 873 before I file SOC 295?
You can often file the application and work on the Health Care Certification at the same time. CDSS says the certification must reach the county before services are authorized. Do not skip it.
Should the provider wait to enroll until the notice arrives?
Start enrollment when you know who will give the care. Orientation and background checks sit on a different clock from the assessment. Paid time still needs both tracks.
What if Medi-Cal is not approved yet?
Ask the IHSS office whether they will take SOC 295 while Medi-Cal is pending. Apply for Medi-Cal on BenefitsCal or with the county Medi-Cal office either way. IHSS cannot complete without that determination.

Ask for help navigating care for a parent

Share a few details if you want help organizing IHSS paperwork so a parent can stay home. This form is for follow-up contact, not an eligibility decision. Your county IHSS office and Medi-Cal decide the case.

  • A coordinator follows up
  • County decides eligibility
  • You can stop anytime
  • Educational help

For example: starting an IHSS application, provider enrollment, or county forms. Keep medical records and diagnoses for the county packet.

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