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What to Send with an IHSS Application
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.
Why complete pages beat a stack of extra records, and how to keep medical details on the county packet rather than a marketing form.
About 5 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
Send the pages the county asked for with SOC 295. The medical piece is SOC 873 or acceptable alternative documentation. Extra hospital records, lab results, and diagnosis dumps can slow the file unless a worker named a specific page. Keep medical details and Social Security numbers on the county packet, not on a marketing form.
Who decides
The county IHSS office decides whether the application packet is complete. Medi-Cal staff decide the Medi-Cal case that IHSS needs.
What to do next
Assemble SOC 295, SOC 873 or the alternative documentation the county accepts, and any extra page the office named, then send that set to the county IHSS office.
Complete pages beat extra paper
County IHSS offices file what they can read. A signed SOC 295, a completed SOC 873 or acceptable alternative documentation, and matching names give a clerk something to open. A grocery bag of hospital records, lab results, and a diagnosis dump does not replace those pages. Extra records can slow the file because someone has to hunt for the signature line.
This is the same advice on the families checklist: mail or upload the pages the county asked for. Keep medical records for the county packet. Use a contact form only for a name and a way to reach you. The county still decides eligibility and hours.
The set that usually belongs in the first envelope
- SOC 295 with the applicant’s information and required signatures
- SOC 873, or acceptable alternative documentation, from a licensed health professional
- Any local cover sheet or extra page the county named in a letter or call
- A return address and a phone number the office can use
If Medi-Cal is still pending, you can say so on the application and keep working the Medi-Cal file on BenefitsCal or with the county Medi-Cal office. IHSS still needs that determination before services are authorized. Do not attach a guessed income worksheet or a printed wage chart. Those numbers are local and change. Leave hour totals and wages for the social worker and the county.
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Questions people ask
- What is the minimum medical page?
- SOC 873, or acceptable alternative documentation signed by a licensed health professional. That is the medical piece IHSS asks for unless the county requests a specific extra page.
- Should I include the hospital discharge packet?
- Keep it for the county file. Mail or upload it only if the county asked for that page. A full dump can slow a clerk who is looking for signatures and a completed certification.
- What belongs on a California Home Help form?
- A name, a way to reach you, the county if you know it, and whether you are helping a parent or giving the care. Keep diagnoses and Social Security numbers for the county packet.
Official sources for this guide
Related pages on California Home Help
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.