IHSS basics
What In-Home Supportive Services (IHSS) Is in California
A 2026 plain-language guide to what IHSS is in California: who it is for, what it can pay for at home, and how a county case usually starts. The county decides.
Read the guideResources
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.
These links go to California Department of Social Services, Department of Health Care Services, BenefitsCal, and other public pages adult children usually need when helping a parent stay home. Guides on this site explain those steps in plain language. Your county IHSS office and Medi-Cal decide eligibility, hours, and who can be paid.
Use these pages to learn and to gather paperwork. A form on California Home Help is a request for follow-up help, not an eligibility determination.
IHSS is one payer path, not the only one. Adult children often mix Medi-Cal, private home care, insurance, VA benefits, and facility billing. Start with the paying-for-care hub, then the cost of care hub for CareScout 2025 statewide planning estimates. Read the official pages for each program. No page on this site decides whether someone is eligible or what a benefit will pay.
Start with the statewide In-Home Supportive Services pages, then the county office that serves the person who needs care.
IHSS builds on a Medi-Cal determination. If Medi-Cal is still pending, start that application before you expect IHSS to finish.
Each county runs applications, assessments, and provider enrollment. The local Public Authority helps with orientation, the provider registry, and often EVV setup. There is no single statewide Public Authority website. Start with our county IHSS pages or the CDSS county office list, then ask that office for the Public Authority number.
Download blank forms only from CDSS. Counties may also hand you a local packet. Do not use a rewritten copy from a blog. Send completed pages to the county, not to this website.
SOC 295
Starts the In-Home Supportive Services case for the person who needs care. Send it to the county IHSS office. Pair it with SOC 873 or acceptable alternative documentation.
SOC 873
A licensed health professional completes this page, or acceptable alternative documentation. CDSS says it must reach the county before services are authorized.
SOC 426
The person who wants to be paid as the individual provider completes this after or during county orientation. Adult children often use it when they will give the care.
SOC 846
Signed at orientation. It is the provider’s agreement to program rules. It does not authorize hours. The Notice of Action does that.
SOC 2298
For some providers who live with the recipient. It changes EVV steps. Living in the home does not, by itself, add authorized hours.
SOC 856
Used when the county or Public Authority denies someone as a provider. This is a written CDSS appeal, separate from a recipient hearing on hours.
Browse every CDSS form in the official forms catalog.
Many providers record authorized time with Electronic Visit Verification. CDSS lists ESP, telephone timesheets, and the EVV app. Ask the county which method you should use before you create a login.
County Adult Protective Services agencies help elders and dependent adults who may be unable to meet their own needs, or who may be facing abuse, neglect, or exploitation. APS is a county program. CDSS publishes the statewide overview and the county office list. If someone is in immediate danger, call 911.
The Long-Term Care Ombudsman program helps residents of nursing homes, assisted living, and other long-term care facilities with care, rights, and complaint questions. The California Department of Aging publishes the consumer page and a statewide hotline. This is not the same desk as county IHSS.
Benefits, housing, and facility-discharge questions sometimes need a legal services program. Disability Rights California is the state’s protection and advocacy system. LawHelpCA points families to local legal aid. Those offices decide whether they can take a matter. This site does not give legal advice.
California Caregiver Resource Centers, listed through the California Department of Aging, support family caregivers. Family Caregiver Alliance publishes national caregiver education. Support programs do not replace a county IHSS or Medi-Cal decision.
The Notice of Action lists hearing rights and the deadline for that case. CDSS publishes the statewide overview. Provider enrollment denials use a different written appeal. Ask the county which notice you received before you pick a form.
Work through these in order when you can. Print this page or copy the list. Timing varies by county. Your county office can tell you what is typical locally.
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.
IHSS basics
A 2026 plain-language guide to what IHSS is in California: who it is for, what it can pay for at home, and how a county case usually starts. The county decides.
Read the guideHelping a parent
Step-by-step how to apply for IHSS in California: Medi-Cal, SOC 295, SOC 873, the county visit, and the Notice of Action. CDSS cites. The county decides.
Read the guideForms
Cards for official CDSS IHSS PDFs: SOC 295, SOC 873, and related provider forms. Download from cdss.ca.gov only. The county files the packet and decides the case.
Read the guideCounty guides
Find your county IHSS wage on the official CDSS wage-rate page only. This hub does not invent or reprint hourly rates. County offices confirm the current number.
Read the guideWho can be paid
How IHSS can pay an adult child for authorized care so a parent can stay home in California, after county and enrollment steps finish. We do not quote wages.
Read the guideAfter a hospital stay
Family checklist for hospital discharge to home care in California: home with help, skilled home health, rehab, a skilled nursing stay, or hospice. County and Medicare decide.
Read the guideHelping a parent
A practical adult-child path: Medi-Cal status, SOC 295, SOC 873, the home visit, and starting provider enrollment when you will give the care.
Read the guideEligibility
The statewide IHSS criteria CDSS publishes, and why a county social worker and Medi-Cal staff still complete the determination for each person.
Read the guide