In-Home Supportive Services (IHSS)

Elderly woman with caregiverThe In-Home Supportive Services (IHSS) program provides homecare services to Medi-Cal eligible aged, blind or individuals with disabilities, including children, to assist them to remain safely in their own homes as an alternative to out-of-home care.

Some special needs individuals who may qualify for IHSS services are: children with disabilities, hospice patients, and hospital discharge patients.

What services are available?

Types of services may include help with preparing meals, bathing, dressing, laundry, shopping or transportation. Some types of paramedical services may also be provided, such as wound care. IHSS can also provide protective supervision for people who need their provider to watch them for unsafe behavior such as wandering outside and getting lost.

How does it work?

Click here for more information about IHSS eligibility requirements. If you think you need IHSS services call the TIES Line (1-800-675-8437). A social worker will call you back to schedule a home visit to determine your eligibility and need for IHSS. Based on your ability to safely perform certain tasks for yourself, the social worker will assess the IHSS tasks that you need and authorize an amount of time for each one. The assessment of need includes information given by you and, if appropriate, by your family, friends, physician or other health care practitioner. You will be qualified of your eligibility for IHSS by mail. The mailed notice will include the total number of hours you were qualified for and the number of hours for each individual IHSS task.

Where to find a caregiver?

Once your needs for IHSS services are determined, you must hire someone, known as an independent provider, to provide those services. That person can be a family member or friend. The IHSS Public Authority maintains a registry list to help people find workers for their needs.

Check back frequently for updates.

The Help at Home Directory lists information on the whole range of home and community-based services available in San Mateo County.  The Network of Care website also provides other resources for older adults and people with disabilites in San Mateo County.


For information, advice and 24-hour emergency response, 
click here for the TIES Line.