In-Home Supportive Services (IHSS) 101

Article
Jun. 14, 2021Updated Nov. 11, 2022

What services are provided by IHSS?

Authorized services may include:

  • Personal care services

  • Meal preparation

  • Paramedical services

    • These are services prescribed and supervised by a medical professional, such as the administration of meds, home therapy programs, tube-feeding, blood sugar monitoring, and wound care.
  • Accompaniment to your child’s disability-related medical appointments

  • Protective supervision

    • This is for children whose severely impaired judgment, orientation and/or memory puts them at risk of self-injury or injuring others.

    • Protective supervision cannot be provided to monitor for spontaneous medical emergencies, such as seizures or blood sugar crashes. However, it may be awarded to avoid a medical emergency caused by the recipient’s cognitive impairments - for example, when a recipient uses life-sustaining medical equipment (IV, port, trach, g-tube, oxygen, etc.) and is at risk of interfering with the equipment due to their cognitive impairment. In this clip, Undivided's Public Benefits Specialist Lisa Concoff Kronbeck explains the difference:

Who is eligible for IHSS?

Children with disabilities may be eligible for IHSS to the extent that their disability-related care needs exceed those of a typically developing child of the same age. See this article for more information on the eligibility criteria and how many hours your child might receive if eligible.

Where are IHSS services provided?

IHSS services generally must be provided in the recipient’s home (aside from exceptions such as accompaniment to doctor visits). IHSS providers cannot be paid for services rendered while the recipient is away on vacation, out of the country, or in the hospital.

If your child is hospitalized, you should notify your child’s caseworker. You cannot bill for IHSS services on a day that your child spent fully inpatient, but you can bill for services performed at home on the day of admission and for services performed at home on the day of discharge.

If your family is taking a vacation, you may wish to speak with your service coordinator ahead of time and get written approval to bill hours during this time. If your child is out of state for more than 30 days, their eligibility may be impacted.

Can parents be paid as IHSS providers?

If you’re unable to work full-time (typically forty hours per week) because you’re attending to your child’s extensive disability-related needs, you may be eligible to be paid as an IHSS provider. See our article on finding or acting as an IHSS provider.

In this clip, Lisa Concoff Kronbeck explains the basics of who can be your child's IHSS provider:

How do I get started with IHSS?

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Contents


Overview

What services are provided by IHSS?

Who is eligible for IHSS?

Where are IHSS services provided?

Can parents be paid as IHSS providers?

How do I get started with IHSS?

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