What services are included in IHSS paramedical hours?

Paramedical services are services ordered and directed by the child’s physician or other licensed medical provider. Examples include, but are not limited to:

• G-tube feeds
• Injections
• Preparation and administration of medications
• Home therapy programs
• Catheterization
• Enemas
• Stoma and wound care
• Monitoring of vital signs
• Monitoring for as-needed medical interventions (such as assessing for need of rescue inhalers
• Related tasks requiring judgment based on training given by a licensed healthcare professional (see Disability Rights California’s publication “IHSS Program Covers Paramedical Services,” for further reading)
• Breathing treatments, suctioning, and oxygen administration should also be included on the paramedical services form, although the hours may be allocated in their own category under “respiration” if the service provided is limited to assistance in self-administration.

For more details, check out our article IHSS: Protective Supervision and Paramedical Services.