How to Increase Your IHSS Authorized Hours in California: A Practical Guide

How to Increase Your IHSS Authorized Hours in California

If your current IHSS authorized hours are not enough to cover your care needs, you have options. The process involves requesting a reassessment, building a strong case with documentation, and — if necessary — appealing through the state hearing process.

When Should You Request a Reassessment?

You can request a reassessment when:

Your medical condition has gotten worse
You have a new diagnosis or injury
Your daily functioning has declined
Your current provider is spending more time than authorized to meet your needs
Your living situation changed in a way that affects your care needs

Step 1: Contact Your County Social Worker

Call your county IHSS office and ask to speak to your assigned social worker. Tell them you are requesting a reassessment because your needs have changed. If your social worker has changed, the office will connect you with the current one.

Follow up your verbal request with a written letter or email stating the same — this creates a paper trail.

Step 2: Prepare Strong Medical Documentation

The most powerful tool in a reassessment is updated medical documentation. Ask your doctor to write a letter that:

Describes your specific functional limitations in detail
Explains which daily tasks you cannot perform independently
States the time and assistance required for those tasks
Notes any recent changes in your condition

Specialist letters (from neurologists, physical therapists, psychiatrists, or occupational therapists) carry particular weight.

Step 3: Be Specific During the Assessment Visit

During the home visit, describe your limitations clearly and specifically. Do not downplay how much help you need. Use examples:

"It takes me 45 minutes to bathe because I cannot lift my left arm above my waist"
"I need reminders every 2 hours because I forget to eat and take medications"
"Without supervision, I have left the stove on multiple times"

Step 4: If Denied, Request a State Hearing

If the reassessment results in a denial or fewer hours than you need, you can appeal. Request a State Hearing within 90 days of receiving your Notice of Action:

Call: 1-800-952-5253
Write to your county IHSS office

At the hearing, a neutral judge reviews your case. Having a disability rights advocate or attorney significantly improves your chances.

Free Advocacy Help

Disability Rights California: 1-800-776-5746 | disabilityrightsca.org
California IHSS Recipients Alliance: ihssrecipients.org
CDSS helpline: 1-800-952-5253