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IHSS for Adults with Disabilities: Eligibility and Enrollment Process

2026-07-11

Policy Context

As of 2025, the California Department of Social Services (CDSS) oversees the IHSS program, which provides critical support to adults with disabilities.

To be eligible for In-Home Supportive Services (IHSS) as an adult with a disability in California, you must meet specific requirements, including being a California resident, having a disability that requires assistance with daily living activities, and being eligible for Medi-Cal. The IHSS program provides financial assistance to help pay for caregiver services, such as bathing, dressing, and meal preparation.

What is IHSS and How Does it Work?

The IHSS program is designed to help adults with disabilities live safely in their own homes, rather than in institutional settings. To be eligible, you must have a disability that requires assistance with daily living activities, such as bathing, dressing, and meal preparation. You must also be eligible for Medi-Cal and be a California resident.

Eligibility Requirements for IHSS

To be eligible for IHSS, you must meet the following requirements: * Be a California resident * Have a disability that requires assistance with daily living activities * Be eligible for Medi-Cal * Require assistance with at least one of the following activities: bathing, dressing, grooming, eating, toileting, bowel and bladder care, mobility and transfer, or paramedical services * Have a need for IHSS that is not met by other sources, such as family members or other caregivers

How to Enroll in IHSS

To enroll in IHSS, you can follow these steps: * Contact your local county social services office to schedule an interview with a social worker * Provide documentation of your disability and Medi-Cal eligibility * Complete an application for IHSS * Participate in a home assessment to determine your need for IHSS * If approved, work with a social worker to develop a care plan and hire a caregiver

What Happens After I Apply for IHSS?

After you apply for IHSS, a social worker will conduct a home assessment to determine your need for IHSS. If you are approved, you will work with a social worker to develop a care plan and hire a caregiver. You can hire a family member, friend, or other caregiver to provide services. You will also receive information about how to manage your care and how to contact your social worker if you have any questions or concerns.

For more information about IHSS, you can contact the California Department of Social Services (CDSS) at (916) 651-8848 or visit their website at www.cdss.ca.gov. You can also contact your local county social services office or the Disability Rights California hotline at (800) 776-5746. To get started with the enrollment process, contact your local county social services office today to schedule an interview with a social worker.

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