California IHSS and state-funded home care

In-Home Supportive Services (IHSS) is California's Medi-Cal program that pays for in-home care so eligible seniors and people with disabilities can remain safely at home instead of moving to a facility. Hailo currently supports state-funded matching in California and helps families navigate the IHSS process.

How IHSS works

1. Apply through your county. Each of California's 58 counties runs its own IHSS office; the application starts there (Hailo's full guide lists every county office).
2. A county social worker assesses needs. They visit, evaluate what help is needed — bathing, dressing, meal preparation, housekeeping, paramedical tasks — and authorize a number of monthly care hours.
3. An enrolled provider delivers the care. The recipient chooses their provider, who completes county enrollment (orientation, background check) and is paid by the program for the authorized hours.

Frequently asked questions

What is IHSS in California?

In-Home Supportive Services (IHSS) is a California Medi-Cal program that pays for in-home care so eligible seniors and people with disabilities can stay safely at home. The county assesses eligibility and authorizes monthly hours, and the program pays an enrolled provider.

Can a family member get paid to be a caregiver through IHSS?

Generally yes — many family members, including adult children, can enroll as the paid IHSS provider for an eligible recipient after completing county enrollment requirements.

Who qualifies for IHSS?

California residents who are eligible for Medi-Cal, are 65 or older, blind, or disabled, and need help at home to live safely. The county makes the final determination and sets authorized hours.

Hailo can match your family within the IHSS process or through private care and long-term care insurance. Request care or call (213) 451-6802.