What is IHSS?

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What is IHSS?

The In-Home Supportive Services (IHSS) program helps elderly, blind and disabled people to safely remain in their own homes when they are not able to fully care for themselves or handle routine household tasks.  IHSS encourages independence and self-reliance, when possible, and is an alternative to out-of-home care in institutions or nursing facilities.


IHSS Services

Services authorized by IHSS to help you remain safely in your home include:

  • Domestic (housekeeping)
  • Related Services (meal preparation, meal clean-up, laundry, shopping for food and errands)
  • Personal Care (assistance with: ambulation, transfers, respiration, bathing/hygiene, dressing, eating, bowel and bladder, medications, repositioning and Paramedical)
  • Accompaniment to medical appointments
  • Protective Supervision for persons with cognitive impairments


IHSS Recipient Responsibilities

Persons approved for IHSS are responsible to hire, supervise and terminate providers.  Providers can be a family member, spouse, parent, friend, neighbor or hired from the Provider Registry.

  • Send your chosen provider to the Fresno County IHSS Public Authority to become an Enrolled Provider
  • Direct and train provider(s) to accomplish the services authorized
  • Review and approve the provider's timesheets twice a month

The IHSS Social Worker must be notified within 10 days if any of the following occurs:

  • Your health changes and you are hospitalized or placed in a nursing or rehab facility.
  • You moved or changed your phone number, fill out the Change of Address/Telephone (SOC 840) form and send it to the IHSS Office.
  • There are changes in your living situation, such as:
    • There has been a significant change in your need for assistance
    • There are more or less people living in your home
    • Your financial situation changed
    • You will be temporarily away from your home