In-Home Supportive Services

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Coronavirus (COVID-19) Updates:

Dr. Rais Vohra, Fresno County Health Officer and Governor Newsom issued orders directing everyone to stay home, except to provide or receive certain essential services.

In-Home Supportive Services (IHSS) care providers are essential workers and should continue to provide care for their recipient, as long as both the care provider and recipient have not tested positive for COVID-19 and do not have symptoms, like a fever, cough or shortness of breath.

If you are at higher risk for serious illness from COVID-19 because of your age or health condition, it is important for you to take actions to reduce your risk of getting sick with the disease, including:

  • Isolate at home and practice social distancing.
  • Wash your hands often with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing, or having been in a public place.
  • Avoiding touching your eyes, nose or mouth with unwashed hands.
  • Avoid close contact with people who are sick and stay away from large gatherings and crowds.
  • Consider ways of getting food brought to your house though family, social or commercial networks.

If you think that you have been exposed to COVID-19 and develop a fever and symptoms, such as cough or difficulty breathing, call your healthcare provider for medical advice.

If you are sick with COVID-19 or suspect you are infected with the virus that causes COVID-19, you should take steps to help prevent the disease from spreading to people in your home and community.

Fresno County IHSS Updates:

During this period, Fresno County IHSS has modified our services in order to support your care and provider needs without interruption.

  • Office Closures:  At this time, the IHSS and Public Authority offices are closed to the public.
  • IHSS Providers are Exempt from Stay At Home order:  IHSS providers should continue to work for their IHSS recipients.  Notice to IHSS Providers

IHSS Applicant & Recipient Updates:
  • Applications:  We continue to process all applications and new intakes.
  • Loss of Care:  If your IHSS provider can no longer work for you, and you cannot find another eligible IHSS provider, call the Provider and Recipient Call Center (PARCC) at (559) 600-6666 (Option #4) to request a list of Registry Providers.
  • Information and Assistance:  About IHSS, contact your Social Worker or 600-6666.  For other information, call 211.
  • Reassessments:  Annual reassessments are being conducted by phone for the time being through June 30, 2020.
  • Reporting Changes:  If you have a change in condition and require additional hours, call your Social Worker to determine your needs.  Changes include medical condition(s), no longer going to day programs and/or school due to stay at home orders.
 Provider Enrollments:
  • Provider Enrollments:  The Fresno IHSS Public Authority has temporarily suspended orientation at this time and is working to provide an online alternative.  Please check back regularly for updates.
  • Service Changes:  If you can no longer provide service to your IHSS recipient, please let them know and help them arrange for other care, if possible, and contact their IHSS Social Worker.
COVID-19 Information:
Other Resources:



Beware of flyers or offers from individuals offering to assist you with IHSS timesheets or registration for the Electronic Services Portal (ESP)!  Fresno County IHSS, the Public Authority and SEIU 2015 do not charge for helping anyone fill out timesheets or for ESP registrations.  All flyers issued by Fresno County IHSS, the Public Authority or SEIU 2015 will have appropriate logos or seals.  

Please call IHSS at (559) 600-6666 if you receive a flyer that may be suspicious.  Do not share your personal information with unauthorized individuals, including your name, date of birth, home address, phone number, Social Security number or IHSS case number. 

 How Do I Get an Email Account?

Some cable and cell service carriers may also have email services, but if you change carriers,  that email account may no longer be accessible after you leave that service plan and you could miss out on notifications from the ESP.  There are several entities that offer free email services, such as Google, and would not be impacted if you change service carriers for cable, phone or internet.

**Paper Timesheets are Going Away**

Are you ready?  Have you enrolled on the Electronic Services Portal (ESP)? 

Electronic Visit Verification (EVV) will be going live in Spring 2020 and paper timesheets will no longer be available.  Providers must fill out and submit their timesheets on the ESP or Telephonic Timesheet System (TTS) for recipient approval.  Recipients will review and approve timesheets through the ESP or by TTS!  Read more about EVV and other news.

Online IHSS Referral for Application

Individuals interested in learning more about the IHSS program or that would like to refer themselves or make a referral on the behalf of someone else can now do so online!  Complete the online referral for application and an IHSS Social Worker will call within 1-3 business days to complete an application by phone.  **For Fresno County Residents Only**

Fresno County In-Home Supportive Services (IHSS)Sequoia Bldg front entrance

The In-Home Supportive Services (IHSS) program arranges for and helps pay for services to enable elderly, blind or disabled persons to live safely and independently in their own homes. The Fresno County IHSS program is considered an alternative to out-of-home care, such as nursing homes or board and care facilities. The types of services that can be authorized through IHSS are chores and related services (such as housecleaning, meal preparation, laundry and grocery shopping), and personal care services (such as bowel and bladder care, bathing and paramedical services).

How the IHSS Program Works

  • After you apply, a social worker will conduct a home visit to discuss your need for IHSS and determine if you are eligible. 
  • Based on your ability to safely perform certain tasks for yourself, the social worker will assess the types of services IHSS pays for, your level of need and the number of hours that will be authorized for each service.
  • This assessment will include information given by you, if when necessary, your family, care givers, physician or other licensed health care professional.
  • As part of the application process, you will have to provide IHSS with a Health Care Certification form completed by your physician.
  • You will be notified if IHSS has been approved or denied.  If denied, you will be notified of the reason for the denial.  If approved, you will be notified of the services and number of hours per month that have been authorized to you.
  • If you are approved for IHSS, you must hire someone (care provider) to perform the authorized services.  You will be considered your care provider's employer and, it is your responsibility to hire, train, supervise and fire your care providers.
  • If you are not able to locate a care provider on your own, Fresno County IHSS Public Authority (PA) can give you a list of eligible providers to interview.  The PA also has social workers that can assist with the interview process.
  • The IHSS programs has two pay periods a month, the 1st to 15th and 16th to the last day of the month.  See Provider Payments for more information.

 Be an IHSS Advisory Council Member!

The Fresno County IHSS Advisory Committee (IHSS AC) meets on a monthly basis and is dedicated to enhancing the lives of the blind, disabled, and aging community and those who provide for their care. The IHSS AC is a collaboration of the County of Fresno, community agencies and the public.

 Preparing for Power Outages

In recent months, high winds and dry conditions in many areas have heighted fire risks causing your electric company to shut off power in many areas.  The California Department of Social Services (CDSS) has created checklists of steps you can take prior to an outage to make sure both you and your provider are prepared. 

Contact Us!

If you have questions about the IHSS program, call us at (559) 600-6666 or send us an email.