“The corner stone of Independent Living Philosophy is…control and choice….Systems advocacy is of ultimate importance because some choices for disabled people still need to be created.”
by Cassie Holdsworth


The In-Home Supportive Services (IHSS) program—administered at the state level by the Department of Social Services (DSS)—provides support for in-home care for over 460,000 low income seniors and persons with disabilities who cannot safely remain in their own homes without such assistance. IHSS is a lifeline program that promotes independence, freedom of choice and well-being for its recipients, and without it, many of these individuals could end up in more costly nursing home placement.

Contact your local county for IHSS information. In Marin County, call 415-499-7115

Nursing Facility/Acute Hospital (NF/AH) Waiver For IHSS recipients whose level of disability would qualify them for nursing home care, there is an additional program to help them continue to live at home instead of a nursing facility. This waiver is administered by In-Home Operations (IHO) of the Department of Health Care Services and serves several hundred California residents.

To Contact the Waiver Program

Northern California – 916-552-9105, Southern California – 213-897-6774
email – IHOWaiver@dhcs.ca.gov

Application Forms

Basic Nursing Facility Waiver information


Current IHSS Legislation

Paid Sick Leave for IHSS Providers is on the Way
On April 4, 2016, Governor Brown signed Senate Bill 3. The bill establishes a
requirement to permit IHSS providers to accrue and use paid sick leave hours.
The policies relating to implementing the bill have not yet been released, and we
will post a link when it is available.

Previous Updates

IRS Tax Exemption for Live-in IHSS and/or Waiver Personal Care Services

The IRS recently issued a notice that the wages received by IHSS and WPCS providers are not considered part of the gross income for purposes of federal income tax (FIT). According to the California Franchise Tax Board, this will also apply for California State personal income tax.

To register for this tax exclusion, providers must complete SOC Form 2298, Live-in Self-Certification Form. The wage exclusion will also automatically exclude state income tax. You will not need to file a separate certification form for the state.

The form may be found on the California Department of Social Services www.cdss.ca.gov. Please direct questions regarding the SOC Form 2298 to CDSS at 916-551-1011.


New IHSS Rules

The new US Department Of Labor regulation requiring overtime pay for IHSS home care workers who work more than 40 hours per week will go into effect February 1, 2016. The following attachment explains how the regulation will work. Read attachment

Medi-Cal and Share of Cost

If you cannot qualify for free Medi-Cal or Medi-Cal's Working Disabled Program, you may be able to get Medi-Cal through the Aged, Blind, & Disabled - Medically Needy (ABD–MN) program. However, you would have to pay a share of cost. A share of cost is a certain amount of money you must spend on medical care each month before Medi-Cal begins to pay for services.
Guidelines and general information on qualifying for Medi-Cal and Medi-Cal share of cost, although current income limits would have to be verified. click for More Information

Marin County IHSS worker raised to $13.30 Details



Beginning January 15, 2015, Federal regulations now require the State to provide overtime pay to IHSS providers who work more than 40 hours a week. While it is good that providers can now be paid for overtime, aspects of the implementation may make it more complicated for IHSS recipients and their providers and families. Advocates throughout California are working diligently to improve the new rules.


New Rules for overtime
New Rule Timesheet Training



AB 11 introduced by Assembly Member Gonzales would offer paid sick leave to home care workers.

Resource and Advocacy Information


Coordinated Care Initiative and Dual Eligibles

For history, overview and details see:

Dual Eligibles Demonstration Project – calduals.org
For Stakeholders and Advocates – CCI-Advocates-Guide


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Lobbyists Keep Nursing Homes Healthy, Disabled Patients Not so Much
Read San Diego Free Press article at:
Press Release

End The Institutional Bias for Long Term Care

If, like millions of Americans, you need personal assistance and run out of money, you may be eligible for long-term care under Medicaid. But in order to get those safety net benefits, you may have no choice but to move into a nursing home. This is true even though most people prefer to stay at home and most of the institutions themselves would rather be providing more lucrative post-acute care and rehabilitation. Read this article

Differences in home care funding in the US compares to other developed nations
The two most important numbers in American health care