In-Home Supportive Services (IHSS) Program

What is the process?

Complete an IHSS Application or Referral

County of San Luis Obispo Residents can start an application by calling the Atascadero Office at (805) 461-6110, Arroyo Grande Office at (805) 474-2103, or by completing the Online Application Form.

Complete Health Care Certification

Complete a Health Care Certification (SOC 873) and submit it to the Social Services Department.  A completed Health Care Certification must be received before the County is able to authorize services.

County Social Worker Interviews

A County Social Worker will interview an applicant in their home to determine eligibility and need for IHSS. Based on ability to safely perform certain tasks for themselves, the Social Worker assesses the types of services needed and number of hours authorized for each service. The assessment includes information from applicant and, if appropriate, their family, friends, physician or other licensed health care professional.

Applicant Notified

An applicant is notified if IHSS has been approved or denied. If an applicant is denied, the applicant is notified of reason for denial. If an applicant is approved, the applicant is notified of services and number of hours that are authorized per month for those services. 

Applicant Approved

If an applicant is approved for IHSS, the Recipient must hire a Provider (caregiver) to perform the authorized services. The Recipient is considered the Provider's employer, and therefore it is the Recipient's responsibility to hire, train, supervise, and fire the individual Provider.

Finding a Provider

If a Recipient does not have a Provider, they may request a referral from the IHSS Public Authority Caregiver Registry. Contact your IHSS Social Worker to request a referral.

Who is eligible?

To be eligible for IHSS Services, a person must meet the following conditions:
•        Be disabled, blind, or age 65 or older (children potentially eligible)
•        Unable to live safely in their own home without assistance
•        Meet financial need requirement
What is the Eligibility Criteria for all IHSS Applicants and Recipients?
•        Must have full-scope Medi-Cal Eligibility.
•        Must submit a completed Health Care Certification form.
•        Must physically reside in the United States.  
•        Must also be a California resident.
•        Must live at home (acute care hospital, long-term care facilities, and licensed
         community care facilities are not considered "own home").  
Who can make a referral?  Anyone who recognizes a person is in need of in-home assistance may make a referral to IHSS.  

When and where is this service offered?

To apply, call the office nearest you in the County of San Luis Obispo Monday-Friday, between 8:00 am to 5:00 pm.
Atascadero: (805) 461-6110
Arroyo Grande: (805) 474-2103

Location, directions and hours of operation

Click on location name to show hours of operation, directions and phone information

Monday - Friday 8-4; 4-5 by appt only

1086 East Grand Avenue
Arroyo Grande, CA 93420

Tel: (805) 474-2000

Monday - Friday 8-4; 4-5 by appt only

9630 El Camino Real
Atascadero, CA 93422

Tel: (805) 461-6000

Monday - Friday 8-4; 4-5 by appt only

600 Quintana Road
Morro Bay , CA 93442

Tel: (805) 772-6405

Fax: (805) 772-6409

Monday - Friday 8-4; 4-5 by appt only

681 West Tefft Street Suite 1
Nipomo, CA 93444

Tel: (805) 931-1800

Monday - Friday 8-4; 4-5 by appt only

406 Spring Street
Paso Robles, CA 93446

Tel: (805) 237-3110

Monday - Friday 8-4; 4-5 by appt only

3433 South Higuera
San Luis Obispo, CA 93401

Tel: (805) 781-1600


  • This is the dollar amount a recipient must agree to pay out of pocket before Medi-Cal will pay benefits. Share-of-Cost is determined by the amount of income reported on the Medi-Cal case.

Share-of-Cost Fact Sheet (English/Spanish)





ESP/TTS Training Videos

What is Electronic Visit Verification (EVV)?

As of July 1, 2023, all IHSS and WPCS providers who do not live with their recipient are required to check-in and out at the beginning and end of each workday and indicate if services are being provided in the home or community.

There are no changes for recipients. Recipients will continue to review and approve their provider’s timesheets using Electronic Services Portal (ESP) or Telephone Timesheet System (TTS). The EVV requirements do not change how recipient services are authorized or how recipients receive their services.

Is EVV Mandatory?

Yes! Federal law requires EVV systems electronically capture the location of IHSS / Waiver Personal Care Services (WPCS) providers at the start and end of each workday to ensure the recipients are receiving services in their home.

  • Electronic Visit Verification Location Services Frequently Asked Questions:


  • For more information, please visit:

California Department of Social Services EVV Help Page

If you need a provider, please contact your assigned IHSS Social Worker who will make a referral to the IHSS Public Authority Caregiver Registry.

The IHSS Public Authority Caregiver Registry has a list of approved home care providers who are available for IHSS Recipients needing assistance. All IHSS providers who are a part of the Caregiver Registry have completed state mandated enrollment requirements.

Check out the Public Authority Page for more information.

Check out the Public Authority Page for more information.

Protective Supervision is a special service for IHSS clients. Eligibility to the service is based on California regulation. The purpose of this service is to keep the client from putting themselves in harm’s way.

Protective Supervision Fact Sheet (English/Spanish)

Protective Supervision for Minor Children (English/Spanish)

Authorized Hours are based on several factors, including the recipient’s functional abilities and limitations. If you have questions about your authorized hours or feel that they need to be adjusted for a change in circumstance, contact your Social Worker.

Functional Index Ranking and Hourly Task Guidelines (English/Spanish)

As an IHSS recipient, you have a right to understand what is happening with your application and program services. If there is ever a situation where you have concerns or questions about your case, contact your Social Worker. If you are unable to resolve your concerns with your Social Worker or a Supervisor, you always have the right to request a fair hearing.

IHSS Recipient Right to File a Fair Hearing (English/Spanish)