Old Made in SF
Personal care
https://www.sfhsa.org/services/disability-aging-services/home-care
DAS Short-Term Home Care for Older Adults 415-677-7587 https://www.selfhelpelderly.org/our-services/social-services/emergency-short-term-in-home-support Eligibility: SF resident age 60+; needs Chore, Homemaker, and Personal Care.
https://www.sfhsa.org/services/disability-aging-services/home-care/emergency-short-term-home-care
DAS Support @ Home 415-750-4111 https://www.ioaging.org/services/support-at-home Eligibility: SF resident age 18+; require assistance with minimum of 2 I/ADLs; monthly income < 100% of AMI; assets < $40,000 (excluding one house and one car); demonstrate financial and functional need for partially subsidized home care; able to pay a portion of the home care cost; willing to participate in program requirements; and ineligible for other subsidized home care through programs such as IHSS, CLF, In-Home Operations, or other state waiver programs. Sliding scale home care subsidies via vouchers can elect to purchase services directly from independent provider at wage set by program, or monthly in advance through approved home care agency at hourly cost determined by the agency.
https://www.sfhsa.org/services/disability-aging-services/home-care/support-home
Medi-Cal HCBS Waiver Programs
Assisted Living Waiver (ALW) up to 24 hrs/day of care + supervision to OA & AWD in RCFE/ARF
https://www.dhcs.ca.gov/services/ltc/Pages/AssistedLivingWaiver.aspx
Eligibility: age 21+; full-scope, no share-of-cost Medi-Cal benefits; require nursing facility level of care. Participants pay room & board to RCFE or Public Subsidized Housing; Medi-Cal pays RCFEs or Home Health Agency for care and services. http://canhr.org/factsheets/rcfe_fs/html/rcfe_fs.alw.htm
Rights and Wrongs in Medicaid-Funded Assisted Living - Justice in Aging
https://www.chcf.org/publication/what-is-assisted-living/
https://www.ncoa.org/article/does-medicaid-pay-for-assisted-living/
Home & Community-Based Alternatives (HCBA) Waiver up to 24 hrs/day personal care (plus intensive services such as in-home nursing care) to medically fragile of all ages, in their homes, through both independent & agency providers.
https://www.dhcs.ca.gov/services/Pages/HCBSWaiver.aspx
Multi-Purpose Senior Services Program (MSSP) provides supplemental personal care services & comprehensive supports incl. care coordination/mgmt & adult day services to age 60+.
Medi-Cal In-Home Support Services (IHSS) consumer-driven
Medicaid and In-Home Care: Eligibility, Benefits & State Rules (medicaidplanningassistance.org)
https://www.sfhsa.org/services/disability-aging-services/home-care/home-supportive-services-ihss
County IHSS offices https://www.cdss.ca.gov/inforesources/county-ihss-offices
CA Association of Public Authorities (CAPA) for IHSS https://www.capaihss.org/public-authorities/county-public-authorities/
SOC 873 Health Care Certification https://cdss.ca.gov/cdssweb/entres/forms/English/SOC873.pdf
SOC 874 from licensed health care professional (LHCP), such as physician (doctor), physician assistant (PA), regional center clinician/clinician supervisor, occupational therapist (OT), physical therapist (PT), psychiatrist, psychologist, optometrist, ophthalmologist, public health nurse (PHN).
MFT, LCSW https://www.cdss.ca.gov/ord/entres/getinfo/pdf/d121209r.pdf
RN with additional certification as PHN or NP; RN only is not LHCP
https://www.cdss.ca.gov/cdssweb/entres/forms/English/SOC874.pdf
Report IHSS Fraud 415-557-5771 (Forging approval on timesheets; Claiming hours that the IHSS Provider did not work; Splitting checks by an IHSS Provider & Recipient)
IHSS Inter-County Transfer notify IHSS SW of effective date of new address
Become IHSS Provider
IHSS Provider Wages https://www.sfhsa.org/services/disability-aging-services/home-care/home-supportive-services-ihss/provide-home-services/become-ihss-provider/ihss-provider-wages
IHSS Electronic Timesheets https://www.sfhsa.org/services/disability-aging-services/home-care/home-supportive-services-ihss/provide-home-supportive-services-ihss/submit-ihss-timesheets
Independent Provider Mode: IHSS Public Authority 415-243-4477
https://www.sfihsspa.org/our-services/consumers/how-ihss-works.php
Contract Mode: Homebridge 415-255-2079 https://homebridgeca.org/
Advocates Guide: IHSS https://justiceinaging.org/advocates-guide-in-home-supportive-services-ihss/
In-Home Supportive Services (IHSS) Advocates Manual | Disability Rights California
https://canhr.org/in-home-supportive-services-ihss/
https://www.cdss.ca.gov/in-home-supportive-services
https://www.cdss.ca.gov/inforesources/ihss/resources
https://www.cdss.ca.gov/agedblinddisabled/res/pdf/IHSS_Services(Final%202-6-12).pdf
IHSS able and available spouse rule | LSNC Regulation Summaries
Paramedical Services through the IHSS Program | Disability Rights California
SOC 321 Request Paramedical Services https://cdss.ca.gov/cdssweb/entres/forms/English/SOC321.pdf
VA Aid & Attendance https://www.va.gov/pension/aid-attendance-housebound/ provide monthly payments added to monthly VA pension for qualified Veterans and survivors who need help with ADLs.
VA Housebound Benefits https://veteran.com/va-housebound-benefits/ increased monthly pension amount, paid to veterans who are permanently disabled and who are unable to leave their residence without assistance.
*Veterans or surviving spouses cannot receive both Aid & Attendance and Housebound benefits at same time.
VA Veteran-Directed Care https://www.va.gov/GERIATRICS/pages/Veteran-Directed_Care.asp help developing a spending plan and hiring workers (which might include their own family member or neighbor) to help Veterans live independently in the community.
VA’s Aid and Attendance Can Cover Long-Term Care (aarp.org)
https://paid4care.aarpfoundation.org/get-paid-to-care-for-your-veteran/
Can a Family Member Get Paid to be a Caregiver: Yes, Here's How
https://www.care.com/c/how-to-get-paid-to-be-a-family-caregiver/
Get Paid for Providing Care https://paid4care.aarpfoundation.org/
https://archrespite.org/caregiver-resources/how-do-i-get-paid-to-be-a-family-caregiver/
https://www.nextavenue.org/paid-take-care-mom/
Private pay home care agencies (with staff gerontologists)
Compassionate Community Care 415-921-5038 https://compassionatehomecare.org/
Home Instead 415-358-1291 https://www.homeinstead.com/location/220
Registries
IHSS Public Authority https://www.sfihsspa.org/our-services/consumers/provider-registry.php 832 Folsom St., 9th Flr, SF 94107, 415-243-4477
Kimochi Nagaiki Caregiver Referral Program https://www.kimochi-inc.org/nagaiki-home-care-registry provides list of caregivers along with resources (sample Personal Care Agreement) to help seniors and their families in the search and hiring process. 415-931-2275
Expert advice for finding the right home health aide https://www.brainandlife.org/articles/expert-advice-finding-home-health-aide
Hiring in-home help https://www.caregiver.org/resource/hiring-home-help/ home care agency, private hire, Medi-Cal IHSS Public Authority
Can you afford home care provider? https://www.aarp.org/caregiving/financial-legal/info-2017/afford-a-homecare-worker.html
Hiring In-Home Caregivers for Aging in Place: What to Know - Better Health While Aging
How to Get Elder Care & Options for Covering the Costs (family, home care agency, adult day program; ALF, memory care, B&C, NH, CCRC; technology, Villages, non-profit, faith)
Homebound
Defining “Confined to the Home” | AAFP
What Does Homebound Status Mean in Home Health Care?
California Resources for Domestic Worker Employers https://domesticemployers.org/californiaresources/
❖ Guide to Creating Care Task Lists https://tinyurl.com/CareTasksHIH
❖ Creating a Caregiver Ad https://tinyurl.com/CaregiverAdHIH
GGU Women's Employment Rights Clinic 360 Caregiving Rights Toolkit for hiring caregivers to work in private homes https://law.ggu.edu/academics/clinics/womens-employment/
SDA Hand-in-Hand Paid Sick Leave/Portable Benefits Launch 2025 https://docs.google.com/presentation/d/1aHrMGLjYWTK3YDrUj4saIAmEUVSJ-UICA4Q3uu09vm8/edit#slide=id.g12699ac80a9_0_0
SDA Tips for Employers of Attendants/Caregivers
https://docs.google.com/document/d/1nHjKgkw82wcOkMtlQbNXXncRy-PU-u1R/edit
Stop the Bleed https://www.stopthebleed.org/