In Home Supportive Services & Public Authority Overview


Comprehensive Services for Older AdultsHealth and Human Services Agency

 In-Home Supportive Services (IHSS)


In-Home Supportive Services (IHSS) is a Medi-Cal program that is funded by county, state and federal dollars. The goal of the IHSS program is to allow low income aged, blind, and disabled persons, who are at risk for out-of-home placement, to remain safely at home by providing payment for care provider services.

IHSS care providers may provide personal care services such as: bathing and grooming, dressing, and toileting as well as domestic services such as: house cleaning, meal preparation/cleanup, shopping, and laundry. Services are authorized based on the functional needs of the client and in accordance with program rules and regulations.

Who is eligible for IHSS?

An applicant must:
  • Live in Napa County.
  • Be a US citizen or qualified alien and a California resident.
  • Be aged, blind or have a permanent disability expected to last 12 months or more.
  • Receive Medi-Cal (with or without share of cost) or SSI/SSP benefits.
  • Be living at home. Home is any place the applicant chooses to live and could be a house, apartment, hotel or the home of a relative.
  • Be 'at risk' of out of home placement, such as a skilled nursing facility or board and care, if they do not receive IHSS.
  • Have a licensed health care professional complete a Health Care Certification form verifying the applicant needs IHSS (


How do I apply for IHSS?

Referrals can be made by the applicant or on their behalf with the applicant’s knowledge and agreement. The easiest way to apply for services is to call Comprehensive Services for Older Adults at 253-6272 and ask to make an IHSS referral. You may also come into the office and apply in person. We are located at 650 Imperial Way, Suite 101, Napa, CA 94559. When making a referral, be prepared with the following information:

  • Applicant's date of birth
  • Social security number
  • Address
  • Telephone number
  • Primary care doctor
  • Diagnosis/disability information


General Information and Application Process Questions

Recipient Questions

Provider Questions

Payroll Questions

CSOA Contact Contact Us:


Office Hours:         8am - 5pm, Monday through Friday, except holidays                            

 Office Locations:  650 Imperial Way, Suite 101, Napa, CA 94559                       

 Main Telephone:  707-253-3818     


If you suspect fraud in the IHSS program, please contact the Department of Health Care Services IHSS fraud hotline at 1-888-717-8302. 


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