A social worker will come to your home and complete an assessment of your functional abilities. The social worker uses a statewide uniform assessment process to determine which functions of daily living consumers are unable to perform on their own.

The social worker then authorizes a number of hours of service per week for each of the tasks that you have been determined to need. These tasks and hours will be summarized in a “Notice of Action” – a State form that is mailed to you to communicate the social worker’s decision regarding your care. When you select a provider, you should tell the provider what tasks have been authorized for your care and the number of hours per week you have for a provider to complete these tasks. The IHSS program will not pay for more than the authorized number of hours.

Reassessment

The county is required to do a reassessment every year to determine whether a consumer’s needs have changed. An IHSS consumer must request a reassessment at any time if his/her needs change. This change could occur as a result of a different living arrangement, hospitalization, improved health, or a new physical condition. An observant provider can encourage the consumer to request a reassessment if the provider feels it may be warranted. Either the consumer or the provider can call the consumer’s social worker to make this request.

Getting a Correct Assessment

It is important to portray your abilities and limitations accurately when the IHSS social worker comes to your home for an initial assessment or re-assessment. Be clear when describing your needs. Do not exaggerate your need for assistance. On the other hand, do not overstate your ability to provide your own care. It may be helpful to prepare a list of your needs and any special requirements you have. This will help you prepare for the social worker’s visit. It will also help you to overcome any embarrassing feelings you may have when sharing personal information.