As a Caregiver, How Does IHSS Affect My Taxes?

April 4, 2025

If you're receiving In-Home Supportive Services (IHSS) payments as a caregiver, it's important to understand how this income impacts your taxes. While IHSS is an essential program that provides financial assistance to those in need of caregiving, the money you receive as a caregiver is considered income and is subject to certain tax rules. In this blog post, we’ll break down the key tax implications for both IHSS providers and recipients.


What Is IHSS?

For those unfamiliar, In-Home Supportive Services (IHSS) is a California state program designed to assist seniors and individuals with disabilities in remaining safely in their homes. IHSS provides funding to cover the cost of a caregiver who can help with various tasks like personal care, meal preparation, and housekeeping.

While IHSS helps families and individuals with the support they need, it’s important to know that the payments you receive as a caregiver aren’t free of tax consequences. Both caregivers and recipients should be aware of how these payments can impact their tax filings.


Do IHSS Payments Count as Taxable Income?

Yes, IHSS payments are considered taxable income by the federal government. However, whether you owe taxes on your IHSS earnings depends on your specific situation, including whether you’re a family member or a non-family member providing care, and whether you meet certain IRS exemptions.

  1. For Family Members:
    • If you're a family member providing care to a loved one (such as a child, spouse, or parent), IHSS payments may not be taxable under federal tax law. According to IRS guidelines, payments made to family members for personal care services are exempt from employment taxes. This includes things like Social Security and Medicare taxes.
    • However, California state taxes may still apply. You may need to report these payments on your state income tax return, depending on the amount you earn.
  2. For Non-Family Members:
    • If you are not a family member and are receiving IHSS payments as a hired caregiver, then these payments are considered taxable income. You will need to report the earnings on your tax return, just like any other wages or compensation. The federal government requires that you pay Social Security, Medicare, and federal income taxes on these payments.

Do I Need to Pay Taxes on My IHSS Income?

Here’s where things can get a bit more complex. The short answer is: it depends.

For Family Caregivers:

  • Federal Taxes: As mentioned, federal tax law exempts family caregivers from paying Social Security and Medicare taxes on IHSS payments. This means you won’t need to pay self-employment taxes or FICA taxes on the money you earn, but you still need to report the income on your tax return if it exceeds the standard deduction for your filing status. If your IHSS income is under the tax filing threshold, you may not have to pay federal income taxes, but this depends on your overall taxable income.
  • State TaxesCalifornia taxes may be applicable. While family caregivers may not have to pay federal taxes on their IHSS income, they could still be required to report the income and pay California state taxes on it. California has its own tax laws, so it's important to consult with a tax professional to determine whether you need to file.

For Non-Family Caregivers:

  • Federal Taxes: Non-family IHSS providers are treated like any other employee. You’ll need to pay federal income taxes, as well as Social Security and Medicare taxes (FICA). These taxes are typically withheld by the state when you receive your payments, so you should receive a W-2 form at the end of the year, detailing how much was earned and what was withheld.
  • State Taxes: Depending on the amount you earn, you may also be required to pay California state taxes on your IHSS income. The amount will depend on your overall income level, and you’ll need to file a tax return with the state of California.

How Do I Report IHSS Income on My Tax Return?

Whether you’re a family caregiver or a non-family caregiver, you’ll need to report your IHSS income when filing your taxes. Here’s how to do it:

For Family Caregivers:

  • If you’re a family caregiver, you’ll typically report your IHSS payments as income on Schedule 1 of your Form 1040, under the section for Other Income.
  • You won’t need to worry about paying Social Security or Medicare taxes on this income, but if the amount you earn exceeds the federal tax filing threshold, you may need to pay federal income taxes.
  • If you're filing a California tax return, you may also need to report this income. Consult a local tax expert or the California Franchise Tax Board to determine whether state taxes are applicable.

For Non-Family Caregivers:

  • If you are a non-family caregiver, you’ll receive a W-2 form from the state that details how much you earned and how much tax was withheld. This income should be reported on Form 1040 under Wages, Salaries, Tips (Line 1).
  • You will also need to pay self-employment taxes if the state did not withhold Social Security and Medicare taxes. This would be filed on Schedule SE.

Can IHSS Providers Claim Tax Deductions?

Yes, there are some tax deductions that might apply to IHSS providers, depending on your role and circumstances:

  1. For Family Caregivers: If you're a family caregiver, you may be able to deduct certain expenses associated with providing care to your loved one, such as medical supplies or mileage for trips related to their care. Be sure to keep receipts and document your expenses.
  2. For Non-Family Caregivers: Non-family caregivers can typically deduct job-related expenses that exceed 2% of their adjusted gross income (AGI). This might include the cost of medical equipment or other necessary caregiving tools.

Conclusion: Does IHSS Affect Your Taxes?

In summary, the impact of IHSS income on taxes varies depending on whether you're a family caregiver or a non-family caregiver. Family caregivers may be exempt from paying Social Security and Medicare taxes, but may still need to report income for federal and state taxes. Non-family caregivers, however, are required to pay federal income taxesSocial Security, and Medicare taxes on their IHSS earnings.

Regardless of your status, it’s important to accurately report your IHSS income and consider potential deductions or credits that might apply to your situation. To avoid issues during tax season, consider consulting with a tax professionalwho can guide you through the process and help ensure that your taxes are filed correctly.

Need help? In California, the In-Home Supportive Services (IHSS) program provides crucial financial help for families raising children with special needs. American Advocacy Group is on the front lines every day, making positive change happen for people diagnosed with autism, Down syndrome, and a range of diagnoses across the continuum. As a leading advocate for all people with intellectual and developmental disabilities and their families, and the premier provider of the support and services people want and need, we understand the system and know how to take action regarding your best interests.

CONTACT US FOR HELP. Dial (877) 762-0702 or email us at [email protected].

Appeal your IHSS denial

Fill out this short form to get a free consultation

Replated Post

© Copyright 2022 IHSS California. All Rights Reserved. | Disclaimer