If you're enrolled in California’s In-Home Supportive Services (IHSS) program, you might be wondering about the scope of coverage when it comes to non-medical services, like transportation to medical appointments. After all, getting to and from medical appointments can be challenging, especially for those with disabilities, seniors, or individuals who require assistance with mobility.
Unfortunately, IHSS does not cover transportation to medical appointments as part of its standard benefits. But let’s take a closer look at the details behind this and explore your options.
IHSS is designed to help eligible individuals with disabilities or chronic conditions receive personal care services within their home. These services can include:
However, IHSS generally does not cover transportation services to medical appointments or other non-household activities.
The primary reason for this limitation is that IHSS is focused on helping individuals remain safely in their homes and doesn’t extend to transportation needs. The program is not structured to pay for travel costs or to provide transportation for individuals to attend appointments or run errands.
Since IHSS covers services that are critical for daily living within the home, transportation falls outside the intended scope of the program. The intent is to provide assistance that enables a person to function independently at home and manage personal care tasks, rather than covering external needs like appointments or errands.
While IHSS doesn't cover transportation to medical appointments, there are still several alternative options to consider:
If you are enrolled in Medi-Cal (California’s Medicaid program), you may qualify for non-emergency medical transportation (NEMT). Medi-Cal will often provide free transportation to and from medical appointments if:
Check with your Medi-Cal plan or local county office to see if this service is available in your area. It’s usually arranged by contacting the Medi-Cal transportation provider at least 72 hours before your scheduled appointment.
Many California counties offer paratransit services—door-to-door transportation for people with disabilities who are unable to use regular public transit. Paratransit is a good option if you are unable to drive or use regular public transportation.
Check with your local public transit agency to see if you qualify for these services. Paratransit often requires an application process and may have specific eligibility requirements.
Some non-profits, local charities, or religious organizations offer volunteer-based transportation for seniors and people with disabilities. These services might be limited to specific geographic areas, but they can often provide rides to medical appointments for a small fee or even for free.
Search for local community organizations that provide such services or ask your social worker for suggestions on available resources.
If you are unable to use public transit or other services, some health plans or medical insurance programs may reimburse the cost of transportation to appointments, particularly if the medical provider requires specialized care. Contact your medical provider or insurance company to inquire about available transportation reimbursement programs.
In some cases, you may also consider using ride-sharing services like Uber or Lyft. These services are not typically covered by IHSS, but some insurance programs or local assistance programs may offer transportation vouchers or discounts. Check with your health provider to see if you qualify for any ride-sharing discounts or coverage options.
While IHSS does not cover transportation to medical appointments, there are several other options available for people who need assistance getting to and from their healthcare visits. Medi-Cal transportation, paratransit services, volunteer programs, and ride-sharing services may provide the support you need. It’s a good idea to reach out to your social worker or local support services to explore what transportation resources are available to you.
By understanding the full range of services you’re eligible for, you can ensure that your transportation needs are met while staying focused on the care and well-being of your loved ones.
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].