Hours for IHSS: How Often Are They Reassessed?

If you're receiving services through California’s In-Home Supportive Services (IHSS) program, one of the most important aspects to stay on top of is your authorized hours—the number of hours per month you're approved to receive care. But those hours aren’t set in stone forever. The question many IHSS recipients and providers ask is: How often are IHSS hours reassessed?

The Short Answer:

IHSS hours are reassessed at least once a year, but they can also be reviewed sooner if there’s a significant change in the recipient’s condition or living situation.

Annual Reassessment: What to Expect

IHSS recipients undergo a yearly reassessment conducted by a county social worker. During this visit, the social worker will:

• Review the recipient’s current health and functional needs
• Evaluate whether assistance needs have increased or decreased
• Determine if the current number of authorized hours is still appropriate

This annual visit is meant to ensure the IHSS program is responsive to the recipient’s evolving care needs and that services are tailored to their current situation.

What Triggers an Early Reassessment?

In some cases, you don’t have to wait for the yearly review. You can request a reassessment at any time if there’s a change in circumstances. This might include:

• A decline in health or mobility (e.g., after surgery, illness, or a new diagnosis)
• A hospital discharge with new care needs
• Changes in living arrangements (e.g., moving in with family or into an assisted living environment)
• A different caregiver or loss of a current provider
• A change in available support from family members or others

Likewise, a county may also initiate an early reassessment if they receive information suggesting that the recipient’s needs may have changed.

Can IHSS Hours Be Reduced During Reassessment?

Yes. While reassessments can lead to an increase in hours if care needs have grown, they can also result in a reduction of hours if:

• The recipient’s condition has improved
• There’s new support from other household members
• The social worker determines that fewer hours are necessary

That’s why it’s important to document medical conditions, keep supporting records (like doctor’s notes), and be prepared to clearly explain any changes during the visit.

Tips for Reassessment Preparation

1. Track Care Tasks: Keep a daily or weekly log of tasks your provider helps with (bathing, dressing, feeding, mobility, etc.).
2. Gather Medical Records: Have documentation of recent diagnoses, hospitalizations, or changes in treatment.
3. Involve Healthcare Providers: Ask your doctor or specialist to provide a letter outlining your needs.
4. Communicate Clearly: Be honest about challenges in daily life. Don't downplay your needs.
5. Know Your Rights: If your hours are cut and you disagree, you have the right to appeal the decision.

Final Thoughts

Reassessments are a key part of how IHSS ensures services match the care recipient's needs. While they’re typically done once every 12 months, don’t hesitate to request a reassessment if your situation changes—especially if you feel you’re not getting enough hours to stay safe and healthy at home.

Keeping open communication with your social worker and staying organized can make the reassessment process smoother and more effective.

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].