How Often Do I Need to Renew or Update the IHSS Plan?

October 3, 2025

If you or your child receives In-Home Supportive Services (IHSS), you might wonder how often the care plan needs to be renewed or updated. Understanding this process is important to ensure that the level of care remains appropriate as needs change.

Regular IHSS Plan Reviews

Typically, IHSS plans are reviewed once every 12 months. This annual review, sometimes called a reassessment, helps determine if the current hours and services still match the care recipient’s needs. During the review, a social worker or nurse visits the home to evaluate the individual’s condition and ability to perform daily activities such as bathing, dressing, meal preparation, and mobility.

Why Are Updates Important?

Care needs can change over time due to improvements in health, new medical conditions, or changes in mobility or behavior. Updating the IHSS plan ensures that the support provided aligns with these changes, preventing both under- and over-provision of care hours.

What If Needs Change Before the Scheduled Review?

You don’t have to wait for the annual reassessment if your child’s or your needs change significantly. You can request an interim reassessment at any time. This request can be made by contacting your county IHSS office and providing documentation from medical professionals if available. Examples of changes that might warrant an update include new diagnoses, increased medical care needs, or changes in supervision requirements.

How to Request a Plan Update

To initiate a reassessment, contact your county’s IHSS social worker or case manager. Explain the change in care needs and provide supporting information if possible. The IHSS office will then schedule an in-home visit to assess the situation and adjust the care plan accordingly.

What Happens After the Reassessment?

Following the reassessment, the IHSS worker will recommend the number of hours appropriate to meet the updated care needs. You will receive a notice explaining any changes to your IHSS hours or services. If you disagree with the decision, you have the right to appeal.


In Summary

  • IHSS plans are generally reviewed once every 12 months.
  • You can request a reassessment any time if care needs change.
  • Updating the plan ensures care hours match current needs.
  • Contact your IHSS social worker to request an update or report changes.

Staying proactive about renewing and updating the IHSS plan helps maintain the right level of support for your family’s wellbeing.

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].

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