Combining IHSS and Regional Center Support

Families caring for children or adults with disabilities often need support from multiple programs. One common question is whether In-Home Supportive Services (IHSS) can be used together with other services—particularly those offered by the Regional Center. The short answer is yes, IHSS can work alongside Regional Center services, and many families benefit from both.

Understanding IHSS and Regional Center Services

IHSS is a Medi-Cal program that pays caregivers to assist individuals with disabilities, allowing them to live safely in their own homes. Services may include personal care (bathing, dressing, feeding), housework, mobility assistance, and protective supervision.

Regional Centers are nonprofit agencies contracted by the California Department of Developmental Services (DDS) to serve individuals with developmental disabilities. They offer services such as respite care, behavior therapy, social programs, transportation assistance, and help with independent living skills.

How the Programs Complement Each Other

While both IHSS and Regional Centers support individuals with disabilities, they serve slightly different purposes and can be used in tandem:

• IHSS provides daily care support, such as assistance with hygiene, meal preparation, and medical needs.
• Regional Centers provide developmental services, such as behavioral therapies, specialized day programs, or recreational activities.

Because the services do not overlap entirely, it is common and acceptable for families to receive support from both programs.

Examples of How Families Use Both Services

• A child with autism may receive IHSS hours for protective supervision and daily personal care, while also participating in a Regional Center-funded behavior therapy program.
• A teenager with cerebral palsy may get IHSS support for mobility and hygiene, and Regional Center funding for respite care or adaptive equipment.

These combinations allow families to cover a wider range of needs, reducing the burden of caregiving and ensuring the individual receives comprehensive care.

Coordination Between Programs

Although the programs operate separately, there is some level of coordination required:

• Regional Centers often require families to apply for IHSS first if the support being requested (like respite care or personal assistance) overlaps with what IHSS might cover. This is because IHSS is a Medi-Cal-funded program, and Regional Centers are considered payers of last resort.
• Your Regional Center service coordinator may ask for your IHSS assessment or documentation to determine what services they will provide versus what IHSS already covers.

It’s important to keep good records and communicate with both programs to avoid service gaps or duplication.

Tips for Managing Services

1. Apply for both programs early, as the approval process can take time.
2. Inform both agencies about the services you’re receiving from the other.
3. Keep written documentation of hours, services, and assessments.
4. Ask your service coordinator or IHSS social worker for help navigating overlaps in services.

In Summary

Yes, IHSS services can absolutely be combined with Regional Center programs. In fact, using both can provide a more complete support system for individuals with disabilities and their families. The key is understanding what each program covers and working with both agencies to coordinate care effectively.

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].