Eligibility Criteria for all IHSS Applicants and Recipients:
Live in Nevada County
Be a U.S. citizen or a legal permanent resident of California
Be 65 years of age or older, blind or disabled of any age
Must have a Medi-Cal eligibility determination*
Must live at home or an abode of your own choosing (acute care hospital, long-term care facilities, and licensed community care facilities are not considered "own home ")
Be unable to live at home safely without assistance
Must submit a completed Health Care Certification Form (SOC 873)
Information Needed to Apply for IHSS:
Whether you are calling for IHSS on your own behalf or on the behalf of someone else, please be prepared with the following information:
Name
Home Address (mailing address if different)
Phone number
Applicant's date of birth
Social Security Number
Gender Identity
Sexual Orientation
Ethnicity
Preferred spoken and written language
Marital status
Names of all household members
Number of minor children related to applicant living in home (if applicable)
Summary of services applying for
Disability related accommodations
Involvement with other community agencies (ex. Alta, STEP, etc.)
Authorized Representative information (if applicable)
Name of prospective care provider
How to Apply for IHSS:
To apply for IHSS call: (530) 265-1639 Monday – Friday (8:00 am – 5:00 pm)
Mail to: In Home Supportive Services / Adult Services 950 Maidu Ave P.O. Box 599002 Nevada City, CA 95959-7902 Or Fax to (530) 470-2625
