Adult Services

In-Home Supportive Services

Fresno County - State of Emergency Due to Winter Storms

Due to the impacts of the winter storms from the atmospheric river weather system and its effects on Fresno County, the County Administrative Officer and Emergency Services Director, Paul Nerland, has proclaimed a State of Emergency as of today, January 9, 2023.

The storm has impacted several County roads and caused flooding and hazards throughout the County, all of which can cause peril to human safety and property.

The County of Fresno is also updating all of its social media platforms and the web page,, with information and updates on roads, sandbags, power outages, evacuation areas, and weather. The County encourages the public to check the web page and Fresno County and Fresno Sheriff social media often for updates.

The public is also encouraged to download these apps to report any road hazards: 

Fresno County also reminds the public of these safety tips:

  • Do not travel in flooded areas and to turn around.
  • Turn on your headlights when using windshield wipers.
  • Report plugged culverts and washed-out roadways.
  • Avoid recreational travel especially to the foothills and mountains.
  • Stock up on supplies and prepare to shelter-in-place.

Warming Centers in the Fresno Metro Area 

The City of Fresno has opened warming centers at the following locations.  Cots and blankets will be available at the warming centers  FAX will provide transportation to you get there, just hop on a bus  and tell them you are going to a warming center.

Meals (breakfast, lunch & dinner) will be provided.  Showers are  available at Maxie L Parks Community Center only.

  • Maxie L Parks Community Center - 1802 E Annadale Ave
    • Route 34 and get off at the stop on Elm and Geneva
  • Mosqueda Community Center - 4670 E Butler Ave
    • Route 26 and get off at the stop on Butler and Sierra Vista
  • Pinedale Community Center - 7170 N San Pablo Ave
    • Route 26 and get off at the stop on Blackstone and Spruce
  • Ted C Willis Community Center - 770 N San Pablo Ave
    • Route 22 and get off on Olive and San Pablo OR take Route 33 and get off at the stop on Belmont/San Pablo
  • Poverello House - 412 F St




Medi-Cal Msg


If your contact information or household circumstances have changed, please update your information today by contacting Fresno County Department of Social Services in one of the following ways.

Mail: Fresno County Department of Social Services
PO BOX 1912 Fresno CA 93718
Fax: 559-600-7706 (Medi-Cal only)
Phone: 1-855-832-8082 Between 7:30 AM – 4:30 PM


What is IHSS?  


The In-Home Supportive Services (IHSS) program arranges for and helps pay for services to enable elderly, blind or disabled persons to live safely and independently in their own homes. The Fresno County IHSS program is considered an alternative to out-of-home care, such as nursing homes or board and care facilities. The types of services that can be authorized through IHSS are chores and related services (such as housecleaning, meal preparation, laundry and grocery shopping), and personal care services (such as bowel and bladder care, bathing and paramedical services).

How the IHSS Program Works

  • Apply by completing the online referral for application and an IHSS Social Worker will call within 1-3 business days to complete an application by phone or call (559) 600-6666 (Option 1) to apply over the phone.  
  • After you apply, a social worker will conduct a home visit to discuss your need for IHSS and determine if you are eligible. 
  • Based on your ability to safely perform certain tasks for yourself, the social worker will assess the types of services IHSS pays for, your level of need and the number of hours that will be authorized for each service.
  • This assessment will include information from you, your family, caregivers, physician or other licensed health care professional(s).
  • As part of the application process, you will have to provide IHSS with a Health Care Certification form completed by your physician.
  • You will be notified if IHSS has been approved or denied.  If denied, you will be notified of the reason for the denial.  If approved, you will be notified of the services and number of hours per month that have been authorized to you.
  • If you are approved for IHSS, you must hire someone (care provider) to perform the authorized services.  You will be considered your care provider's employer and it is your responsibility to hire, train, supervise and fire your care providers.
  • If you are not able to locate a care provider on your own, Fresno County IHSS Public Authority (PA) can give you a list of eligible providers to interview.  If you have difficulty interviewing potential providers, the PA may be able to assist you.  Call (559) 600-6666, select Option 4.
  • The IHSS care providers are paid after completing timesheets which must be approved by the recipient or their authorized representative.  There are two pay periods a month - the 1st to 15th, and 16th to the end of the month.  See Provider Payments for more information.

Fresno County IHSS Updates:

During this period, Fresno County IHSS has modified our services in order to support your care and provider needs without interruption.

  • Contacting Your Social Worker:  Many of the IHSS Social Workers are now working from home one or more days per week.  When you call your Social Worker, please leave a message and they will call you back within one business day.  If you need to speak with someone sooner, please call (559) 600-6666, and, after making a language selection, press "1" to speak with a Social Worker of the Day.

 IHSS Applicant & Recipient Updates:

  • Information and Assistance:  About IHSS, contact your Social Worker or (559) 600-6666.  For other information, call 211.
  • Applications:  We continue to process all applications and new intakes.  Due to Federal and State requirements, in order to complete an initial assessment for services, a visual contact, either in person or by video chat (due to possible COVID-19 infection/exposure) must be conducted. 
  • Loss of Care:  If your IHSS provider can no longer work for you, and you cannot find another eligible IHSS provider, call the Provider and Recipient Call Center (PARCC) at (559) 600-6666 (Option #4) to request a list of Registry Providers.
  • Reassessments:  Annual reassessments are being conducted by phone for the time being.
  • Reporting Changes:  If you have a change in condition and require additional hours, call your Social Worker to determine your needs.  Other changes which must be reported as soon as possible include hospitalization, starting or stopping attendance at a day program or school, someone moving in or out of your home and changes to address or phone. 

 Provider Enrollments:

  • Provider Enrollments:  Visit the IHSS Provider Online Enrollment & Orientation page for more details.
  • Service Changes:  If you can no longer provide service to your IHSS recipient, please let them know and help them arrange for other care, if possible, and contact their IHSS Social Worker.

Medical Accompaniment for Assisting IHSS Recipients to COVID-19 Vaccination Appointments

IHSS recipients between the ages 16 to 64 are also eligible to receive the COVID-19 vaccine when and where it is available to them.  The California Department of Social Services (CDSS) is sending a letter with this information which can be shown to confirm they are an IHSS recipient.  Persons age 65 and older are already eligible to receive COVID-19 vaccinations.  Availability was extended to December 31, 2022.

When an IHSS recipient requires the assistance of their IHSS provider to get to a COVID-19 vaccination appointment(s), the provider can claim up to two hours for each appointment and be paid at the regular wage*.  This time does not count toward the weekly maximum hours and is not eligible for overtime.

 A copy of the Vaccine Medical Accompaniment Claim Form is being mailed to recipients or can be printed from the CDSS website and can be submitted for COVID-19 vaccine appointments after January 1, 2021.  For Fresno County IHSS recipients, please send the claim form to DSS – IHSS, PO Box 1912, Fresno CA 93718-1912.

*Vaccine Medical Accompaniment hours are not available to providers that work for an IHSS recipient that is already receiving the statutory maximum hours.  No more than 4 hours will be paid for both appointments in total.  While an IHSS recipient is not required to already have Medical Accompaniment authorized in order for a provider to be eligible for payment, not all providers are not eligible for Medical Accompaniment payments. 


Looking for COVID-19 Vaccinations in Fresno County?

Use MyTurn to schedule an appointment for COVID-19 vaccinations in Fresno County.  While the DSS Sunnyside Clinic mentioned in the video is closed, there are several locations listed in MyTurn throughout Fresno County where you can get vaccinated.  Visit the Fresno County Department of Public Health website for additional information.

For individuals that are home or bed bound and not able to travel to a vaccination site, or need assistance in scheduling an appointment online, please call (559) 600-3332.

Protect Yourself & Others!

For the most current information about COVID -19 in Fresno County, please visit the Fresno County Public Health website.

If you are at higher risk for serious illness from COVID-19 because of your age or health condition, it is important for you to take actions to reduce your risk of getting sick with the disease, including:

  • Isolate at home and practice social distancing.
  • Wash your hands often with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing, or having been in a public place.
  • Avoiding touching your eyes, nose or mouth with unwashed hands.
  • Avoid close contact with people who are sick and stay away from large gatherings and crowds.
  • Consider ways of getting food brought to your house though family, social or commercial networks.

If you think that you have been exposed to COVID-19 and develop a fever and symptoms, such as cough or difficulty breathing, call your healthcare provider for medical advice.

If you are sick with COVID-19 or suspect you are infected with the virus that causes COVID-19, you should take steps to help prevent the disease from spreading to people in your home and community.

Be an IHSS Advisory Council Member!

The Fresno County IHSS Advisory Committee (IHSS AC) meets on a monthly basis and is dedicated to enhancing the lives of the blind, disabled, and aging community and those who provide for their care. The IHSS AC is a collaboration of the County of Fresno, community agencies and the public.

Preparing for Power Outages

When the risk of fire is due to severe winds and dry conditions, your utility company may decide to shut off power, which is called a Public Safety Power Shutoff (PSPS) event.  The California Department of Social Services (CDSS) has created checklists that include steps you can take prior to a PSPS event to make sure both you and your provider are prepared. 

To get more information about PSPS events, and sign up for notifications from your utility company.

Contact Us!

If you have questions about the IHSS program, call us at (559) 600-6666 or send us an email.


Public Authority




Fresno County Public Authority Logo 2022

Hands on Cane, elder, senior, canewheelchair, caregiver

COVID-19 Vaccines are Now Available

 All individuals 12+ are eligible for COVID-19 Vaccinations. Schedule an appointment at or call 1-833-422-4255 for assistance.

Did you know that the Fresno County Department of Public Health can assist people in receiving their COVID-19 vaccines at home if you are home bound/bed bound, or have major transportation issues?  Please visit or call Call the CA COVID-19 Hotline at 1-833-422-4255 Mon-Fri 8am-8pm, Sat-Sun 8am-5pm to connect to local resources. 

Locally, the Disability Equity Project is manning a line 888-468-9115 where you can also call to request in home vaccinations or pay for transportation to get a vaccine.  They will also help with registration.  Fresno County Department of Public Health has contracted with American Ambulance and has some mobile clinics that will go out and vaccinate those who are home bound.  We know there are real issues out there that have prevented some from getting vaccinated and we hope this information helps.   



How do the vaccines work? How many doses will you need? Are there any side effects? What if I'm pregnant or nursing? Find the answers to these questions & many more here. 

NEW! Register to Enroll as a Care Provider Online!

IHSS Provider Online Enrollment and Orientation

No more Orientation Classes to attend - you can now complete them online!  

No more waiting on the phone to schedule or reschedule an orientation!  

Sign enrollment documents and provide your ID cards quickly & safely at your in-person appointment! 

Registering online is convenient, simple and available 24 hours a day, 7 days a week! 

Take me to IHSS Provider Online Enrollment & Orientation!

Electronic Visit Verification (EVV) is here!

Electronic Visit Verification is here, and paper timesheets are no longer available. All Fresno County IHSS Recipients & their Care Providers are required to submit & approve their timesheets either online via the Electronic Services Portal (ESP), or by phone via the Telephone Timesheet System (TTS).

No more paper timesheets!
As a Care Provider you can get paid faster, especially if you use Direct Deposit!
No more mail time, postage fees or lost or damaged timesheets!
Less chance of errors & violations with automatic system warnings!
No more phone calls to check on payment or timesheet status!



I want more information on EVV

EVV Training Materials, Webcasts & Webinars

Timesheet Options for IHSS Care Providers

Spanish-language COVID-19 Vaccine Information Video

   Featuring Dr. Marin-Nevarez 


Produced by Community Medical Centers



This video answers the following questions:

• What should the public know about the vaccine?
• Are the vaccine side effects serious?
• Why do you recommend that the public get the vaccine?
• There is a lot of misinformation about the vaccine. What should the public know about this false information?
• The vaccine is being given to the public at a record pace. How can the public be assured that it is really safe?
• If I have had COVID-19 in the past, should I get the vaccine?
• If I have had both vaccine doses, can I now get close to my relatives and stop using a mask?

What is the IHSS Public Authority and what do we do?



The Public Authority was established per State mandate to act as Employer of Record for In-Home Supportive Services (IHSS) Care Providers. The Public Authority negotiates with the Provider's Union SEIU 2015 to set wages, benefits and working conditions for the IHSS Care Providers. The Public Authority also maintains a Provider Registry to help the IHSS Recipients find Care Providers so they can remain in their home safely and independently.

Clasped Hands, elder care, caregiver

  How do I become an IHSS Care Provider?

IHSS Care Providers offer assistance to eligible aged, blind and disabled individuals to live safely and independently in comfort of their own homes. The IHSS provider is chosen by the client, and works in the client's home to do those tasks the client cannot do for themselves. More information on how to enroll to be an IHSS Care Provider 

How do I join the IHSS Public Authority Provider Registry

Our IHSS Care Provider Registry maintains a database of Care Providers that have been screened and trained by the Public Authority. The Provider Registry helps link IHSS recipients to providers. When an IHSS recipient asks for help to find a provider, the Public Authority matches providers in the Registry to the recipient's physical location, authorized tasks and work schedule. Since the recipient is the employer, the recipient will interview providers and make a decision on who they will hire. Recipients can also fire a provider at will. More information on how to apply to be an IHSS Public Authority Registry Provider

SEIU Local 2015

SEIU 2015, union, caregiver, IHSS, Provider

As part of being an IHSS care provider, you are automatically represented by SEIU Local 2015 for wages, benefits and certain terms of employment. You are also eligible to join the SEIU Local 2015 as a union member.

For information regarding SEIU 2015 membership please visit here

or you can call the Member Action Center at 855-810-2015

Report IHSS Fraud

In-Home Supportive Services fraud is an intentional attempt by some providers, and in some cases beneficiaries, to receive unauthorized payments or benefits from the program. This fraud can take many forms, but the most common involves providers knowingly billing for services not performed, or providers billing for the care of more beneficiaries than they can actually serve.
If you observe or have knowledge of suspicious In-Home Supportive Services (IHSS) activity, call the DHCS IHSS Fraud Hotline telephone number, 1-800-822-6222, to report it. The call is free and you can remain anonymous. You can also send an e-mail to The recorded message may be heard in English and ten (10) other languages including Spanish, Vietnamese, Cantonese, Armenian, Hmong, Cambodian, Laotian, Farsi, Korean, and Russian. 

Speak up! Join the IHSS Advisory Committee

Would you like to have a say in the care that you provide or receive? Or discuss issues and changes in the IHSS Program? By attending monthly IHSS Advisory Committee meetings you will have the opportunity to provide input from the perspective of the Care Provider and Recipient. Learn more about the IHSS Advisory Committee here.

Workers' Compensation

If you are a Care Provider who is injured while working for an In-Home Supportive Services (IHSS) Recipient, you can file a Workers’ Compensation claim.

To report your injury, call (559) 600-6666 option 4.  A Public Authority staff member will take your claim. After your claim is filed and all documents are received, your claim will be forwarded to and processed by: Intercare Holdings Insurance Services.

For claim status,  call Intercare at (800) 771-5454 Or (916) 781-5700


Questions? Please contact us at

IHSS Public Authority Provider & Recipient Call Center
(PARCC) at: (559) 600-6666 option 4

To return documents electronically, please visit our Secure Document Submission webpage

To return documents by regular mail, please send to
PO Box 1912
Fresno CA 93718-1912



Adult Protective Services