If you’re caring for a disabled loved one or are disabled yourself, you may have heard of In-Home Supportive Services (IHSS)—a life-changing program that provides financial support for caregiving. But many people don’t realize how complex the application process can be, especially in Santa Clara County.

Understanding IHSS is crucial for navigating the application process.

In this guide, we’ll break down the steps to apply, what happens during an assessment, how to request more hours, and what to do if your application is denied.

And if you’re searching for application help or someone to help fill out the application form, you’ll find resources below too.

What Is IHSS?

In-Home Supportive Services (IHSS) is a California Medi-Cal program that pays a caregiver—usually a family member—to help with activities like:

• Bathing and dressing
• Cooking and meal prep
• Housekeeping
• Transportation to medical appointments
• Medication management
• Bowel/bladder care
• Mobility and transfers
• Paramedical services (with SOC 295 form)

It helps people remain safely in their homes instead of moving into a facility.

How to Apply for IHSS in Santa Clara County

Step 1: Start the Application

You can begin your application by calling the Santa Clara County intake line at (408) 792-1600. They will mail you the application packet, or you can visit their website to download the SOC 295 and SOC 873 forms.

If you need help filling out the application form, a Legal Document Assistant (LDA) can assist you in gathering documents, completing forms correctly, and submitting them to the county.

Step 2: Medical Certification (SOC 873)

You’ll need your doctor to complete the SOC 873 medical certification form. This confirms that you or your loved one has a condition that requires in-home care.

Tip: Be specific. Have your doctor list daily limitations and explain why assistance is needed.

Step 3: IHSS Home Visit (Assessment)

Once the county receives your application, a social worker will schedule an in-home visit. This is called the needs assessment.

They will:

• Evaluate your ability to perform daily activities
• Ask questions about your condition
• Determine how many monthly hours you may be eligible for

📌 Many applicants don’t realize they can have someone present to advocate for them during the assessment. Having support can make a big difference.

If you live in San Jose and need help with IHSS assessment or want to increase your hours, contact a qualified LDA or advocate before the home visit.

How to Request a Reassessment (Increase Hours)

If your condition has changed, or the hours you received don’t meet your needs, you can request a reassessment.

✅ Reasons for reassessment include:

• Worsening of medical condition
• New diagnosis
• Increased need for care (e.g., added mobility issues, mental health changes)
• Denial of paramedical services that are medically necessary

In Santa Clara, you can call your IHSS social worker to request a reassessment or send a written request.

If you’re looking for help with IHSS increase hours in San Jose, an LDA can help gather supporting documents, prepare a paramedical SOC 295, and guide you through the appeal process if needed.

What to Do If Your Application Is Denied

Many applicants are shocked to receive a Notice of Action (NOA) denying their IHSS application or granting fewer hours than needed. Common reasons for denial include:

• Incomplete or vague doctor statements
• Insufficient documentation of need
• Social worker misunderstanding your limitations

You have the right to:

• Appeal the decision
• Request a state hearing
• Submit additional evidence

📢 If you need help with denial in San Jose, get assistance fast. Appealing early with a detailed response can turn your case around.

How TrustPoint Disability & Legal Services LLC Can Help

If you’re overwhelmed with forms, struggling with a denial, or want to request more hours, TrustPoint Disability & Legal Services LLC is here to help.

We offer:

• IHSS application help
• Denial response drafting
• Bilingual services (Vietnamese & English)
• Flat-rate, affordable pricing

📍 Located at:
434 Blossom Hill Rd, San Jose, CA 95123

🌐 Visit:
👉 https://trustpointdisabilityandlegalservices.com/ihss-advocate/