Your Medi-Cal Plan May Cover In-Home Care
Are you eligible for Medi-Cal funded In-Home Care?
Through CalAIM’s Community Supports initiative, 24 Hour Home Care provides non-medical, in-home Personal Care & Homemaker and Respite services to eligible Medi-Cal members, at no cost.
Who qualifies for in-home care?
If you can check these boxes, you’re likely eligible for in-home personal care & homemaker and respite services with 24 Hour Home Care.
Enrolled in
Medi-Cal
Enrolled in a Medi-Cal Managed Care Plan (MCO)
and, one of the following situations applies:
Waiting for IHSS Approval
IHSS approval can take weeks or months. 24 Hour Home Care can fill in the care gap while you are waiting.
IHSS Hours Aren't Enough
If you've maxed out your IHSS hours and need additional help, you may be eligible for additional support through your Medi-Cal managed care plan at no cost.
Needs Short-term Support
Members with a documented clinical need may access up to 60 days of Personal Care & Homemaker services to prevent a skilled nursing facility placement. No IHSS connection required.
Medical Needs Have Changed
If a member’s condition has changed and they are pending a re-assessment with IHSS, they may qualify for Personal Care & Homemaker services while they’re waiting.
Your Caregiver Needs a Break
Respite care is funded separately — no IHSS connection required. If you're a primary caregiver showing signs of strain and your loved one can't be left alone due to be at risk of a facility placement, they may qualify for up respite care hours. Learn About Respite Care
How we help: Personal Care & Homemaker and Respite services
How to get started
A Referral is Submitted on the Member’s Behalf
Your social worker, care coordinator or health plan submits a referral for the Medi-Cal member.
We Confirm the Member’s Eligibility
Our team works directly with the member’s family and the health plan to verify eligibility and get authorization.
Care Starts With Someone You Already Trust
Our team will reach out to onboard your chosen caregiver so they can start providing care, log hours, and get paid.
Frequently asked questions
Does the member need to be enrolled in IHSS to qualify?
No — IHSS enrollment is not required for CalAIM Respite Care eligibility. The primary requirements are active Medi-Cal managed care enrollment and a demonstrated need for caregiver relief.
Can I choose a family member as my respite caregiver?
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Is there a cost to the family for CalAIM Respite Care?
CalAIM Respite Care is covered as a Community Supports benefit through member’s Medi-Cal Managed Care Plan — at no cost to the member or their family. Authorization is required from the health plan, and 24 Hour Home Care assists with the entire authorization process.
Can respite care be used alongside personal care & homemaker services?
Yes. Respite Care hours are in addition to support hours the member is authorized for, allowing families to build a comprehensive care arrangement. Eligibility is determined by the member’s Medi-Cal health plan.
How many hours of respite care are available per year?
The CalAIM program authorizes up to 336 hours of respite care annually. Exact hours depend on the member’s health plan.
Resources
Learn More About CalAIM Community Supports and IHSS
Ready to get the support you need?
Caring for a loved one is meaningful, but you do not have to do it alone. Our team is here to make the process simple so you can access respite care with confidence.