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IHSS Turnaround Time

Written by Gunnar Johnson

Updated at August 25th, 2025

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🗓️ Typical Timeline to IHSS Approval ⏩ Tips to Speed Up the Process

The In-Home Supportive Services (IHSS) approval process in California typically takes up to 90 days, though the timeline can vary based on the county and how quickly required steps are completed. Here's what to expect:

 


 

🗓️ Typical Timeline to IHSS Approval

Step

Description

Estimated Time

1. Application Submission

Apply online, by phone, or in person

Immediate

2. County Contact

IHSS contacts you to schedule an in-home assessment

Within 2–4 weeks

3. In-Home Assessment

Social worker evaluates needs and living conditions

Within 2–6 weeks of application

4. Medical Certification (SOC 873)

Must be completed by a licensed health care professional

Depends on *provider turnaround 

5. County Decision

County reviews assessment, doctor’s certification, and determines service hours

Up to 30–45 days after assessment

6. Notice of Action (NOA)

Approval or denial is mailed

Within 90 days of application

 


 

⏩ Tips to Speed Up the Process

  • Submit all forms early, especially the Health Care Certification (SOC 873)
     
  • Keep a copy of everything submitted
     
  • Follow up with the county if you haven’t heard back after 2–3 weeks

     

 


 

 

***Note: HottoCare can complete the SOC 873 form. Our onboarding process needs to be completed first as that information is needed for the form.

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