ESC
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The most common IHSS service delivery mode, in which the recipient directly hires, supervises, and can dismiss their own provider — including family members or friends. The two alternative modes are Contract Mode (the county contracts with an outside home-care agency) and County Homemaker Mode (the county directly trains and employs providers); recipients choose which mode they prefer.

Official program information: CDSS — In-Home Supportive Services. Definitions here are IHSSHours.com's plain-English explanations, not the regulatory text.

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