IHSS in Sacramento County

Overview

Sacramento County's IHSS program is administered directly by the county, with provider registry, enrollment, and benefits administration handled by the Sacramento County IHSS Public Authority — a separate entity that works closely with IHSS but operates independently.

Sacramento splits its phone lines by function more than some counties — applications, payroll, social worker contact, and Public Authority registry questions each route to a different number, so it helps to know which line you need before calling.

Provider Wage & Public Authority

Wages are renegotiated roughly twice a year. Confirm your current rate directly with SACPA before relying on this figure.

Local Notes & Quirks

• Function-specific phone lines: Sacramento routes applications, payroll, and registry questions to different numbers — calling the wrong one can mean getting transferred, so confirm which line matches your need first.
• SACPA is a separate entity: The Public Authority "works closely with" county IHSS but is organizationally distinct — for hours/eligibility questions, you want your assigned social worker, not SACPA.
• Online registry application: Caregivers interested in joining the Public Authority's provider registry can request an application by phone or email rather than requiring an in-person visit to start.

Appealing a Notice of Action in Sacramento County

If Sacramento County reduces, denies, or terminates your IHSS hours, the appeal process is governed by state regulation — the same 90-day deadline applies regardless of county:

• You have 90 days from the date on your Notice of Action to request a State Hearing
• Call the State Hearings Division at 1-800-952-5253 to request a hearing
• Or mail a written request to: California Department of Social Services, State Hearings Division, P.O. Box 944243, Sacramento, CA 94244
• Requesting your hearing before the Notice of Action's effective date preserves Aid Paid Pending — meaning you keep your current hours while the appeal is decided

For free legal help with a Sacramento County IHSS appeal, Disability Rights California can be reached at 1-800-776-5746.