Overview
San Francisco County's IHSS program is administered through the San Francisco IHSS Public Authority, which handles provider registry, training, and wage negotiation with SEIU Local 2015.
San Francisco is a consolidated city-county, so IHSS is administered through the San Francisco Human Services Agency (SFHSA) rather than a separate county social services department — a structural difference from most other California counties.
Provider Wage & Public Authority
San Francisco County IHSS Contacts
- Current hourly wage
- $23.00/hr (highest hourly rate of any California county)
- Public Authority
- SF IHSS Public Authority (SEIU Local 2015)
Wage figures are compiled from public county and advocacy sources and cross-checked where possible, but county rates change and secondary sources sometimes disagree. Confirm your current rate directly with SF IHSS Public Authority before relying on this figure.
Local Notes & Quirks
- Highest wage in California: San Francisco pays the highest IHSS hourly rate of any county in the state, with scheduled increases through January 2027 already negotiated.
- Consolidated city-county government: Because San Francisco is both a city and a county, IHSS is run through the San Francisco Human Services Agency (SFHSA) — there's no separate 'county' office to distinguish from the city government.
- Healthy Workers health coverage: Providers working a minimum of 25 hours across the last two consecutive months can apply for Healthy Workers insurance through the San Francisco Health Plan, plus dental coverage after 25 hours across six months.
Appealing a Notice of Action in San Francisco County
If San Francisco 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 San Francisco County IHSS appeal, Disability Rights California can be reached at 1-800-776-5746.
Heading into your San Francisco County assessment?
The Clarity Report gives you a personalized estimate of the hours you may qualify for, built on California's official Hourly Task Guidelines — before you sit down with your San Francisco County social worker.