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Programs include: California Work Opportunity and Responsibility to Kids (CalWORKs), Foster Care, CalFresh, General Assistance, Medi-Cal, Adoptions, Child Protective Services, Adult Protective Services, In-Home Supportive Services (IHSS), Refugee Assistance, and the Mary Graham Children’s Shelter. Your paid, IHSS care provider can be someone in your family, a friend, a professional from an agency or someone you choose from the IHSS PA Registry of pre-screened caregivers. If you want to hire someone you know for in-home care, we enroll them in the program so they are paid as your employee. IHSS is the California Medi-Cal program’s largest in-home care program. It allows individuals with functional limitations to receive care in their home, if they cannot safely remain in their homes without such assistance. In 2017, more than 500,000 Californians qualify for a wide range of these in-home services. FACT SHEET IHSS CONSUMER PROFILES