For hospital partners

For hospital partners: home care after discharge

Case managers already name the next setting. Families still need a plain map of skilled home health versus daily help, and a realistic house. Sevah can take a coordinated home-care handoff. Public program rules stay with Medicare, Medi-Cal, and the county.

Families hear one phrase. Programs are several.

On a busy floor, “we will arrange home care” can mean a Medicare home-health start of care, a private aide, a family member sleeping in the recliner, a California IHSS application, or all of those in one week. The family cannot tell them apart. A short distinction in the discharge conversation prevents a week of returned calls. Discharge desks talk about home first because more families are older. The Administration for Community Living 2023 Profile of Older Americans, Census-based, reports 57.8 million Americans age 65 and older in 2022, or 17.3 percent of the U.S. population. Census Bureau QuickFacts for California (2025 vintage) reports that 17.5 percent of the state is 65 or older. That is a public demographic fact. It is not a proprietary service-line forecast, and this page does not invent a growth rate for home health or personal care.

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California Home Help education

For IHSS, Medi-Cal, and county paperwork, use the educational pages on California Home Help. Those offices still decide the case.

Official sources

Family page: coming homeDischarge planners at SevahHome health directory

FAQ

Questions families and partners ask

Is Acute Hospital Care at Home the same as a home-care referral?

No. CMS describes Acute Hospital Care at Home as inpatient-level hospital care in the home for hospitals with a waiver. Skilled home health and personal care are different programs. Ask your compliance team whether your hospital participates.

What should we hand California families for IHSS?

Point them to California Home Help and the county IHSS office list on CDSS. A hospital referral is not an IHSS authorization. The discharge planner kit on California Home Help is a one-pager you can keep.

Will Sevah take every discharge?

Fit still depends on clinical need, geography, and whether the home can carry the plan. Talk with us about the handoff. Facility, Medicare, and county staff still decide their own files.