Support at Home

Support at Home (S@H) provides home care vouchers to keep San Francisco adults with disabilities and older adults living safely in their community. The goal of S@H is to provide needed home care resources that are not accessible through any other means due to affordability challenges.

In 2017, a group of San Francisco advocates led by Senior and Disability Action, worked with the San Francisco Board of Supervisors and Supervisor Norman Yee held a hearing to discuss this gap in care. Funding was provided to the Department of Aging and Disability Services, and IOA was awarded a contract for a 2.5 year program pilot.

UCSF subsequently conducted an outside evaluation of the program, in which it was demonstrated that small amounts of subsidized home care led to significant cost savings for the health care system. The Support at Home program received ongoing funding in 2019 from DAS.

This program serving the community is funded by the City of San Francisco’s Department of Disability and Aging Services.

Program Staffing

  • Assessment Specialists
  • Accounting/Program Coordinator
  • Supervisor

Program Services

  • Provides home care vouchers to keep adults with disabilities and older adults living safely in the community
  • Provides resources for needed home care that are not available through any other mechanisms due to financial challenges
  • Clients can choose from two models of care: independent provider and agency home care

Eligibility Requirements

  • Resident of San Francisco
  • 18 years of age or older
  • Require assistance with a minimum of two (2) Activities of Daily Living and/or Instrumental Activities of Daily Living
  • Monthly income does not exceed 100% of Area Median Income (available at
  • Assets do not exceed $40,000 (excluding one house and one car)
  • Able to demonstrate financial and functional need for subsidized home care
  • Willing to pay a portion of the home care cost
  • Willing to participate in program requirements and evaluations
  • Ineligible for other subsidized home care through programs such as IHSS, Community Living Fund, In-Home Operations or other state waiver programs

Counties Served

San Francisco

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