Can I be an IHSS provider in Nevada while on CalFresh in California?
Hey CalFresh community! I'm in a weird situation and need some advice. I live in Barstow, CA and currently receive CalFresh benefits. My aunt who lives in Las Vegas wants me to be her IHSS (In-Home Supportive Services) care provider. Her plan is for me to travel to Vegas a few days each week to take care of her. Will this mess up my CalFresh benefits? Do IHSS rules even allow working across state lines? Also, would I need to report this income to Barstow county even though the work is in Nevada? Really confused about how this all works with the different states involved. Anyone dealt with something similar?
19 comments


Amara Eze
I dont think thats gonna work. IHSS is a california program and Nevada probably has their own version with different rules. Plus crossing state lines for work might affect ur residency status for benefits. Barstow to Vegas is like what, 2-3 hours each way?? Thats a lot of driving
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Liam McGuire
•Yeah it's about 2.5 hours each way... was thinking I could stay there 3-4 days then come back. But you're right, I didn't even think about the IHSS being California-specific. Ugh, this is more complicated than I thought.
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Giovanni Greco
To clarify a few things: IHSS is specifically a California program, so your aunt in Nevada would need to be enrolled in Nevada's equivalent program (called Personal Care Services Program in NV). As for your CalFresh benefits, you absolutely need to report any income you earn regardless of which state you earn it in. Working across state lines doesn't automatically disqualify you from CalFresh, but you must maintain California residency to keep CA benefits. Two major considerations: 1. The income from being a care provider will count toward your CalFresh eligibility and may reduce your benefit amount depending on how much you earn 2. If you spend too many days in Nevada, it could affect your California residency status (generally staying out of state for more than 30 consecutive days) I recommend calling your county office directly to explain this specific situation before starting the work.
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Liam McGuire
•Thank you for this detailed info! I had no idea Nevada had a different program. I'll definitely need to report the income, that makes sense. Do you know if Nevada's program even allows providers who don't live in Nevada full-time?
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Fatima Al-Farsi
kinda off topic but my cousin did something similar but with Arizona and California and it was a MESS with taxes!!! had to file in both states and everything got complicated. just something else to think about
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Liam McGuire
•Oh god, I didn't even think about the tax situation. That sounds like a nightmare. Thanks for bringing that up!
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Dylan Wright
I work for a community resource center that deals with this kind of thing. Here's what you need to know: 1. As others mentioned, IHSS is California-only. Nevada has their Personal Care Services Program (PCS), which has different rules. 2. For Nevada's PCS, they typically require providers to be Nevada residents OR live within a certain distance of the client. You'd need to check with Nevada Medicaid specifically. 3. For your CalFresh benefits, working in Nevada won't automatically disqualify you, but: - You MUST report all income (even out-of-state income) - Your CalFresh benefits will likely be reduced based on this income - You must maintain your primary residence in California 4. You might hit the Income Reporting Threshold (IRT) with the additional income, which requires immediate reporting (not just at your semi-annual report). I strongly recommend calling your Barstow County office directly to explain this situation. Getting through can be difficult - if you keep getting disconnected, try using Claimyr (claimyr.com). They can get you through to a live person without the wait. I've recommended it to many clients who needed to speak directly with eligibility workers about complex situations like yours. They have a video showing how it works: https://youtu.be/eZ19FHRETv8?si=_CXnXqNXbLl26WB8
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Liam McGuire
•This is SUPER helpful, thank you! I'll definitely look into Nevada's requirements first to see if I even qualify as a provider before worrying about the CalFresh side. And thanks for the Claimyr tip - I've definitely had trouble getting through to my worker before.
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Sofia Torres
Not to be discouraging but ur gonna have a headache with this situation. I tried working across county lines (not even state!) and had soooo many problems with my benefits. The system just isnt designed for people who dont fit in the normal box. Good luck!!!!
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GalacticGuardian
•This is 100% accurate. The system PENALIZES anyone trying to take care of family members while maintaining benefits. It's BY DESIGN to make it difficult. They'd rather we all just give up. I bet OP will lose a ton of benefits the moment they report the income. Meanwhile billionaires pay nothing.
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Dmitry Smirnov
I just wanted to give you an update on this cross-state situation from personal experience. I live in Needles, CA (also near the state line) and provide care for my mother in Arizona. Here's what I learned: 1. You have to apply through Nevada's program, not California IHSS 2. You need to carefully track days spent out of state (I use a calendar app) 3. Income must be reported to CalFresh within 10 days if it puts you over your IRT 4. When I called my county, they told me as long as I maintain my primary residence in CA and don't stay out of state for more than 30 consecutive days, my California residency is safe The trickiest part was determining which state's program would actually pay me. In my case, since my mom qualified for Arizona's program, I had to get certified through their system even though I live in California. It sounds complicated (and it is), but it's doable if you're persistent about clarifying everything up front.
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Liam McGuire
•This is EXACTLY what I needed to hear from someone with real experience! The 30 consecutive days rule is really helpful to know. I'll start by contacting Nevada's program to see if they'll even approve me first. Thank you so much!
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GalacticGuardian
Remember that Nevada might have different payment rates than California for caregiving. Make sure you do the math to see if the travel costs and time make financial sense for you. Also I believe most states have rules about who can be a family caregiver - some may not allow certain relatives to be paid caregivers. Check all that before getting your hopes up!
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Liam McGuire
•Good point about the travel costs. Gas alone would be significant. I'll need to crunch the numbers to see if this makes financial sense after factoring in reduced CalFresh benefits too.
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Amara Eze
waitttt i just thought of something else... if ur aunt is on Medicare/Medicaid in Nevada would she even qualify for caregiver services? my mom had to meet like specific disability requirements and have a doctor certify she needed help. and they didn't give many hours at first
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Liam McGuire
•I'm honestly not sure what program she's qualified for already. She just mentioned she needed help and could get me paid through "the state." I should probably get more details from her about what she's actually eligible for first.
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Paolo Longo
Hey Liam! I've been following this thread and wanted to add one more consideration - make sure you understand Nevada's background check requirements if you do get approved as a provider. Some states have stricter requirements than others, and the process can take weeks or even months. Also, since you'd be working for a family member, Nevada might have additional documentation requirements to prove the care relationship is legitimate (to prevent fraud). I'd suggest calling Nevada's Medicaid office directly and asking for their "family caregiver" packet or guidelines. Better to know all the hoops upfront than get surprised later!
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Chris King
•@Paolo Longo That s'a really good point about the background checks! I hadn t'even considered that Nevada might have different requirements than California. Do you happen to know if background checks from one state transfer over, or would I need to do a completely new one for Nevada? The fraud prevention documentation makes sense too - I imagine they re'pretty strict about family member situations to avoid people gaming the system.
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AstroAdventurer
I'm dealing with a somewhat similar situation helping my grandmother in Riverside County while living in San Bernardino County, and I've learned a few things that might help. First, definitely get clarity from your aunt about what specific program she's enrolled in - "the state" could mean several different things (Medicaid waiver, state-funded programs, etc.) and each has different rules about out-of-state providers. One thing I wish I'd known earlier: some programs require the care recipient to live within a certain radius of the provider's home address, regardless of state lines. In my case, even though both counties are in California, there were still residency requirements I had to navigate. Also, if you do move forward, keep DETAILED records of everything - dates you're in Nevada vs California, all income received, gas receipts if you're claiming travel expenses on taxes, etc. The documentation requirements get intense when you're working across jurisdictions. I use a simple Google Sheets to track it all because my county worker asked for very specific breakdowns during my last review. Have you considered whether your aunt might qualify for any programs that would allow remote check-ins or telehealth support instead? Sometimes there are alternatives that don't require as much physical presence and could simplify the whole situation.
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