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Aging and Adult Services: Support

General information

Where Older Adults Can Go for Nutritious Meals

San Mateo County’s Nutrition Programs for Older Adults provide nutritious meals at group dining sites, such as senior centers, and through home delivery to people who are homebound. There are a number of group dining sites throughout the County, and current sites are listed below. Older Americans Act (OAA) funded sites are indicated with an asterisk (*). Contact the San Mateo County Aging and Adult Services (1-800-675-8437) for information regarding home-delivered meals.


In-Home Supportive Services

The In-Home Supportive Services (IHSS) program provides homecare services to Medi-Cal eligible aged, blind or individuals with disabilities, including children, to assist them to remain safely in their own homes as an alternative to out-of-home care.

IHSS is the largest home and community-based program available in California. It is a core component of the state’s long-term care system. Some special needs individuals who may qualify for IHSS services are: children with disabilities, hospice patients, and hospital discharge patients.

General information

CalAIM Enhanced Care Management & Partners for Independence Program

The CalAIM Enhanced Care Management (ECM) and Partners for Independence (PFI) programs provide social and health care management for people ages 21 or older who are eligible for Medi-Cal and are Health Plan of San Mateo (HPSM) members.

Both CalAIM ECM and PFI programs are voluntary programs providing intensive care management to older adults and/or people with disabilities with medical and psychosocial needs. 

General information


The Linkages program provides case management as well as information and assistance services to frail, at risk older adults and adults with functional impairments who are 18 and older. Linkages provides care coordination, information and assistance regarding community resources to help clients remain independent in the community.


Public Authority

The Public Authority assists In-Home Supportive Services (IHSS) consumers in need of a homecare worker, by maintaining a list of qualified individuals who are interested in working as an independent provider. Registry workers who have passed background checks are referred to IHSS consumers based on their needs. A registry specialist is available to provide assistance to consumers who require additional help in hiring a provider or in establishing a positive relationship with their worker.

General information

Representative Payee

The Representative Payee Program is responsible for managing the government benefits of individuals on an on-going basis. This includes applying for government benefits on behalf of individuals, establishing budgets and paying monthly expenses, monitoring accounts to maintain eligibility for benefits, and completing Medi-Cal redetermination and Social Security reviews.