Aging and Adult Services

Services provided by Aging and Adult Services

older adult waiting for trainA wide range of support services are available for seniors and adults with disabilities in San Mateo County:

Acting as the Area Agency on Aging (AAA), Aging and Adult Services also contracts with other County agencies, cities and community-based organizations to provide supportive services.

In-Home Supportive Services (IHSS)

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.  Some special needs individuals who may qualify for IHSS services are: children with disabilities, hospice patients, and hospital discharge patients.

Multipurpose Senior Services (MSSP)

The Multipurpose Senior Services Program (MSSP) provides social and health care management to people 65 or older who are eligible for Medi-Cal. The program aims to keep clients living independently in the community and to prevent or delay placement in a nursing facility. MSSP provides services to eligible clients and their families that assist clients to remain in their homes. MSSP Case Managers work collaboratively with individuals, families and communities as well as health team members to promote the client’s independence, autonomy and a sense of well-being.


The Linkages program provides case management as well as information and assistance services to frail, at risk seniors 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.

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.

The Help at Home Directory lists information on the whole range of home and community-based services available in San Mateo County.   The Network of Care website also provides other resources for older adults and people with disabilites in San Mateo County.

For information, advice and 24-hour emergency response, click here for the TIES Line.