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Commonly Asked Questions about Ihss recipient Application Forms

This form allows the IHSS applicant/recipient or his/her legal representative to. choose an Authorized Representative for the IHSS program and identifies the functions the Authorized Representative may perform on his/her behalf. This form is only for the IHSS program.
To qualify for IHSS you must: Be 65 years old or older, blind, and/or disabled as defined by Social Security Administration (SSA) standards.
Of those who do get approved, it can take anywhere from two weeks to several months to finally receive benefits. This is due to the meticulous amount of paperwork involved, as well as the process of the case worker assessment, background check, and other procedures.
These include, but are not limited to: physicians, physician assistants, regional center clinicians or clinician supervisors, occupational therapists, physical therapists, psychiatrists, psychologists, optometrists, ophthalmologists and public health nurses.
To qualify for IHSS you must: Be 65 years old or older, blind, and/or disabled as defined by Social Security Administration (SSA) standards. Be a California resident; Live in your own home. Be eligible for Medi-Cal benefits;* Participate in a home assessment interview; and.
The applicant income limit is equivalent to 138% of the Federal Poverty Level (FPL). While this figure increases annually in January, for California Medicaid, the income limits increase each April. Effective 4/1/24, the monthly income limit for the IHSS program for a single applicant is $1,732.
Upon approval of the recipients service authorizations, the social worker will assist the recipient in obtaining an IHSS care provider. Care providers may include, but are not limited to, family members, friends, neighbors, or registered providers through the public authority.
Currently, the application process can be confusing, and at present only 10% of eligible families get approved for IHSS. Of those who do get approved, it can take anywhere from two weeks to several months to finally receive benefits.
What Is Form SOC 873? Form SOC 873, In-Home Supportive Services (IHSS) Program Health Care Certification Form, is a medical certification form filled out by a licensed health care professional to enable disabled, blind, or elderly individuals to receive services from the In-Home Supportive Services (IHSS) program.
Fill out SOC 295 Application for In-Home Supportive Services. The form is available in three languages.