Soc 2274-2026

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  1. Click ‘Get Form’ to open the soc 2274 in the editor.
  2. Begin by entering the date at the top of the form. This helps establish a timeline for the medical appointments.
  3. Fill in the recipient's name and case number. Ensure accuracy as this information is crucial for processing.
  4. In the section addressed to the licensed health care professional, provide details about the primary care physician, including their name, title, and telephone number.
  5. Indicate the type of practice and specify how often appointments occur per year along with their typical duration.
  6. Repeat step 4 and step 5 for any additional medical providers listed on the form.
  7. Finally, ensure all signatures and dates are completed before submitting it back to your county welfare department.

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Certain criminal convictions will disqualify you from serving as an IHSS provider. Under California law (Welfare Institutions Code 12305.81), permanent exclusions apply for convictions related to: Abuse of a child or elder. Violent felonies, including homicide and assault.
You must have a physician or other licensed health care professional fill out a Health Care Certification (SOC 873) form and you must return it to the county before care services can be authorized. You will be notified if your application for IHSS has been approved or denied.
The information you provide on the Provider Enrollment Form (SOC 426) will be verified by a criminal background check by the California Department of Justice (DOJ). The criminal background check is required to be a provider (See Step 2).
Effective 4/1/25, the monthly income limit for the IHSS program for a single applicant is $1,801. When both spouses are applicants, there is a couple income limit of $2,433 / month.
Increased IHSS hours may be granted if: Your health has worsened, requiring more assistance. You have new medical conditions that demand additional care. You need support for tasks that were not previously considered.

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CALIFORNIA DEPARTMENT OF SOCIAL SERVICES. IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM. PROVIDER ENROLLMENT FORM.
How did this happen? Caregivers and our advocates made sure the American Rescue Plan Act (ARPA) included funding to give IHSS providers Heroes Pay: a one-time payment of $500 to any IHSS provider who worked a minimum of two months between March 2020 and March 2021.

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