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The document is an enrollment form for providers in the In-Home Supportive Services (IHSS) program by the California Department of Social Services. It outlines eligibility criteria, particularly regarding criminal convictions that may disqualify individuals from becoming providers. The document specifies Tier 1 and Tier 2 exclusionary offenses, the process for background checks, and options for obtaining individual exemptions or general exceptions for those with certain convictions. It also includes instructions for completing the form and requirements for submission.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (82 Votes)
2012	4.1 Satisfied (51 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What disqualifies you for IHSS?

Generally, misdemeanor crimes involving violence or threats of violence would disqualify a person from being an IHSS provider. Minor infractions, such as traffic violations, would not disqualify a person from being an IHSS provider.

What is a SOC 846 form?

The approval process for IHSS in California can take anywhere from 45 to 90 days or longer, depending on various factors. While this may seem lengthy, being proactive and well-prepared can help streamline the process. If you or a loved one is in need of support, dont hesitate to start the application process.

What is the maximum income to qualify for IHSS in California?

Complete and sign the IHSS Provider Enrollment Agreement (SOC 846) . This is the agreement that ALL IHSS providers are required to sign.

What disqualifies you from being an IHSS recipient?

For example, California requires a criminal clearance for anyone applying to work as a caregiver and excludes individuals from consideration who have misdemeanor or felony convictions for which they have not received an exemption.

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