Ihss forms 2025

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The document is an In-Home Supportive Services (IHSS) Program Provider Enrollment Agreement from the California Department of Social Services. It outlines the responsibilities and requirements for IHSS providers, including training on timesheet completion, workweek and travel time limits, consequences of fraud, and penalties for violations. Providers must adhere to specific guidelines regarding hours worked, travel time, and reporting to ensure compliance with program rules.

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Who qualifies for IHSS in California?

To be eligible, you must be 65 year of age and over, or disabled, or blind. Disabled children are also potentially eligible for IHSS. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities.

What form is SOC 864?

Download Form SOC864 "In-home Supportive Services (Ihss) Program Individualized Back-Up Plan and Risk Assessment" - California. health, welfare and/or safety. IHSS or with other formal or informal services.

What is the SOC 2298 form?

The SOC 2298 is a voluntary form that allows you to self-certify that you are living with your Recipient, and allows you to exclude your IHSS income from your Federal Income Taxes (FIT) and withholding.

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What is IHSS authorized representative?

An authorized representative for IHSS is an individual who is willing to act on behalf of an IHSS. applicant/recipient for the purpose of determining and maintaining eligibility to IHSS.

Where do I send my Soc 295?

How do I apply? Call our office at (831) 454-4101 or (831) 763-8800, option 2. Email application (SOC295) to SOC295@santacruzcounty.us. Fax application (SOC 295) to (831) 763-8906. Mail application (SOC 295) to: IHSS Intake. P.O. Box 1320. ... Walk-in to one of our locations: 18 W. Beach Street, Watsonville, CA 95076, or.

What is a SOC 873 form?

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.

What is IHSS form?

The In-Home Supportive Services (IHSS) program provides in-home assistance to eligible aged, blind and disabled individuals as an alternative to out-of-home care and enables recipients to remain safely in their own homes.

Who pays for IHSS in California?

IHSS is a Medi-Cal program and is funded by federal, state, and county dollars. Contact the In-Home Supportive Services program in your county.