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What disqualifies you from being an IHSS provider?
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.
Who fills out the IHSS form?
You (or your authorized representative) must complete PART A of this form to let the county know who you have chosen to provide your authorized services. If you have multiple providers, you must fill out a separate form for each person who will be providing authorized services for you.
What is SOC 873 form?
A completed Health Care Certification (SOC 873) must be received by the county prior to authorization of services. You will be notified if IHSS has been approved or denied. If denied, you will be notified of the reason for the denial.
What is a SOC 873 form?
This health care certification form must be completed and returned to the IHSS worker listed above. The IHSS worker will use the information provided to evaluate the individuals present condition and his/her need for out-of-home care if IHSS services were not provided.
What is a SOC 2298 form for IHSS?
You have the option to self-certify your living arrangements to exclude IHSS/WPCS wages from FIT and PIT by completing and submitting a Live-In Self-Certification Form for Federal and State Tax Wage Exclusion (SOC 2298).
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