Soc 847 2025

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4.8 out of 5

92 votes

The document provides important information for prospective providers of the In-Home Supportive Services (IHSS) Program in California. It outlines the provider enrollment process, which includes completing an enrollment form, undergoing a criminal background check, attending an orientation, and signing an enrollment agreement. The document details eligibility criteria based on criminal convictions, specifically categorizing crimes into Tier 1 and Tier 2, with strict guidelines on disqualifications and potential waivers. Providers must complete all steps within 90 days to remain eligible.

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Click ‘Get Form’ to open the SOC 847 in the editor.
Begin by reviewing the form's instructions carefully. Ensure you understand each section before filling it out.
Fill in your personal information accurately, including your name, address, and contact details. Double-check for any errors.
Complete the sections related to your criminal history. Be honest and thorough, as this information is crucial for eligibility.
If applicable, attach any required documentation such as proof of expungement or a Certificate of Rehabilitation directly within the editor.
Once all fields are completed, review your entries one last time for accuracy before submitting the form through our platform.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (92 Votes)
2011	4 Satisfied (30 Votes)

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What is a SOC 846?

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

What is SOC 864?

Ensure a completed IHSS Individualized Back-up Plan and Risk. Assessment (SOC 864) that indicates the steps the recipient must take in the event of an emergency, is in OnBase and print a copy to give to the client at the home visit. Print out a Needs Assessment Form (SOC 293) from CMIPS II.

What is SOC 874?

NOTICE TO APPLICANT OF HEALTH CARE CERTIFICATION REQUIREMENT The certification must state that you are not able to do some activities of daily living (ADLs) on your own and that without help to do these activities you would be at risk of placement in out-of-home care.

What disqualifies you from being an IHSS provider?

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.

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