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The document outlines the process for IHSS applicants or recipients in California to designate an Authorized Representative who can act on their behalf within the In-Home Supportive Services program. It details eligibility criteria, responsibilities of the Authorized Representative, and necessary forms to complete, including rules regarding legal representatives and exclusionary crimes. The document emphasizes that choosing an Authorized Representative does not exempt the recipient from being involved in their own care.

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What is the maximum income to qualify for IHSS?

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 an authorized representative for CDSS?

Definition of an Authorized Representative [63-402.6] An AR is an adult non-household member who is authorized to act on behalf of a household in one or all of the following capacities: Apply for CalFresh; Complete work registration forms; Use the EBT card to purchase the households food; and/or.

Who is the authorized representative for IHSS?

A legal representative for the purposes of the IHSS program is a court-ordered conservator of an adult or a parent/guardian or legally-authorized decisionmaker of a minor.

What disqualifies you from being an IHSS provider?

An Authorized Representative is responsible for acting on the behalf of the IHSS recipient for purposes of the IHSS program.

What is a SOC 839 form?

This form allows the IHSS applicant/recipient or his/her legal representative to. choose an Authorized Representative for the IHSS program and identifies the functions the Authorized Representative may perform on his/her behalf. This form is only for the IHSS program.