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IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM PROVIDER ENROLLMENT FORM.
What is an IHSS authorized representative?
An Authorized Representative is responsible for acting on the behalf of the IHSS recipient for purposes of the IHSS program. This form is only for the IHSS program. If you are going to choose an Authorized Representative, here is some important information about the rules of the IHSS program: ●
What disqualifies you from being an IHSS provider?
Under the law, you are ineligible to work in the IHSS program ONLY if you have been convicted within the last 10 years of: 1) fraud against a government health care or supportive services program; 2) child abuse; or 3) abuse of an elder or dependent adult.
Do I need a social security card for IHSS?
After the orientation you will be required to visit an IHSS office to: Present your photo ID and Social Security card; Complete and return the required enrollment forms; and. Obtain the Request for Live Scan Service form to get a criminal background check.
What is the maximum income to qualify for IHSS?
When both spouses are applicants, there is a couple income limit of $2,433 / month. When only one spouse is an applicant, the income of the non-applicant spouse is not counted towards the income eligibility of their spouse. Only the applicant spouses income is considered, which is limited to $1,801/ month.
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TIME SHEET SIGNATURE AUTHORIZATION CALIFORNIA DEPARTMENT OF SOCIAL SERVICES. This form gives the designated individual the authority to sign timesheets on behalf of the recipient for any provider who is working for the named recipient.
How does a recipient approve an IHSS timesheet?
Approve your Providers electronic timesheets on the Electronic Services Portal (ESP) or by phone. Log in to the ESP: Go to etimesheets.ihss.ca.gov/login. Use your phone: To sign up for the Telephone Timesheet System (TTS), call IHSS at (415) 557-6200 or your IHSS Social Worker.
What is the highest pay for IHSS?
Ihss Provider Salary in California Annual SalaryMonthly Pay Top Earners $198,367 $16,530 75th Percentile $58,200 $4,850 Average $65,311 $5,442 25th Percentile $30,600 $2,550
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This form allows you, as the IHSS applicant/recipient or their legal representative, to choose an Authorized Representative for the IHSS program. An Authorized.
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