NA 791 (10 12) - Notice Of Action - California Department of Social 2026

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The document is a Notice of Action from the California Department of Social Services regarding Adoption Assistance Program (AAP) benefits for a child. It outlines various actions that may be taken concerning AAP benefits, including approval or denial of monthly rates and Medi-Cal coverage, eligibility criteria, overpayment issues, and rights to appeal decisions through a State Hearing. The notice emphasizes the importance of contacting the adoption worker for further information and details the conditions under which benefits may be extended or terminated.
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  1. Click ‘Get Form’ to open the NA 791 (10 12) in the editor.
  2. Begin by entering your Case Name and Case Number at the top of the form. This information is crucial for identifying your case.
  3. Fill in the Adoption/Post Adoption Worker’s details, including their Phone and Email, ensuring you have a point of contact for any questions.
  4. In the Description of the Action section, select the appropriate options regarding your child’s AAP benefits. Be sure to fill in any monetary amounts where indicated.
  5. If applicable, provide details about any overpayments in the designated section, including amounts received and what should have been received.
  6. Complete the Hearing Request section if you wish to appeal any actions taken. Ensure all necessary information is filled out accurately.
  7. Review all entries for accuracy before saving or printing your completed form.

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The Department of Child, Family, and Adult Services (DCFAS) Civil Rights Coordinator is responsible for ensuring Child Protective Services (CPS) and Senior and Adult Services (SAS) adhere to California State Department of Social Services (CDSS) Division 21 regulations.
Disability Rights California (DRC) is the agency designated under federal law to protect and advocate for the rights of Californians with disabilities.
Contact information for the DOJ and the DFEH is below. Phone: (800) 884-1684 TTY: (800) 700-2320. Mail: Call (800) 884-1684 and request the appropriate complaint form to print and return. Please allow additional time for mail and processing.
To contact a DI representative, use the DI Automated Phone Information System: English: 1-800-480-3287. Spanish: 1-866-658-8846. California Relay Service (711): Provide the DI number (1-800-480-3287) to the operator.
Kristen Erickson-Donadee was appointed Director for Child Support Services in October 2024 and has been with the department since 2009.

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Kim Johnson was appointed secretary of the California Health and Human Services Agency in September 2024 by Gov. Gavin Newsom.
Description. The mission of the California Department of Social Services is to serve, aid, and protect needy and vulnerable children and adults in ways that strengthen and preserve families, encourage personal responsibility, and foster independence.
Jennifer Troia. Jennifer Troia was appointed by Governor Gavin Newsom as the Director of the California Department of Social Services (CDSS) in October of 2024.
Department of Health Human Services | HHS.gov. A lock ( A locked padlock ) or https:// means youve safely connected to the .

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