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In-home supportive services (ihss) program medical certification form 2025

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The document is a Medical Certification Form for the In-Home Supportive Services (IHSS) program in California, designed to assess the need for domestic and personal care services for individuals who are aged, blind, or disabled. It requires information from both the applicant/recipient and a licensed health care professional to determine if the individual cannot perform daily living activities independently and if IHSS services are necessary to prevent out-of-home placement.

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Can a family member be an IHSS provider in California?

Upon approval of the recipients service authorizations, the social worker will assist the recipient in obtaining an IHSS care provider. Care providers may include, but are not limited to, family members, friends, neighbors, or registered providers through the public authority.

What is a health care certification for IHSS?

State law requires that in order for IHSS services to be authorized or continued a licensed health care professional must provide a health care certification declaring the individual above is unable to perform some activity of daily living independently and without IHSS the individual would be at risk of placement in

What disqualifies you from being an IHSS provider?

Generally, misdemeanor crimes involving violence or threats of violence would disqualify a person from being an IHSS provider. Minor infractions, such as traffic violations, would not disqualify a person from being an IHSS provider.

What is a SOC 873 form?

What Is Form SOC 873? Form SOC 873, In-Home Supportive Services (IHSS) Program Health Care Certification Form, is a medical certification form filled out by a licensed health care professional to enable disabled, blind, or elderly individuals to receive services from the In-Home Supportive Services (IHSS) program.

Where can I get the SOC 426 form?

Get a blank copy of the SOC 426 from the County IHSS Office or Public Authority. Read the information carefully before you complete the form. Complete the SOC 426 form and answer all questions completely and truthfully.

What are the qualifications for IHSS in California?

To qualify for IHSS you must: Be 65 years old or older, blind, and/or disabled as defined by Social Security Administration (SSA) standards. Be a California resident; Live in your own home. Be eligible for Medi-Cal benefits;* Participate in a home assessment interview; and.

Who can fill out IHSS forms?

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.

Is it hard to get approved for IHSS?

The program is designed to help individuals stay in their homes and avoid institutionalization. However, it is hard to get approved for IHSS, and sometimes individuals may be denied services. If you have been denied IHSS in California, there are steps you can take to appeal the decision.

In-home supportive services (ihss) program medical certification form 2025

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