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Click ‘Get Form’ to open the SOC 295 in our editor.
Begin with Section 1, Personal Information. Fill in your name, Social Security Number, address, telephone number, email, date of birth, and sex. Ensure all fields are completed accurately.
Proceed to Section 2 for optional Sexual Orientation and Gender Identity information. This section is confidential and will not affect your eligibility.
In Section 3, indicate if you are a Veteran or a Spouse/Child of a Veteran by selecting 'Yes' or 'No' and providing additional details if applicable.
Complete Section 4 regarding SSI/SSP benefits by checking 'Yes' or 'No' and specifying your living arrangement type.
Continue to Section 5 to provide past IHSS information if applicable. Fill in the date and county where services were last received.
In Section 6, list all household members along with their names and birthdates as required.
Fill out Sections 7 through 9 regarding ethnic/language information, communication accommodations, and affirmations as needed.
Finally, sign the application in Section 10. Ensure that all signatures are provided before submitting the form.
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While IHSS itself is not directly impacted by income, other programs and services related to disability and aging may have income-based eligibility criteria.
What disqualifies you from IHSS in California?
1) Convicted of a crime involving fraud or abuse of the Medi-Cal Program, or 2) Suspended from the federal Medicare program for any reason. If your name is on the SI Providers list, you will not be able to be an IHSS provider.
How long does it take to get IHSS approved?
Of those who do get approved, it can take anywhere from two weeks to several months to finally receive benefits. This is due to the meticulous amount of paperwork involved, as well as the process of the case worker assessment, background check, and other procedures.
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.
Can you get IHSS and still work?
In-Home Supportive Services (IHSS) provide people with low income who are blind, disabled, or 65 years old or older with personal assistance and in-home services so they can safely stay in their homes or continue working.
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IHSS Recipient application formIHSS application onlineIHSS Provider application onlineIHSS application form pdfSOC 295 instructionsIHSS provider application formIHSS formsSOC 295 PDF
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The applicant income limit is equivalent to 138% of the Federal Poverty Level (FPL). While this figure increases annually in January, for California Medicaid, the income limits increase each April. Effective 4/1/24, the monthly income limit for the IHSS program for a single applicant is $1,732.
Can you get IHSS and Social Security?
Eligibility is assessed with an evaluation regarding whether your child needs the services it provides to stay safely in your own home as an alternative to out-of-home placement. Can you keep your SSI and still apply for IHSS? Yes.
What is the form SOC 295?
Fill out SOC 295 Application for In-Home Supportive Services. The form is available in three languages. Submit the application to your county IHSS office.
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