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Definition and Purpose of the SOC 873 Form

The SOC 873 form is a Health Care Certification Form specifically designed for the In-Home Supportive Services (IHSS) program in California. This form is crucial for assessing eligibility for IHSS services aimed at aiding aged, blind, and disabled individuals in their daily living activities. It ensures applicants receive the necessary support to prevent out-of-home care placements.

The form requires detailed information from both the IHSS recipient and a licensed health care professional to verify the individual's needs. This dual-input structure is important as it not only confirms eligibility but also contextualizes the specific assistance required by the applicant. By standardizing submissions, the SOC 873 facilitates a clear communication channel between service providers, recipients, and health care professionals.

Key Components of the SOC 873 Form

  • Personal Information: Includes recipient details such as name, address, and contact information.
  • Health Care Information: Requires the licensed professional to provide insights regarding the health condition affecting daily living activities.
  • Authorization Section: Permits the release of health care information necessary for assessment.

Steps to Complete the SOC 873 Form

Completing the SOC 873 requires careful attention to detail to ensure that all necessary information is accurately presented, which is critical for the evaluation process.

  1. Gather Required Documentation: Before filling out the form, assemble all necessary identification and health records.

  2. Fill Out Recipient Information: Provide personal details of the applicant, including:

    • Full name
    • Date of birth
    • Contact information
    • Current living situation
  3. Health Care Provider Section: The attending doctor or licensed professional must complete the health care section. This includes:

    • Description of the individual's health condition
    • Specific daily living activities affected
    • Recommendations for services needed
  4. Authorization Signatures: Ensure both the recipient and the health care professional sign the form to validate the information provided.

  5. Review for Accuracy: Double-check all sections for completeness and any potential errors that could delay processing.

  6. Submit the Completed Form: Decide the best method for submission, whether online, by mail, or in-person.

Important Considerations During Completion

  • Ensure accuracy in personal and medical details to avoid delays in processing.
  • If a section requires further clarification, consider attaching additional documentation to substantiate the claims.
  • Be mindful of specific requirements or questions that may vary based on individual circumstances.

Who Typically Uses the SOC 873 Form?

The SOC 873 form is utilized primarily by:

  • IHSS Recipients: Individuals seeking assistance with daily living activities due to health-related issues.
  • Health Care Professionals: Doctors, nurse practitioners, and other licensed providers tasked with assessing and certifying the health status of applicants.
  • Caregivers and Family Members: Those assisting recipients, who may need to understand the form's requirements to provide correct information.

This diverse user base underscores the collaborative approach required for successful completion and submission of the form.

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Important Terms Related to the SOC 873 Form

Understanding specific terms related to the SOC 873 is essential for accurate compliance and usage. Key terms include:

  • In-Home Supportive Services (IHSS): A program that provides support for individuals who have limitations in their ability to perform activities of daily living.
  • Health Care Certification: Documentation completed by a licensed health professional that verifies medical conditions and necessary care needs.
  • Daily Living Activities: Routine tasks such as bathing, dressing, eating, and mobility that may require assistance for certain individuals.

Familiarity with these terms enhances comprehension and aids all parties involved in the completion and submission process.

Submission Methods for the SOC 873 Form

There are several methods by which the SOC 873 can be submitted, each having its own set of protocols:

  • Online Submission: Many applicants prefer to complete the form electronically. This method usually involves uploading the document through an official IHSS portal, which is often the fastest option.

  • Mail: Sending a physical copy of the form through regular mail is an alternative option. Be mindful of the time it may take for postal delivery and processing at the receiving agency.

  • In-Person Submission: Applicants may also choose to deliver the completed form directly to their local IHSS office, which allows for immediate confirmation of receipt.

Choosing the Right Submission Method

Selecting a submission method depends on individual circumstances, such as urgency and comfort with technology. Those who require immediate assistance might favor online or in-person methods, while others may find mailing more convenient if they prefer hard copies.

Legal Use of the SOC 873 Form

The SOC 873 form is essential within the context of compliance with U.S. health and social services regulations. Here are some legal implications tied to its use:

  • Confidentiality: Information within the SOC 873 is subject to confidentiality laws, ensuring that sensitive health data is handled appropriately.

  • Legitimacy of Claims: Submitting the form provides legal evidence for the necessity of IHSS services, going beyond mere applications to underscore health care needs confirmed by professional assessments.

  • Accountability: Both the recipient and the health care provider are legally accountable for the accuracy of the information submitted, ensuring that the needs of the population are appropriately met based on validated data.

Engaging with the SOC 873 in a legally informed manner fosters trust among participants and enhances program integrity.

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IHSS Application 2707 S. Grand Ave. Los Angeles, CA 90007.
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.
About 22% of IHSS workers are parent or spouse providers, almost exclusively mothers and wives, providing long-term care to spouses or disabled children.

People also ask

How to Become an IHSS Provider Go to an IHSS Provider Orientation given by the county. ... Complete, sign and return the IHSS Program Provider Enrollment Form (SOC 426) directly to the County IHSS Office or IHSS Public Authority. ... Complete and sign the IHSS Provider Enrollment Agreement (SOC 846) .
A felony offense for fraud against a public social services program, as defined in W&IC sections 10980(c)(2)* and (g)(2)*. A complete listing of Tier 2 crimes is available upon request from the County IHSS Office or IHSS Public Authority. *See attached form SOC 426C for the text of these PC and W&IC sections.
WHERE DO I RETURN THE SOC 426? After you have completed and signed the SOC 426, you must return it IN PERSON to the county IHSS office or county Public Authority. You will have to show identification (ID) when you return the SOC 426.
Yes. You can hire relatives, friends, neighbors, and other caregivers to provide you with IHSS.
\u2022 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.

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