California Department of Social Services - IHSS Program Health Care Certification Form

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Where do I send my w4 for IHSS Los Angeles County?

IHSS Application 2707 S. Grand Ave. Los Angeles, CA 90007.

What is soc873?

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.

Can my wife be my IHSS provider?

About 22% of IHSS workers are parent or spouse providers, almost exclusively mothers and wives, providing long-term care to spouses or disabled children.

How do I register with IHSS?

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) .

What is soc426?

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.

soc 873 form

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Where do I send my Soc 426?

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.

Can a family member do IHSS?

Yes. You can hire relatives, friends, neighbors, and other caregivers to provide you with IHSS.

What is a SOC 839 form?

\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.

What is IHSS form?

The In-Home Supportive Services (IHSS) program provides in-home assistance to eligible aged, blind and disabled individuals as an alternative to out-of-home care and enables recipients to remain safely in their own homes.

Who qualifies for IHSS in California?

To be eligible, you must be 65 year of age and over, or disabled, or blind. Disabled children are also potentially eligible for IHSS. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities.

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