Home Health Service Forms for Los Angeles

Creating your own forms from scratch? Save time with editable and downloadable templates for Los Angeles Home Health Service! Get a variety of 85.000+ state-specific forms.

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FAQ

The Assessment of Need for Protective Supervision, also known as SOC 821, is an In-Home Supportive Services (IHSS) form that asks the applicant's health care professional to assess the applicant's memory, orientation, and judgment.

These requirements include completing, signing, and returning (in person) the Provider Enrollment Form (SOC 426), submitting fingerprints and being cleared of disqualifying crimes through a criminal background check, completing a provider orientation, and returning a signed Provider Enrollment Agreement (SOC 846).

To be eligible, you must be over 65 years of age, 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.

In-Home Supportive Services (IHSS) Program Recipient Designation Of Provider (SOC 426A) Social Services Government Form in California Formalu.

Applying for IHSSIf you already have Medi-Cal or once you are approved for it, call or visit your county In-Home Supportive Services (IHSS) office to complete an IHSS application.Your caseworker will come to your home and do a needs assessment to figure out if you are eligible for IHSS and what services you will get.More items...

The County IHSS wage rate for providers is $16.00 per hour. The Back-Up Attendant Program (BUAP) provider wage rate is $19.00 per hour.