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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCIES CALIFORNIA DEPARTMENT OF SOCIAL SERVICES IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM INDIVIDUALIZED BACK-UP PLAN AND RISK ASSESSMENT SECTION 1

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What is ihss program individualized back-up?

The IHSS (In-Home Supportive Services) Program Individualized Back-Up refers to a component of the IHSS program that allows recipients to designate a qualified backup provider to assist with their care needs when the primary caregiver is unavailable.

Who is required to file ihss program individualized back-up?

IHSS recipients who require backup care services are required to file the IHSS Program Individualized Back-Up form. This form is used to identify and authorize a backup provider to assist with providing care in the absence of the primary caregiver.

How to fill out ihss program individualized back-up?

To fill out the IHSS Program Individualized Back-Up form, the recipient must provide their personal information, such as name, address, and IHSS case number. They must also provide information about the designated backup provider, including their name, contact information, and qualifications. The completed form should be submitted to the IHSS county office for processing.

What is the purpose of ihss program individualized back-up?

The purpose of the IHSS Program Individualized Back-Up is to ensure that IHSS recipients have access to necessary care and support even when their primary caregiver is unavailable. It allows recipients to designate a backup provider who is qualified and authorized to provide care services when needed.

What information must be reported on ihss program individualized back-up?

The IHSS Program Individualized Back-Up form requires the reporting of personal information, such as name, address, and IHSS case number. Additionally, information about the designated backup provider, including their name, contact information, and qualifications, must be reported.

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