Get the free Protective Supervision Form (SOC 821) - dss cahwnet

This document is an All-County Information Notice that informs counties about the new Protective Supervision Form SOC 821, which is used to assess the need for protective supervision in applicants

How to fill out protective supervision form soc

How to fill out Protective Supervision Form (SOC 821)

1. Obtain the Protective Supervision Form (SOC 821) from your local social services office or online.
2. Fill out the individual’s personal information at the top of the form, including name, address, and date of birth.
3. Provide information about the individual’s disability or condition that necessitates the need for protective supervision.
4. Describe the specific supervision needs, including times and situations requiring supervision.
5. Complete the section regarding the individual's caretaker or primary contact information.
6. Gather supporting documentation, if necessary, such as medical records or evaluations that detail the need for supervision.
7. Review the completed form for accuracy and ensure all necessary sections are filled in.
8. Submit the form to the appropriate agency or department as instructed.

Who needs Protective Supervision Form (SOC 821)?

1. Individuals with disabilities or conditions that require constant or regular supervision to ensure their safety.
2. Caregivers or family members of individuals who need additional support in managing daily activities safely.

People Also Ask about

What's the maximum amount of hours you can get for IHSS?

The IHSS Residual (IHSS-R) Program is for people who are not eligible for full-scope Medi-Cal. It provides a maximum of 283 hours of services per month for people with severe disabilities and a maximum of 195 hours for people with disabilities that are not severe.

How many hours can an autistic child get on IHSS in California?

When a child is granted Protective Supervision by their legal guardian, they can receive 195 to 283 hours on IHSS. The maximum is 283 hours per month for autism, deemed a severe disability, while 195 is the maximum for autism that's not severe.

How long does it take IHSS to approve protective supervision?

After you submit your application for protective supervision, your county IHSS office will contact you to schedule an assessment. Generally, the county must process your application and mail you a notice of action within 30 days from when you completed the application.

What is the highest pay for IHSS?

Ihss Provider Salary in California Annual SalaryMonthly Pay Top Earners $198,367 $16,530 75th Percentile $58,200 $4,850 Average $65,311 $5,442 25th Percentile $30,600 $2,550

How much does IHSS pay for protective supervision?

Currently, as an IHSS Protective Supervision provider, the maximum number of hours you can claim is 283 per month. That equates to $3,396 per month today.

What is a SOC 821 form?

8 The SOC 821 form is used to determine if protective supervision is needed along with other information collected by the county about the need for protective supervision. 9 It is helpful to provide the doctor or medical professional completing the SOC 821 form with a copy of the IHSS recipient's Hazard or Injury Log.

How many hours does IHSS give for dementia patients?

Once the needs assessment is completed a letter (Notice of Action)will be sent from the IHSS to notify the individual of the services and the number of hours per month which have been granted to them. California has qualified 195 hours/moth for the non-severely impaired and a maximum of 283 hours/month for the severely

How many hours is protective supervision in California?

Protective supervision provides the most hours of any supportive service, as eligible recipients are entitled to either 195 hours per month (for non-severely impaired recipients) or 283 hours per month (for severely impaired recipients).

For pdfFiller’s FAQs

What is Protective Supervision Form (SOC 821)?

The Protective Supervision Form (SOC 821) is a document used in California to assess and request protective supervision services for children and adults who require monitoring due to their inability to safely care for themselves.

Who is required to file Protective Supervision Form (SOC 821)?

The form must be filed by caregivers, social workers, or other authorized professionals who are responsible for the welfare of individuals needing protective supervision.

How to fill out Protective Supervision Form (SOC 821)?

To fill out the SOC 821 form, you need to provide accurate information about the individual requiring supervision, details of the caregiver, assessment of the individual's needs, and any relevant medical or behavioral information that supports the request for supervision.

What is the purpose of Protective Supervision Form (SOC 821)?

The purpose of the SOC 821 form is to document the need for protective supervision services, ensuring that individuals require support and monitoring for their safety and well-being.

What information must be reported on Protective Supervision Form (SOC 821)?

The form requires personal details of the individual needing supervision, descriptions of their condition or behaviors, caregiver information, and signatures from both the caregiver and a professional indicating the necessity of protective supervision.