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Get the free ValueOptions® of California, Inc. Language Capability Attestation

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This document is an attestation for providers to declare their language capabilities, including fluency in various languages and American Sign Language, alongside their qualifications to provide relevant
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How to fill out ValueOptions® of California, Inc. Language Capability Attestation

01
Obtain the ValueOptions® of California, Inc. Language Capability Attestation form from the official website or your contact person.
02
Read the instructions carefully to understand the requirements.
03
Fill in the required personal and organizational information at the top of the form.
04
Indicate the languages spoken by your staff in the designated section.
05
If applicable, provide information on any language services or interpretation services available.
06
Sign and date the attestation at the bottom of the form.
07
Submit the completed form according to the instructions provided, whether by mail or electronically.

Who needs ValueOptions® of California, Inc. Language Capability Attestation?

01
Providers and organizations that are part of the ValueOptions® of California, Inc. network.
02
Any entity seeking to offer services to Limited English Proficient (LEP) individuals under the ValueOptions® framework.
03
Staff members who need to demonstrate their language capabilities to ensure accessibility in service delivery.
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ValueOptions® of California, Inc. Language Capability Attestation is a formal declaration made by service providers regarding their ability to communicate effectively with clients in various languages.
Service providers who offer direct services to clients and are involved in providing care through ValueOptions® must file the Language Capability Attestation.
To fill out the attestation, providers must provide their language capabilities, including the languages spoken fluently and the number of staff members fluent in each language.
The purpose of the attestation is to ensure that clients have access to services in their preferred language, promoting better communication and understanding during care.
The information that must be reported includes the names of languages spoken, the level of proficiency in each language, and the number of staff certified to communicate in those languages.
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