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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES INCOME SUPPORTIVE SERVICES PROGRAM NOTICE TO PROVIDER OF FOURTH VIOLATION (NEYMAR PERIOD OF INELIGIBILITY)
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How to fill out in-home supportive services program

01
To fill out the in-home supportive services program, follow these steps:
02
Gather necessary documents and information, including proof of identity, address, income, and disability if applicable.
03
Contact your local county social services office or apply online to start the application process.
04
Schedule an appointment for an in-person interview or complete a phone interview with a social worker.
05
During the interview, provide accurate and detailed information about your needs, disabilities, and any medical conditions.
06
Discuss your living situation, including who will be your caregiver and the tasks they will assist you with.
07
Provide any supporting documentation or medical reports that may be required to assess your eligibility.
08
Complete all required forms and sign them as instructed by the social worker.
09
Wait for the assessment and approval process to be completed, which may take several weeks.
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If approved, you will receive a notification and can start receiving in-home supportive services.

Who needs in-home supportive services program?

01
The in-home supportive services program is designed for individuals who require assistance with daily activities due to functional limitations or disabilities. This program is particularly relevant for:
02
- Elderly individuals who are unable to perform essential tasks such as bathing, dressing, or cooking on their own.
03
- People with physical or mental disabilities who require assistance and supervision for their well-being.
04
- Individuals with chronic illnesses or medical conditions that limit their ability to live independently.
05
- Individuals recovering from surgeries or medical procedures who need temporary support at home.
06
- Those with cognitive impairments, developmental disabilities, or mental health disorders that affect their ability to independently perform daily tasks.
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The In-Home Supportive Services (IHSS) program provides assistance with daily activities for individuals who are aged, blind, or disabled, and who are unable to safely remain in their own homes without this assistance.
Individuals who are aged, blind, or disabled and in need of assistance with daily activities are required to file for the In-Home Supportive Services (IHSS) program.
To fill out the In-Home Supportive Services (IHSS) program, individuals can contact their county IHSS office to request an application or apply online through the county website. Once the application is completed, an assessment will be conducted to determine eligibility.
The purpose of the In-Home Supportive Services (IHSS) program is to help individuals who are aged, blind, or disabled to continue living in their own homes by providing them with assistance in daily activities such as bathing, dressing, and meal preparation.
The In-Home Supportive Services (IHSS) program requires reporting information such as the type of services provided, the number of hours of care received, and the name of the caregiver.
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