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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESInHome Supportive Services Program Parent Provider Requirements I, (parent), have been informed by the County
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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 the necessary documents and information, such as proof of identity, proof of income, and medical records.
03
Contact your local county social services agency or visit their website to obtain the application form.
04
Carefully read the instructions and fill out the form accurately. Provide all the required information, including your personal details, medical condition, and the assistance you require.
05
Attach the supporting documents as mentioned in the instructions. Make sure to provide any additional documents requested.
06
Double-check the completed form and documents for accuracy and completeness.
07
Submit the filled-out form and supporting documents to the designated address or through the online portal, if available.
08
Await a response from the in-home supportive services program. They may contact you for further information or clarification if needed.
09
If your application is approved, you will be notified about the services you are eligible for and the next steps to take.
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Keep track of any follow-up requirements or appointments related to the program.
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If your application is denied, you may have the option to appeal the decision. Follow the instructions provided by the program to initiate the appeal process.

Who needs in-home supportive services program?

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The in-home supportive services program is designed for individuals who have difficulty performing daily activities on their own due to age, disability, or a medical condition. This program is available for both children and adults who require assistance with tasks such as bathing, dressing, meal preparation, and mobility.
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Some specific groups of people who may benefit from the in-home supportive services program include:
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- Elderly individuals who prefer to receive care and support in their own homes rather than moving to a nursing facility.
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- Individuals with disabilities who need help with personal care and household chores.
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- Those recovering from injuries or surgeries who require temporary assistance at home.
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- Individuals with chronic illnesses or medical conditions that limit their ability to perform daily activities.
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- Children with disabilities who require specialized care and assistance.
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To determine eligibility for the program, individuals usually need to meet certain income and functional criteria defined by their local county social services agency.
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The In-Home Supportive Services (IHSS) program provides assistance with daily activities for eligible individuals who are unable to fully care for themselves.
Individuals who require assistance with daily activities and meet the eligibility criteria are required to file for the IHSS program.
To fill out the IHSS program, individuals must contact their local IHSS office and complete an application form.
The purpose of the IHSS program is to help individuals who are unable to fully care for themselves by providing them with assistance for daily activities.
The IHSS program requires information about the individual's daily activities and the level of assistance needed.
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