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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESASSESSMENT OF NEED FOR PROTECTIVE SUPERVISION FOR INCOME SUPPORTIVE SERVICES PROGRAMAttending Physicians
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How to fill out for in-home supportive services

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How to fill out for in-home supportive services

01
Gather all necessary documents such as identification, proof of income, and medical certification.
02
Contact your local county office or visit their website to obtain the application form.
03
Fill out the application form accurately and completely, providing all required information.
04
Attach the necessary documents to the application form, ensuring they are legible and up-to-date.
05
Submit the completed application form and documents to the appropriate county office either in person, by mail, or online if available.
06
Wait for the application to be reviewed and processed by the county office.
07
If approved, schedule an assessment with a social worker to determine the level of assistance needed.
08
Cooperate with the assessment process and provide any additional information or documentation as requested.
09
Once the assessment is completed, a determination will be made regarding eligibility and the level of services to be provided.
10
If eligible, you will receive notification of your acceptance into the program and the services that will be provided.
11
Follow any additional instructions provided by the county office, such as attending orientation or training sessions.
12
Begin receiving the in-home supportive services as determined by the assessment and approved by the county office.
13
Keep track of any changes in your circumstances that may affect your eligibility or the level of services provided, and notify the county office accordingly.
14
Regularly communicate with the assigned social worker and participate in any required reassessment processes.
15
Report any concerns or issues regarding the services received to the county office or the designated oversight agency.

Who needs for in-home supportive services?

01
In-home supportive services are primarily intended for individuals who have functional impairments or disabilities that prevent them from performing activities of daily living without assistance.
02
This includes elderly individuals, individuals with physical or mental disabilities, and individuals who are chronically ill or recovering from surgery or illness.
03
In addition, individuals who are at risk of institutionalization due to their impairments or disabilities may also qualify for in-home supportive services.
04
The specific eligibility criteria may vary depending on the state or county in which the services are being provided.
05
It is recommended to contact the local county office or visit their website for detailed information on eligibility requirements.
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In-home supportive services provide assistance with daily activities for eligible individuals who are disabled, blind, or elderly.
Individuals who meet the eligibility criteria and need assistance with daily activities are required to file for in-home supportive services.
To apply for in-home supportive services, individuals can contact their local social services agency or visit the official website for the application form.
The purpose of in-home supportive services is to enable eligible individuals to remain safely in their homes and receive the assistance they need with daily activities.
Individuals must report their medical condition, daily living needs, income, and any other relevant information when applying for in-home supportive services.
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