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State of California Health and Human Services Agency California Department of Social ServicesINHOME SUPPORTIVE SERVICES PROGRAM PROVIDER REQUIREMENTS FOR MINOR RECIPIENTS LIVING WITH THEIR PARENTS
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How to fill out in home supportive services

How to fill out in home supportive services
01
Here are the steps to fill out the In-Home Supportive Services (IHSS) application:
02
Obtain an IHSS application form from your local IHSS office or download it online.
03
Fill out the applicant's personal information, including name, address, phone number, and social security number.
04
Provide details about your medical condition or disability that makes you eligible for IHSS.
05
Specify the type of assistance you require, such as personal care, house cleaning, or meal preparation.
06
Describe any other important information related to your need for IHSS services.
07
Submit the completed application form to your local IHSS office either in person or by mail.
08
Attend an eligibility assessment interview conducted by a social worker to determine your qualification for IHSS.
09
If approved, a care plan will be developed, and a provider will be assigned to assist you.
10
Review and sign the care plan and discuss any necessary changes with your IHSS social worker.
11
Begin receiving IHSS services and keep in touch with your assigned provider and IHSS office for any updates or concerns.
Who needs in home supportive services?
01
In-Home Supportive Services (IHSS) is designed for individuals who meet certain criteria:
02
- Elderly individuals (65 years or older) who need assistance with daily activities due to physical or mental limitations.
03
- Disabled adults (18-64 years) who require support in managing activities of daily living.
04
- Individuals with chronic or acute medical conditions that prevent them from living independently.
05
- People with developmental disabilities who are unable to perform daily tasks without assistance.
06
- Individuals who are at risk of institutionalization if they don't receive in-home care.
07
It is important to consult with your local IHSS office to determine if you meet the eligibility requirements for IHSS.
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What is in home supportive services?
In-home supportive services provide assistance with daily tasks for individuals who are elderly, blind, or disabled.
Who is required to file in home supportive services?
Individuals who need assistance with daily tasks and meet eligibility requirements are required to file for in-home supportive services.
How to fill out in home supportive services?
To apply for in-home supportive services, individuals can contact their local social services agency or visit their website for more information on the application process.
What is the purpose of in home supportive services?
The purpose of in-home supportive services is to assist individuals with daily tasks so they can remain in their own homes and avoid institutionalization.
What information must be reported on in home supportive services?
Information such as the individual's medical condition, daily tasks they need assistance with, and information about their living situation must be reported on in-home supportive services.
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