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CALIFORNIA DEPARTMENT OF SOCIAL SERVICES STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM HEALTH CARE CERTIFICATION FORM A. APPLICANT/RECIPIENT INFORMATION
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How to fill out IHSS case - CDSS:

01
Gather necessary documents: Start by collecting all the required documents such as identification cards, proof of address, social security number, and any medical records or doctor's notes.
02
Complete the application form: Obtain the IHSS case - CDSS application form from the California Department of Social Services (CDSS) website or local office. Fill out the form accurately, providing all the requested information, including personal details, medical conditions, and the assistance needed.
03
Provide supporting documents: Along with the application form, submit any supporting documents that may strengthen your case. These could include medical records, doctor's recommendations, or any other relevant documents that prove your eligibility for IHSS.
04
Attend an assessment: Once your application is submitted, you may be required to attend an assessment or evaluation by a representative from CDSS. This assessment helps determine the level of care needed and the number of hours of assistance you may qualify for.
05
Communicate any changes: During the IHSS case process, it is essential to keep CDSS updated about any changes in your medical condition or circumstances that could affect your eligibility. This includes changes in income, move addresses, or a shift in health conditions.
06
Cooperate and respond promptly: Respond to any requests or inquiries from CDSS promptly to ensure efficient processing of your IHSS case. This includes submitting additional documents or attending interviews if required.

Who needs IHSS case - CDSS?

01
Elderly individuals: IHSS case - CDSS is often necessary for aging individuals who require assistance with daily activities and personal care due to physical limitations or medical conditions that impact their ability to live independently.
02
Disabled individuals: IHSS case - CDSS is also crucial for individuals with disabilities who need ongoing assistance to carry out daily tasks and maintain their quality of life. This includes people with physical disabilities, developmental disabilities, or mental health conditions.
03
Caregivers: IHSS case - CDSS is relevant for caregivers who provide assistance to eligible individuals. Caregivers can receive compensation for the care they provide, helping support them financially while ensuring the well-being and safety of the person they care for.
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IHSS stands for In-Home Supportive Services, which is a program provided by the California Department of Social Services (CDSS) to help eligible individuals with disabilities, impairments, or elderly individuals to remain safely in their own homes.
The IHSS case through CDSS is typically filed by the individual who needs assistance, a family member, or a designated representative.
To fill out an IHSS case through CDSS, individuals can contact their local county social services agency or visit the CDSS website for more information on the application process.
The purpose of an IHSS case through CDSS is to provide in-home supportive services for individuals who need assistance with activities of daily living in order to remain safely in their own home.
Information that must be reported on an IHSS case through CDSS may include personal information, medical history, level of need for assistance, and household composition.
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