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This document provides guidance on the application process for In-Home Supportive Services (IHSS), detailing eligibility criteria, required documentation, and the assessment of needs for individuals
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How to fill out In-Home Supportive Services – Nuts & Bolts

01
Gather necessary personal information, including your name, address, and contact details.
02
Review eligibility requirements for In-Home Supportive Services.
03
Complete the application form accurately, ensuring all fields are filled.
04
Provide documentation as required, such as proof of income, medical records, or disability verification.
05
Submit the application to the appropriate agency or department.
06
Follow up with the agency to confirm receipt of your application and check on processing times.
07
Attend any scheduled interviews or assessments as needed.
08
Await notification regarding the approval status of your application.

Who needs In-Home Supportive Services – Nuts & Bolts?

01
Individuals with disabilities requiring assistance with daily living activities.
02
Older adults who need support to remain safely in their homes.
03
People recovering from illness or surgery who need temporary help.
04
Family caregivers seeking professional support for their loved ones.
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You and your child will be interviewed in your home to determine eligibility and need for In-Home Supportive Services (IHSS). Based on the information they gather, IHSS will assess the types of services needed and the number of hours they'll authorize for each service.
Ineligibility Due to Criminal Background The IHSS program conducts background checks, which may result in disqualification if an applicant has: Been convicted of certain serious offenses, such as violent crimes or crimes against children. A history of abuse, neglect, or exploitation of vulnerable individuals.
The types of services which can be authorized through IHSS are housecleaning, meal preparation, laundry, grocery shopping, personal care services (such as and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and protective supervision for the mentally impaired.
The Assessment of Need for Protective Supervision for the In-Home Supportive Services Program form (SOC 821) should be completed by the IHSS recipient's doctor or a medical professional with specialty or practice in the areas of memory, orientation, and/or judgment.
A county social worker will interview you at your home to determine your eligibility and need for IHSS. Based on your ability to safely perform certain tasks for yourself, the social worker will assess the types of services you need and the number of hours the county will authorize for each of these services.
In-Home Supportive Services, also known as IHSS, can help pay for services if you're a low-income elderly, blind or disabled individual, including children, so that you can remain safely in your own home. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities.
The questions asked by a social worker during a home visit will depend on the situation, but may include inquiries about your living environment, family dynamics, health and wellbeing. They may also ask about any safety risks present in the home or evidence of neglect or abuse.

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In-Home Supportive Services – Nuts & Bolts is a program designed to provide supportive services to individuals in their homes, helping them maintain independence and quality of life.
Individuals who are applying for or receiving In-Home Supportive Services must file In-Home Supportive Services – Nuts & Bolts to ensure eligibility and appropriate care.
To fill out In-Home Supportive Services – Nuts & Bolts, individuals should provide accurate personal information, details about their care needs, and submit any required documentation based on the guidelines provided.
The purpose of In-Home Supportive Services – Nuts & Bolts is to assess the needs of individuals who require assistance and to determine the level of services required to support them in their home.
On In-Home Supportive Services – Nuts & Bolts, individuals must report personal information, health status, specific care requirements, and any changes in their circumstances that may affect their service needs.
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