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Phone: (916) 3747739Fax: (916) 3945295PARTICIPANT REFERRAL FORM California Health Collaborative Multipurpose Senior Services Program (SSP) Active SSP Transfer: High Priority: Prior SSP Client: Placer

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How to fill out multipurpose senior services program

01

Contact the local Area Agency on Aging to inquire about the Multipurpose Senior Services Program (MSSP)

02

Complete an application to determine eligibility for the program

03

Schedule an assessment with a case manager to develop a care plan tailored to the individual's needs

04

Attend any required meetings or appointments to review and update the care plan as needed

05

Utilize the services provided through the MSSP to support the senior's independence and quality of life

Who needs multipurpose senior services program?

01

Seniors who require assistance with activities of daily living such as bathing, dressing, and medication management

02

Seniors who are at risk of nursing home placement but wish to remain living in their own homes

03

Seniors who could benefit from services such as transportation, meal delivery, and social activities to maintain their well-being

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What is multipurpose senior services program?

The multipurpose senior services program offers a variety of services to help seniors maintain their independence and quality of life.

Who is required to file multipurpose senior services program?

Providers of senior services and programs are required to file the multipurpose senior services program.

How to fill out multipurpose senior services program?

To fill out the multipurpose senior services program, providers must report relevant information regarding the services offered to seniors.

What is the purpose of multipurpose senior services program?

The purpose of the multipurpose senior services program is to support and enhance the well-being of seniors through a variety of services and programs.

What information must be reported on multipurpose senior services program?

Providers must report information on the types of services offered, number of seniors served, outcomes achieved, and any challenges faced.

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