The IHSS worker has the responsibility for authorizing services and service hours. The information provided in this form will be considered as one factor of the need for services, and …
Recipient Forms - Department of Public Social Services
If you need assistance completing any of these forms, please contact the IHSS Helpline at (888) 822-9622. You have the right to interpreter services provided by the County at no cost to you.
Form SOC873 In-home Supportive Services (Ihss) Program Health …
Feb 1, 2023 · Form SOC 873, In-Home Supportive Services (IHSS) Program Health Care Certification Form , is a medical certification form filled out by a licensed health care …
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To accommodate blind or visually-impaired applicants, IHSS information is available in the following alternative formats. Please indicate which format you would prefer, if applicable.
IHSS Forms - San Bernardino County, California
The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. You may be eligible …
The county will send me a notice telling me if the person I have chosen as my provider does not complete the provider enrollment requirements or if he/she is not eligible to be an IHSS provider.
In-Home Supportive Services (IHSS) Program
You must submit a completed Health Care Certification form. A county social worker will interview you at your home to determine your eligibility and need for IHSS.
In-Home Supportive Services (IHSS)
You must submit a completed Health Care Certification form. A county social worker will interview to determine your eligibility and need for IHSS.
IHSS Website - Login
Access the IHSS website for secure login to manage your In-Home Supportive Services account in California.
IHSS Recipients - Department of Public Social Services
Applicants may provide the SOC 873 - In-Home Supportive Services Program Health Care Certification Form to certify their need for IHSS.