Web· Must submit a completed Health Care Certification Form (SOC 873) NOTICE · Keep yourself and your family Medi-Cal covered! · *California is in the process of resuming the annual Medi-Cal eligibility process. In order for recipients to maintain both their Medi-Cal and IHSS services, this renewal must be completed timely. WebSOC 873 In-Home Supportive Services Program Health Care Certification Form. SOC 2256 In-Home Supportive Services Program Recipient and Provider Workweek Agreement. …
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Web13 mei 2024 · You must have a physician or other licensed healthcare professional fill out a Health Care Certification (SOC 873) form and you must return it to the county before care services can be authorized. Click here to download the Health Care Certification form. Step 4 – IHSS Application Decision WebIHSS hours To keep you safe during COVID-19, we're here to assist you by email and phone, Monday-Friday, 8:00 a.m. to 5:00 p.m. For IHSS Provider questions: Email [email protected] . To apply for IHSS: Call (415) 355-6700 Service Center locations: On our map below, click on our two Service Centers for their location details. + − new hunan wok jacksonville fl
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WebSOC 873 IHSS Health Care Certification form in Spanish ( PDF, 48 KB) Applicants have 45 calendar days from the date the county requests the SOC 873, to provide the county with the form completed and signed. If the applicant is determined eligible for services, eligibility may be effective the date of the application. Web27 jul. 2011 · the applicant/recipient eligible for IHSS services, a new SOC 873 is not required at subsequent reassessments. Counties may request a new SOC 873 or their … WebRecipient/Consumer Frequently used Forms. SOC 332 In-Home Supportive Services Recipient Employee Responsibilities Checklist. SOC 426A ... SOC 873 In-Home Supportive Services Program Health Care Certification Form. SOC 2256 ... IHSS Provider Enrollment Process. SOC 2255 In-Home Supportive Services (IHSS) Program Provider ... new hundred