Prior to and during the hearing, you have the right to examine the countys nonprivileged information that it used in making its decision to deny protective supervision. For example, if a child repetitively touches a hot stove, it would likely be considered a dangerous behavior. According to theCalifornia Department of Social Services (CDSS) current interpretation of the regulations, an individual must: For minors, there is an additional requirement. (866) 376-7066, Suspect Fraud? MPP 30-763.453. At Furnel, Inc. we understand that your projects deserve significant time and dedication to meet our highest standard of quality and commitment. If the parents circumstances change, provider eligibility will be MotherFatherGuardianOther, State You can request your hearing to take place in person or over the phone. Sit in person with the doctor while she fills out the form, while telling her to use your list of dangerous behaviors from your log to write on the form. IHSS Website - Login. 21 Engel Injection Molding Machines (28 to 300 Ton Capacity), 9 new Rotary Engel Presses (85 Ton Capacity), Rotary and Horizontal Molding, Precision Insert Molding, Full Part Automation, Electric Testing, Hipot Testing, Welding. **Due to browser constraints please download forms for full functionality. IHSS helps older adults and people with disabilities with daily activities such as bathing, dressing, laundry, shopping, and cooking. 2) Protective Supervision Sample Doctors Letter. IHSS includes the following services: Domestic Services: General household chores to maintain the cleanliness of IHSS Application in Chinese Upon receipt, the State Hearings Division must grant or deny your rehearing request within 35 working days. 15-25.). A parent who is on paid or unpaid leave or has been recipients reaches the maximum number of IHSS work hours, the family can hire a Nhp vo lin kt di y c phin bn ti v y . therefore can hire a non-parent IHSS provider when: 1) the parent is unavailable The maximum allowable IHSS hours vary depending on whether the recipient is deemed severely impaired or non-severely impaired. An IHSS recipient is classified as severely impaired if they are authorized for 20 or more hours per week of non-medical personal services, paramedical services, and meal preparation. parent is unavailable to perform shopping or errands essential for the family, search The countys social worker will explain his/her assessment and seek to justify the countys denial of protective supervision. WebIHSS is a California government program that provides financial support for in-home caretakers of impaired elders, persons with disabilities, and children with developmental disabilities including autism. How do I seek State Court review for Protective Supervision? On January 1, 2022, the minimum wage will increase to $15 per hour. For any other reason necessary to prevent the abuse of discretion or an error of law. An IHSS provider may be paid to observe and monitor a disabled child or adult when the person can remain safely at home if 24-hour supervision is provided. Protective supervision is an IHSS service for people who, due to a mental impairment or mental illness, need to be observed 24 hours per day to protect them from injuries, hazards, or accidents. Spend some time looking at your results. parents home. Would you like to take a short survey telling us about your experience with DB101? Your hearing for protective supervision will either be in person or over the phone. PUB 223 (1/04) - So, You Want To Open A Group Home For Children? Additionally, you must have these documents organized and ready to submit: Now look through all three documents: IPP, CDER, and IEP, to see if any of the three mentions any of the dangerous behavior your child engages in and highlight them. Need more supervision than a minor of comparable age who is not mentally impaired or mentally ill. For friendly visiting or other social activities; When the need is caused by a medical condition and the form of the supervision required is medical; For example, an applicant with diabetes is not eligible for protective supervision to help when the applicant has an episode of hypoglycemia; To prevent or control anti-social or aggressive behavior directed toward others; For example, hitting ones siblings or peers. You must tell your IHSS worker about this additional need during the needs assessment process. WebProtective Supervision consists of observing recipient behavior and intervening as appropriate in order to safeguard the recipient against injury, hazard, or accident. To report a lump sum payment for retroactive IHSS benefits, recipients should send a letter to their County Medi-Cal office (and to the SSA office if they receive SSI) explaining: Additional information about lump-sum payments and Medi-Cal eligibility can be found here: https://www.disabilityrightsca.org/publications/lump-sum-payments-and-medi-cal-eligibility, Information about lump-sum payments and Supple Security Income (SSI) eligibility can be found here: https://www.disabilityrightsca.org/publications/lump-sum-payments-and-ssi-eligibility, To find your local Medi-Cal office, please visit: https://www.dhcs.ca.gov/services/medi-cal/Pages/CountyOffices.aspx, To find your local Social Security Administration office, please visit: https://www.ssa.gov/locator/. - This form is to be completed by the IHSS recipients doctor. At any point during the hearing, the administrative law judge may question the parties. On January 1, 2022, the minimum wage increased to $15 per hour. Many children with autism engage in this behavior. YesNo. 2022 Legislation Affecting Persons with Disabilities, New Rules for IHSS: Elimination of Proration of Protective Supervision Services, Special Education Rights & Responsibilities Manual (SERR), Rights Under The Lanterman Act Manual (RULA), https://www.disabilityrightsca.org/publications/recent-changes-to-in-home-supportive-services-ihss-and-waiver-personal-care-services, https://www.disabilityrightsca.org/publications/lump-sum-payments-and-medi-cal-eligibility, https://www.disabilityrightsca.org/publications/lump-sum-payments-and-ssi-eligibility, https://www.dhcs.ca.gov/services/medi-cal/Pages/CountyOffices.aspx, https://www.cdss.ca.gov/Portals/9/Additional-Resources/Letters-and-Noti, http://www.cdss.ca.gov/lettersnotices/entres/getinfo/acl/2016/16-07.pdf, who received the payment and for how much, that the money is owed for retroactive IHSS provider wages, paid pursuant to ACL 20-111. why the payment is exempt (if applicable), such as. This resource is designed to assistcounty eligibility workers and other partners who provide services to the public. A recipient can make a request with their county if they prefer payment go directly to their provider. Note that it is CDSS policy that leaving an applicant alone for some fixed short period of time, is not, by itself, a reason to deny protective supervision. Learn about reasonable accommodations and programs that help make work possible. IHSS recipients who receive government benefits and are issued a retroactive check may need to report the payment to the agency administering their government benefits. IHSS Career Pathways Program is Now Available! Get free assistance with your personal care and daily chores from a qualified, IHSS Provider who comes to your home. non-parent IHSS provider or a second parent in the household for their child. The social worker will also review all relevant documentation you provide. That equates to $3,396 per month today. If parents are sleeping or caring for other family members. allowed to be the provider or hire another provider. This assessment will include information given by you and, if appropriate, by your family, friends, physician or other licensed health care professional. for a parent working part-time; 2) the parent is enrolled in an educational or You will then be given an opportunity to provide testimony. Children under 18 who dont have a parent to provide services. (IHSS) regulations to parent providers. An applicant is never required to suffer an actual injury in order to be eligible for protective supervision. IHSS SOC 821 Protective Supervision Form: Print this form and take it, along with the dangerous behavior log, to the doctor who treats your child. (9^0rO;cSm ;tjG :G8b_#L8y'iDudImG`#zf)!ROl!Sd5V8qk0de(\ws dR+a7~(P_d7*)&,k9\*/Dyv1E%fBWf[.!}*#I} The health care professional you choose should ideally be someone whom the applicant has seen for an extended period of time, not just an appointment or two. Your employer or the In-Home Supportive Services (IHSS) program may help you get personal assistance services at work. IHSS hours cannot be used for assistance with college courses or vocational training. Protective supervision is an IHSS service for people who, due to a mental impairment or mental illness, need to be observed 24 hours per day to protect them from When an applicant deliberately intends to harm him/herself. The types of services which can Give us a call or fill in the form below and we will contact you. This professionalism is the result of corporate leadership, teamwork, open communications, customer/supplier partnership, and state-of-the-art manufacturing. Medi-Cal covers people with and without disabilities who have low income. Ive always done my taxes and this is my first year having IHSS as my only income, so I was wondering if its However, adoptive The reasons to request a rehearing include: You can submit your rehearing request by: State Hearings Division Explain why a rehearing should be granted; Request an interpreter in your preferred language, if applicable; and. The application is also available in other languages, including, but not limited to: SOC 295 in Spanish; SOC 295 in Chinese; and SOC 295 in Armenian. Advocacy services for those with disabilities. WebProtective Supervision under the IHSS Program because his physical condition made it impossible for him to engage in any activities that would require observation or 2 0 obj A nonself-directing child usually requires considerably more intervention from a provider than a neurotypical child. You should be prepared to discuss each of the requirements for protective supervision, as well as any documentation you provide for your case. Disabled children are also eligible for IHSS. Protective supervision is a program under In-Home Supportive Services (IHSS) that provides support to California residents with a mental impairment or illness so they can live safely at home. Individualized Education Program (IEP): This document will be created by your childs school. For example, the term self-directing in the IEP context might refer to a child who is able to draw with markers without instruction or assistance. Protective supervision is an IHSS service for people who, due to a mental impairment or mental illness, need to be observed 24 hours per day to protect them from injuries, hazards or accidents. provider and/or hire a non-parent provider is a separate and distinct inquiry instruction for parents enrolled only part-time; 3) the parent is physically or IHSS Application in English Foster parents are not subject to the IHSS parent an IEP, SOC 821 doctor's form, Notice of Action, etc.). You can appeal your denial of protective supervision by: California Department of Social Services If you feel your child might meet the qualifications, call your social worker and ask for an assessment for IHSS Protective Supervision. In addition, the childs cognitive impairment(s) might affect the intensity of supervision needed. X"l6.4],ndJKJ_eF"!3gw'Wo The administrative law judge will begin by introducing the parties and providing an overview of the hearing process. How to Get IHSS in California: Protective Supervision Guide If the applicant is a minor, review past IEPs. The court agrees with you that the administrative law judge made some kind of error, but determines that there is not enough evidence for the court to decide the issue and sends (remands) the case back to CDSS for a rehearing. Your ability to provide convincing documentation may very well make or break your case for protective supervision. With a DB101 account, you can easily save and find your favorite DB101 pages, mini-tools, and estimator sessions. WebHas any live in provider done their taxes only using the IHSS income? Click links below for a downloadable version. You are entitled to an interpreter at the hearing, free of charge. Depending on your living situation, one parent can be a provider, or you can hire someone other than your parent to provide IHSS. In a two-parent household, a parent is an eligible While a variety of benefits are available, the most important for families of children with special needs is Protective Supervision. 1-(800)-722-0432, Copyright 2023 California Department of Social Services, Functional Index Rankings and Hourly Task Guidelines, IHSS Protective Supervision for Adults (PUB 521), IHSS Protecitve Supervision for Minor Children (PUB 522), Translated versions in Armenian, Chinese, and Spanish will be posted at, Finding, Interviewing, and Hiring a Provider -, IHSS Recipient and Provider Job Agreement -, Blind and Visually Impaired Accommodations -. Eligible service providers, including parents, can potentially earn around $4,000 per month, tax-free. The IEP outlines that your child is eligible for special education and related services to benefit from the general education program. Providers will be paid for attending and completing training courses and can earn incentive payments for completing training classes. vocational training program, with unavailability limited to the time of However, a non-parent provider cannot be paid You or your authorized representative will be given an opportunity to cross-examine the county social worker. There is a limit to the number of hours, depending on the severity of the impairment. If approved for IHSS, you must hire someone (your individual provider) to perform the authorized services. Medi-Cal recipients must report the payment to the county welfare department within 10 days after it is received.10 Supplemental Security Income (SSI) recipients must report the payment to the Social Security Administration as soon as it is received, but no later than the 10th day of the month following the month the payment is received.11. hb```M,* eah r[8Mq}ra`Hu'V';Etm31H`^B@, egP\}QI ![89HMf\bV 4/ @ZQpD"@ 2, If you have an authorized representative, the judge will ask if he/she would like to make the applicants opening statement. We try to update our materials regularly. The program provides a maximum of 195 to 283 hours of services per month, depending on the severity of the impairment. If your county has contracted IHSS providers, you may choose to have services provided by the contractor. In-Home Supportive Services (IHSS) In-Home Supportive Services, also known as IHSS, can help pay for services if youre a low-income elderly, blind or disabled individual, including children, so that you can remain safely in your own home. The county welfare departments process applications for IHSS assistance, determine the needs of applicants, and authorize services. Get supporting statements from anyone who looks after your child as well. IHSS Service Desk for Providers and Recipients While a variety of benefits are available, the most important for families of children with special needs is Protective Supervision. Protective supervision hours will be provided for up to 195 hours per month or 283 hours, depending on the severity of the impairment and the persons IHSS program. 391 0 obj <>/Filter/FlateDecode/ID[<0F819B32B4E1AF4CB1CFE1076D7313F6>]/Index[371 50]/Info 370 0 R/Length 94/Prev 70654/Root 372 0 R/Size 421/Type/XRef/W[1 2 1]>>stream There are limitations to the number of hours an IHSS provider can work per week. After you apply for protective supervision for your loved one (the applicant), a county social worker will schedule a home visit to determine the applicants need for protective supervision. Provider Fraud and Elder Abuse complaint line: parent to provide an affidavit or other documentation. IHSS Service providers are paid an hourly rate set by Medi-Cal for their county. If youre a child under age 18, you can get IHSS in different ways. Examples of nonself-directing behaviors include, but are not limited to: Keep in mind that the definition of nonself-directing is very different in the IHSS context than its commonly understood meaning. mentally unable to provide IHSS services; 4) the parent is unavailable because If both parents are If you live with at least one parent, you can pay someone other than your parent to provide IHSS if: If you live with at least one parent, your parent can be paid to do IHSS if: If you live with both parents, one of your parents can be paid to do IHSS if: You can use IHSS personal care services to help you get, keep, or return to work. Why Choose an IHSS Lawyer for Your Appeal? You currently get 80 hours of IHSS for use at your home. Applicants with severe deficits in memory, orientation, and judgment are more likely to qualify for protective supervision than applicants with moderate deficits. Tips for Using Adobe PDF Files, Notice of Action Documents(used by county governments), Copyright 2023 California Department of Social Services, NA Back9 (5/22) - Your Hearing Rights (Full Rights Are Listed in CDSS PUB 412), NA Description Of Services L (3/15) - Description Of services, NA IHSS Back L (3/15) - Your Hearing Rights, NA 200 (12/20) - Notice Of Action - Multipurpose - Include Budget, NA 200 (7/21) - Notice Of Action - Multipurpose - Include Budget, NA 210 (5/20) - Discontinue, Suspend Financial Eligibility, NA 213 (10/21) - Deny - Financial Eligibility, NA 213A (12/20) Notice Of Action Deny Financial Eligibility, NA 213A (7/21) Notice Of Action Deny Financial Eligibility, NA 214 (4/00) - Discontinue, Suspend Transfer of Property, NA 215 (1/00) - Continuation Page, Sponsor Non Citizens Deemed Income, NA 216 (11/99) - Sponsored Non Citizens Property, NA 271 (12/20) - Notice Of Action - Continuation Page - Family Income Computations - Cash Aid, NA 271 (7/21) - Notice Of Action - Continuation Page - Family Income Computations - Cash Aid, NA 274 (4/99) - Continuation Page Overpayment Computations (prior to 10-1-89), NA 274B (4/99) - Continuation Page Overpayment Computations (for 10/1/89 to 8/31/91), NA 274C (4/99) - Continuation Page - Overpayment Computations (for 9/1/91 to 8/31/95), NA 274D (1/00) - Continuation Page - Overpayment Computations (Ortega 9/1/95 to 12/31/97), NA 274E (6/11) - Notice Of Action Overpayment Computations For 1-1-98 to 6-30-2011, NA 274F (6/11) - Notice Of Action - Overpayment Amount Owed (For Overpayments Occurring On Or After 7/1/2011), NA 274G (7/19) - Notice Of Action - Continuation Page - Overpayment ComputationsOccurringOn Or After10/1/2013, NA 274H (12/20) - Notice Of Action - Continuation Page - Overpayment Computations Between 6/1/2020 and 05/31/2021, NA 274I (7/21) - Notice Of Action - Continued - Overpayment Amount Owed For Overpayments Occurring Between 6-1-2021 and 5-31-2022, NA 274J (7/21)-Notice of Action Continued - Overpayment Amount Owed For Overpayments Occurring On or after 6-1-2022, NA 275 (4/99) - Continuation Page - Overpayment Adjustment Computation - Cash Aid, NA 277 (1/00) - Continuation Page Optional Persons Transfer of Property, NA 278 (1/00) - Discontinue/Suspend Optional Persons Transfer of Property, NA 279 (1/00) - Excess Property (with Good Faith), NA 280 (1/00) - Excess Property (w/o Good Faith), NA 281 (6/11) - Notice Of Action - Underpayment Amount Owed (For Underpayments Occurring on or After 1-1-98 thru 6-30-2011), NA 281A (6/11) - Notice Of Action Underpayment Amount Owed (For Underpayments Occurring On Or After 7/1/2011), NA 281B (5/13) - Notice Of Action Continuation Page - Underpayment Computations On Or After 10/1/2, NA 281C (7/19) - Notice Of Action - Continuation Page - Underpayment Computations Occurring On Or After 6/1/2020, NA 281C (12/20) - Notice Of Action Continuation Page - Underpayment Amount Owed (For Underpayments Occurring Between 6-1-2020 and 5-31-2021), NA 281D (7/21) - Notice Of Action (Continued) Underpayment Amount Owed (For Underpayments Occurring Between 6-1-2021 and 5-31-2022), NA 281E(7/21) - Notice Of Action (Continued) Underpayment Amount Owed (For Underpayments Occurring On Or After 6-1-2022), NA 290 (2/14) -Notice Of Action - Multipurpose, NA 300 (7/19) - Notice Of Action - Continuation Page - Recipient Financial Eligibility Test, NA 300 (10/21) - Notice Of Action - Continuation Page - RecipientFinancial Eligibility Tests, NA 301 (10/21) - Continuation Page - Applicant Financial Eligibility Test, NA 403 (1/22)- Notice Of Action - For Resource Families, Including Homes Certified By AFoster Family Agency, County Approved Relative Homes, Non-Relative Extended Family Members, Foster Family Homes, Non-Related Legal Guardians, Intensive Treatment Foster Care and/or Intensive Services Foster Care, Group Homes and Short-Term Residential Therapeutic Programs, NA 403A (4/17) - Notice Of Action Approval, Change Or Discontinued For Kinship - Guardians Only, NA 421 (6/21) Assistance Dog Special Allowance (ADSA) - Notice Of Action - Approval, NA 422 (11/21) - Assistance Dog Special Allowance (ADSA), NA 422L (1/22) -Assistance Dog Special Allowance (ADSA) Notice of Action Denial, NA 530 (4/11) - Notice Of Action -48-Month Time Limit, NA 530 (4/21) - Notice Of Action - 60-Month Time Limit, NA 531 (12/20) - Notice Of Action - Continuation Page-48-Month Time Limit- Includes Budget, NA 531 (4/21) - Notice Of Action - Continuation Page - 60-Month Time Limit - Includes Budget, NA 531 (7/21) - Notice Of Action - Continuation Page - 60-Month Time Limit - Includes Budget, NA 532 (7/19) - Notice Of Action - Continuation Page - 48-Month Time Limit Discontinue, NA 532 (12/20) - Notice Of Action - Continuation Page - 48-Month Time Limit Discontinue - Includes Budget, NA 532 (4/21) - Notice Of Action - Continuation Page - 60-Month Time Limit Discontinue - Includes Budget, NA 532 (11/21) - Notice Of Action- Continuation Page - 60-Month Time Limit Discontinue - Includes Budget, NA 691 (3/18) - Notice Of Denial - Cash Assistance Program For Immigrants (CAPI), NA 692 (12/17) - Notice Of Change - Cash Assistance Program For Immigrants (CAPI), NA 693 (9/22) - Notice Of Approval - Cash Assistance Program For Immigrants (CAPI), NA 791 (9/18) - Notice Of Action - Approval/Denial/Change, NA 816 (3/14) - Notice Of Action - Sanction Of Other Parent After Failed Compliance Plan, NA 817 (3/14) - Notice Of Action - Sanction Of Participant After Failed Compliance Plan, NA 818 (3/14) - Notice Of Action - Taking You Out Of Welfare To Work, NA 820 (1/01) - Notice Of Action - Transportation Approval, NA 821 (1/01) - Notice Of Action - Transportation Approval/Denial, NA 822 (7/16) - Notice Of Action - Transportation Change, NA 823 (8/00) - Notice Of Action - Ancillary Expenses Approval/Denial, NA 825 (8/00) - Notice Of Action - Payment Adjust Transportation, NA 827 (7/99) - Notice Of Action - Recoupment Unused Advance Payment, NA 828 (7/99) - Notice Of Action - Transportation And Ancillary Exp Overpayment, NA 832 (3/20) - Notice of Action - Child Care Services, NA 833 (4/20) - Notice of Action - Child Care Services Change, NA 834 (3/20) - Notice of Action - Child Care Services Denial, NA 835 (3/20) - Notice of Action - Child Care Services Discontinuance, NA 840 (3/14) - Notice Of Action - Welfare To Work Plan, NA 840A (10/03) - Notice Of Action - Determination Of Good Cause/No Good Cause, NA 841 (3/14) - Notice Of Action - Welfare-To-Work Plan, NA 843 (6/99) - Notice Of Action - Ineligible, NA 844 (8/99) - Notice Of Action - Adequate Progress, NA 845 (3/14) - Notice Of Action - Sanction and Removal Of The Other Parent's Needs, NA 960X SAR (9/13) - Notice Of Action - Stop Aid;Report Not Received, NA 960Y SAR (10/14) - Notice Of Action - Stop Aid;Report Incomplete, NA 991 (10/03) - Notice Of Action - Refugee Cash Assistance (RCA)/Entrant Cash Assistance (ECA) MC-Decrease/Expiration (Time-Expiration), NA 992 (5/03) - Refugee Cash Assistance (RCA) Application Approval, NA 994 (11/00) - Food Stamp Notice Of Discontinuance (Failure to Meet Non-Assistance CFAP Work Requirement (Violation Prior To Three Consecutive Month Grace Period), NA 995 (5/13) - Food Stamp Notice of Denial/Disqualification For The California Food Assistance Program, NA 996 (11/00) - Food Stamp Notice Of Discontinuance (Failure to Meet Non-Assistance CFAP Work Rule (Violation After Receipt Of Three Consecutive Month Grace Period, NA 1209 (2/02) - Notice Of Action - Change In The Amount Of Kin-Gap Payment, NA 1210 (4/02) - Notice Of Action - Discontinue, NA 1211 (2/00) - Notice Of Action - Denial, NA 1212 (2/00) - Notice Of Action - Discontinue Property, NA 1213 (2/00) - Notice Of Action - Discontinue Restricted Account, NA 1214 (2/00) - Notice Of Action - Change Under/Overpayment, NA 1217 (9/22) - Notice Of Action - Cash Assistance Program For Immigrants - Notice of Overpayment, NA 1218 (9/22) - Notice Of Action - Cash Assistance Program For Immigrants - Notice Of Underpayment, NA 1230 (9/22) - Cash Assistance Program for Immigrants Notice of Overpayment - Waiver Approval, NA 1231 (9/22) - Cash Assistance Program for Immigrants Notice of Overpayment - Partial Waiver Approval, NA 1232 (2/21) - Cash Assistance Program for Immigrants Notice of Overpayment - Waiver Denial, NA 1233 (3/02) - Notice Of Action - Multipurpose, NA 1239 AR (12/20) - Notice Of Action - Continuation Page - Annual Reporting Budget, NA 1239 AR (8/21) - Notice Of Action - Continuation Page - Annual Reporting Budget, NA 1239 SAR (12/20) - Notice Of Action - Continuation Page - Semi-Annual Reporting Budget, NA 1239 SAR (8/21) - Notice Of Action - Continuation Page - Semi-Annual Reporting Budget, NA 1240 (4/13) -Notice Of Action - Food Stamp Overissuance & Dormant EBT Account, NA 1250 (11/12) - Notice Of Action In-Home Supportive Services (IHSS) Approval, NA 1250L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Approval, NA 1251 (5/09) -Notice Of Action In-Home Supportive Services (IHSS) Approval Continuation, NA 1251L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Approval Continuation, NA 1252 (5/09) - Notice Of Action In-Home Supportive Services (IHSS) Denial, NA 1252L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Denial, NA 1253 (11/12) - Notice Of Action In-Home Supportive Services (IHSS) Change, NA 1253L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Change, NA 1254 (5/09) - Notice Of Action In-Home Supportive Services (IHSS) Change Continuation, NA 1254L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Change Continuation, NA 1255 (5/09) - Notice Of Action In-Home Supportive Services (IHSS) Termination, NA 1255L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Termination, NA 1256 (5/09) - Notice Of Action In-Home Supportive Services (IHSS) Share Of Cost, NA 1256L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Share Of Cost, NA 1257 (5/09) - Notice Of Action In-Home Supportive Services (IHSS) Multi, NA 1257L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Multi, NA 1261 (1/16) - Notice Of Action - Form and Instructions - For Group Homes, Short-Term Residential Treatment Centers, Foster Family Agencies, Transitional Housing Placement-Plus Foster Care and Transitional Housing Placement Program, NA 1261A (3/20) - Notice Of Action For Approved Relatives, Non-Relative Extended Family Members, Foster Family Homes, Non-Related Legal Guardians or Non-Minor Dependents Residing In A Supervised Independent Living Setting, NA 1261B (1/16) - Notice Of Action - Form And Instructions - For Kinship-Guardians Only, NA 1263 (8/11) - Notice Of Action - Overissuance Budget Worksheet, NA 1267 (4/13) - CalFresh Informing Notice Of Receiving Intercounty Transfer, NA 1268 (4/13) - CalFresh Informing Notice Of Sending Intercounty Transfer, NA 1269 (11/11) - Notice Of Action - Approve Non-Minor Dependent, NA 1270 (11/11) - Notice Of Action - Discontinue Non-Minor Dependent, NA 1271 (5/14) - Notice Of Action - Denial Of Home Assessment/Approval, NA 1273 (7/13) - Electronic Notification Agreement, NA 1274 (7/13) - Electronic Notification Notice, NA 1275 (7/13) - Electronic Notification Cancellation Notice, NA 1276 (1/15) - Notice Of Action - Welfare-to-Work 24-Month Time Clock Limit Notice, NA 1277 (1/16) - Notice Of Action - Approved Relative Caregiver (ARC) Overpayment, NA 1278 (11/16) - Notice Of Action - Approve Approved Relative Caregiver (ARC) Payment, NA 1279 (5/22) Notice of Action Deny Approved Relative Caregiver (ARC) Payment, NA 1280 (5/22) Notice of Action Discontinue Approved Relative Caregiver (ARC) Payment, NA 1281 (11/16) - Notice Of Action - Change Approved Relative Caregiver (ARC) Payment, NA 1282 (12/19) - Notice Of Action In-Home Supportive Services (IHSS) Overpayment - Advance Pay, NA 1282L (12/19) - Notice Of Action In-Home Supportive Services (IHSS) Overpayment - Advance Pay, PI 2 (6/15) - IRS Office Of Safeguards Data Incident Report, PUB 13 (5/22) - Your Rights Under California Public Benefits Programs - For People Applying For Or Receiving Public Aid In California, PUB 56 (12/06) - The In-Home Supportive Services Program, PUB 69 (5/22) - County Forms Catalog2021-2022, PUB 104 (12/06) - In-Home Supportive Services Individual Provider Benefits and Services Information, PUB 179A (5/15) - A Manual Communication Guide For Field Officers, PUB 190 (8/06) - How To Hire And Supervise Your In-Home Supportive Services (IHSS) Provider, PUB 203 (1/04) - In-Home Supportive Services - Guide to Workers Compensation Benefits for Individual Providers.
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