Form SOC874 In-home Supportive Services (Ihss) Program Notice to Applicant of Health Care Certification Requirement - California

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form SOC874 for the current year.

Form SOC874 In-home Supportive Services (Ihss) Program Notice to Applicant of Health Care Certification Requirement - California

What Is Form SOC874?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SOC874?
A: Form SOC874 is a Notice to Applicant of Health Care Certification Requirement for the In-home Supportive Services (IHSS) program in California.

Q: What is the IHSS program?
A: The IHSS program is a program in California that provides assistance with in-home care services to eligible individuals who have functional impairments or disabilities.

Q: What is the purpose of Form SOC874?
A: The purpose of Form SOC874 is to inform applicants for the IHSS program about the requirement of submitting a health care certification to determine their eligibility for services.

Q: What is a health care certification?
A: A health care certification is a document completed by a licensed health care professional that verifies an applicant's need for in-home supportive services based on their medical condition or functional limitations.

Q: Who needs to submit Form SOC874?
A: Applicants for the IHSS program who have indicated a need for personal care or domestic services need to submit Form SOC874 along with a completed health care certification.

Q: What happens if an applicant does not submit Form SOC874?
A: If an applicant does not submit Form SOC874 and a completed health care certification, their application for the IHSS program may be denied or delayed.

Q: What should be done after completing Form SOC874?
A: After completing Form SOC874, applicants should schedule an appointment with a licensed health care professional to obtain a health care certification.

Q: Is there a deadline for submitting Form SOC874?
A: Yes, applicants are required to submit Form SOC874 and the health care certification within 30 days of the date on the form.

Q: What happens after submitting Form SOC874 and the health care certification?
A: After submitting Form SOC874 and the health care certification, the applicant's eligibility for the IHSS program will be determined based on the information provided.

ADVERTISEMENT

Form Details:

  • Released on October 1, 2016;
  • The latest edition provided by the California Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form SOC874 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC874 In-home Supportive Services (Ihss) Program Notice to Applicant of Health Care Certification Requirement - California

4.4 of 5 (33 votes)
  • Form SOC874 In-home Supportive Services (Ihss) Program Notice to Applicant of Health Care Certification Requirement - California, Page 1
ADVERTISEMENT

Related Documents