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.
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.
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.
Form Details:
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.