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Form SOC855A In-home Supportive Services Program Notice to Recipient of Provider Ineligibility Tier I Crimes (Elder or Dependent Adult Abuse / Child Abuse & Fraud Against a Government Health Care or Supportive Services Program) - California
What Is Form SOC855A?
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 SOC855A?
A: Form SOC855A is a notice given to recipients of the In-home Supportive Services Program in California to inform them about provider ineligibility for Tier I crimes.
Q: What is the purpose of Form SOC855A?
A: The purpose of Form SOC855A is to notify recipients of the program about the provider's ineligibility due to Tier I crimes, which include elder or dependent adult abuse, child abuse, and fraud against a government health care or supportive services program.
Q: Who receives Form SOC855A?
A: Recipients of the In-home Supportive Services Program in California receive Form SOC855A.
Q: What are Tier I crimes?
A: Tier I crimes include elder or dependent adult abuse, child abuse, and fraud against a government health care or supportive services program.
Q: Why is a provider deemed ineligible?
A: A provider is deemed ineligible if they have committed Tier I crimes, such as elder or dependent adult abuse, child abuse, or fraud against a government health care or supportive services program.
Q: What should a recipient do after receiving Form SOC855A?
A: Recipients should review the notice and take appropriate action based on the information provided, such as finding a new eligible provider.
Q: Is Form SOC855A specific to California?
A: Yes, Form SOC855A is specific to the In-home Supportive Services Program in California.
Form Details:
- Released on January 1, 2011;
- 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 SOC855A by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
