Form SOC852 In-home Supportive Services Program Notice to Applicant Provider of Provider Ineligibility Tier I Crimes (Elder or Dependent Adult Abuse / Child Abuse & Fraud Against a Government Health Care of Supportive Services Program) - California

Form SOC852 In-home Supportive Services Program Notice to Applicant Provider of Provider Ineligibility Tier I Crimes (Elder or Dependent Adult Abuse / Child Abuse & Fraud Against a Government Health Care of Supportive Services Program) - California

What Is Form SOC852?

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 SOC852?
A: Form SOC852 is a notice to the applicant/provider about provider ineligibility for Tier I crimes related to elder or dependent adult abuse, child abuse, and fraud against a government healthcare or supportive services program in California.

Q: Who receives the Form SOC852?
A: The form is received by the applicant/provider in the In-Home Supportive Services (IHSS) Program in California.

Q: What crimes are considered Tier I crimes?
A: Tier I crimes include elder or dependent adult abuse, child abuse, and fraud against a government healthcare or supportive services program.

Q: Why would someone receive a Form SOC852?
A: Someone may receive a Form SOC852 if they have been found ineligible to be a provider in the IHSS Program due to their involvement in Tier I crimes.

Q: What is the purpose of Form SOC852?
A: The purpose of Form SOC852 is to inform the applicant/provider about their ineligibility to participate in the IHSS Program based on their involvement in Tier I crimes.

Q: Is Form SOC852 specific to California?
A: Yes, Form SOC852 is specific to the In-Home Supportive Services Program in California.

Q: Who is considered an applicant/provider in the IHSS Program?
A: An applicant/provider in the IHSS Program refers to individuals who are seeking to provide supportive services to elderly or disabled adults in their own homes.

Q: Are Tier I crimes limited to elder or dependent adult abuse?
A: No, Tier I crimes also include child abuse and fraud against a government healthcare or supportive services program.

Q: What happens if someone is found ineligible due to Tier I crimes?
A: If someone is found ineligible to be a provider in the IHSS Program due to Tier I crimes, they will be informed through Form SOC852 and will not be able to participate in the program.

Q: Can someone challenge their ineligibility based on Tier I crimes?
A: Yes, someone who has been found ineligible due to Tier I crimes may have the opportunity to challenge their ineligibility through a formal process.

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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 SOC852 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC852 In-home Supportive Services Program Notice to Applicant Provider of Provider Ineligibility Tier I Crimes (Elder or Dependent Adult Abuse / Child Abuse & Fraud Against a Government Health Care of Supportive Services Program) - California

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