This is a legal form that was released by the California Department of Health Care 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 MC175-6?
A: Form MC175-6 is a California form used for allocating funds from an SSI or IHSS person.
Q: What is SSI?
A: SSI stands for Supplemental Security Income, which is a federal program that provides financial assistance to low-income individuals who are aged, blind, or disabled.
Q: What is IHSS?
A: IHSS stands for In-Home Supportive Services, which is a California program that provides assistance with daily activities for eligible low-income individuals who are aged, blind, or disabled.
Q: What is the purpose of form MC175-6?
A: The purpose of form MC175-6 is to allocate funds from an SSI or IHSS person to cover the costs of their care or support services.
Q: Who should use form MC175-6?
A: Form MC175-6 should be used by SSI or IHSS persons in California who want to allocate their funds to pay for their care or support services.
Q: Are there any fees associated with form MC175-6?
A: No, there are no fees associated with form MC175-6.
Q: How often should form MC175-6 be completed?
A: Form MC175-6 should be completed whenever there is a change in the allocation of funds or a change in care or support services.
Q: Are there any eligibility requirements for using form MC175-6?
A: Yes, to use form MC175-6, you must be an SSI or IHSS person in California.
Q: What information is required on form MC175-6?
A: Form MC175-6 requires information such as your name, address, social security number, and details about the allocation of funds.
Form Details:
Download a fillable version of Form MC175-6 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.