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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES INHOME SUPPORTIVE SERVICES (IHSS) PROGRAM PROVIDER ENROLLMENT AGREEMENT PROVIDER NUMBER PROVIDER NAME.

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How to fill out the Soc 846 online

Filling out the Soc 846 form is an essential step for individuals participating in the In-Home Supportive Services (IHSS) program in California. This guide provides clear instructions on how to complete the form online, ensuring you understand each section and requirement.

Follow the steps to successfully complete the Soc 846 form online.

  1. Press the ‘Get Form’ button to access the Soc 846 and open it in your chosen online editor.
  2. Complete the provider information section, which includes your provider number and full name (first, middle, last).
  3. Review and acknowledge the required attendance at the provider enrollment orientation. Indicate your understanding of responsibilities, fraud consequences, and that you received the fraud hotline information.
  4. Fill in the section that explains your understanding of working hours, confirming you will only report hours you actually worked and will submit timesheets within the required timeframe.
  5. Understand the maximum weekly hours and travel time requirements, including any changes to your work schedule and how to manage hours among multiple recipients.
  6. Ensure you understand the violations for exceeding workweek limits and the associated consequences. It’s essential to acknowledge that these violations accumulate and may affect your status as a provider.
  7. Complete the signature section by signing the form and dating it, confirming your acceptance of the IHSS program rules.
  8. After reviewing all information for accuracy, save your changes. You can then download, print, or share the completed form, ensuring it is submitted as needed.

Complete and submit your Soc 846 form online today for a smoother enrollment experience.

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How to Become an IHSS Provider Go to an IHSS Provider Orientation given by the county. ... Complete, sign and return the IHSS Program Provider Enrollment Form (SOC 426) directly to the County IHSS Office or IHSS Public Authority. ... Complete and sign the IHSS Provider Enrollment Agreement (SOC 846) .

To be eligible, you must be 65 year of age and over, or disabled, or blind. Disabled children are also potentially eligible for IHSS. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities.

Tier 1 crimes include: Specified abuse of a child (Penal Code (PC) section 273a(a); • Abuse of an elder or dependent adult (PC section 368); or • Fraud against a government health care or supportive services program.

A felony offense for fraud against a public social services program, as defined in W&IC sections 10980(c)(2)* and (g)(2)*.

Of those who do get approved, it can take anywhere from two weeks to several months to finally receive benefits. This is due to the meticulous amount of paperwork involved, as well as the process of the case worker assessment, background check, and other procedures.

Generally, misdemeanor crimes involving violence or threats of violence would disqualify a person from being an IHSS provider. Minor infractions, such as traffic violations, would not disqualify a person from being an IHSS provider. 10. WHAT HAPPENS IF I'M CONVICTED OF A CRIME AFTER I'M ENROLLED AS AN IHSS PROVIDER?

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232