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How to fill out the IHSS Program Individualized Back-up Plan And Risk – California online
This guide provides comprehensive, step-by-step instructions for filling out the IHSS Program Individualized Back-up Plan And Risk Assessment form online. Users will find clear and supportive guidance tailored to their needs to ensure a smooth completion process.
Follow the steps to successfully complete the form online.
- Click ‘Get Form’ button to access the IHSS Program Individualized Back-up Plan And Risk Assessment form. This action will open the document in the editing interface.
- Begin with Section 1, which requires you to fill in the recipient's name and case number. Ensure this information is correctly entered on each subsequent page of the form.
- Move to Section 2, where you will need to provide the recipient’s support contacts. Engage in conversation to determine their preferences for back-up contacts and record important numbers such as local social services or emergency numbers.
- In Section 3A, discuss identified risks with the recipient and, if necessary, document any additional services to mitigate risks. If a service is refused, make a clear note of this and any associated risks.
- Continue to Section 3B to check additional risk areas discussed. Take time to ensure all concerns are addressed through discussions and planning.
- In Section 4, review disaster preparedness topics with the recipient. This includes individual health needs and emergency strategies that may be beneficial.
- Finalize with Section 5, where the recipient and involved parties will sign the form to confirm the accuracy of all discussed information. Ensure each individual's signature is collected before concluding the process.
- After completing the form, ensure to save your changes. You will have the option to download, print, or share the completed document as needed.
Complete the IHSS Program Individualized Back-up Plan And Risk Assessment form online today to enhance your preparation and support.
A Share-of-Cost (SOC) is the amount of money that an IHSS recipient/employer must pay to his/her IHSS provider/employee every month. The SOC allows a person with a higher income to receive IHSS if he/she pays part of the cost. A SOC is similar to a private insurance plan's deductible.
Fill (IHSS) Program Individualized Back-up Plan And Risk - California ... - Cdss Ca
Problems with downloading forms? Download In-Home Supportive Services (IHSS) Program Individualized Back-up Plan and Risk Assessment (SOC 864) – Department of Social Services (California) form. IHSS is a federal, state, and locally funded program designed to provide assistance to eligible aged, blind, and disabled individuals. • Ensure a completed IHSS Individualized Back-up Plan and Risk. Protective supervision is a service under the InHome Supportive Services (IHSS) program. It provides monitoring for "nonself-directing" IHSS recipients.
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