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  • Ca Pasc Homecare Registry Application Form For Consumers 2018

Get Ca Pasc Homecare Registry Application Form For Consumers 2018-2025

PASC Homecare Registry REGISTRY APPLICATION FORM FOR CONSUMERS First Name:Last Name:Middle Initial:IHSS Case # : Social Worker 's Name: Seven DigitsHome Phone: ( ) Cell Phone: ( ) Fax: ()Email:My.

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Contact support

Please contact the IHSS Service Desk at (866) 376-7066 during normal business hours of 8am- 5pm Monday through Friday, excluding major holidays.

IHSS Recipients Be 65 years old or older, blind, and/or disabled as defined by Social Security Administration (SSA) standards. ... Be a California resident; Live in your own home. ... Be eligible for Medi-Cal benefits;* ... Participate in a home assessment interview; and.

The Public Authority Services Registry helps consumers of In-Home Supportive Services (IHSS) locate and hire competent, experienced, background-checked, and pre-screened Independent Providers to perform the consumer's authorized services.

To add or change a provider, please call the IHSS Help Line at (888) 822-9622.

To get started, you will select if you are a “Recipient”, or if you are a “Provider”. After making your selection, click on Begin Registration Process. You will then be taken to the 'Register' Screen. You will see at the top of your screen your registration progress bar.

A county social worker will interview to determine your eligibility and need for IHSS. ... You must have a physician or other licensed health care professional fill out a Health Care Certification (SOC 873) form and you must return it to the county before care services can be authorized.

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) .

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) .

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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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