Caregiver Application Form With Social Security Number In Oakland
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FAQ
Meet eligibility criteria Live at home or in a shelter, but not in a board and care facility, nursing home, or hospital. Receive Medi-Cal or qualify for Medi-Cal. Provide health care certification Form SOC 873, completed by a licensed health care professional, showing your need for services.
Eligibility. To become an IHSS Provider, you must: Complete and sign all mandatory forms included in the IHSS Program Provider Enrollment Packet and return it to the County IHSS Office. Be fingerprinted and go through a criminal background check by the California Department of Justice (DOJ).
Attend 2-hour, group Orientation in San Francisco Valid state or U.S. government-issued photo ID. Original Social Security card. A Work Authorization (required only if your Social Security card states "Valid for work only with DHS or INS authorization") Completed the IHSS Provider Packet (including SOC 426A).
MY PHONE: Call 510-577-1800 weekdays from AM - 12 Noon or - PM. Once you dial, when prompted, press “1” for English and then “1” for applying for IHSS and “1” a third time to speak with an intake screener. 2. BY MAIL: Request an application to be mailed to client's home.
To be eligible for IHSS, an individual must be Medi-Cal eligible or must be receiving Supplemental Security Income (SSI) benefits. The IHSS program provides payment for non-medical in-home care for qualified individuals who are unable to remain safely in their homes without this assistance.
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) .
