Ihss paramedical services form. 3. Health Care Certification Form You will receive a f...

Feb 1, 2019 · Feb 1, 2019. #5493.01. Print this Publication

Introduction Background. The In-Home Supportive Services (IHSS) program of the California Department of Social Services (Social Services) provides assistance to eligible California residents who are 65 years of age or older (seniors), blind, or disabled (collectively referred to as recipients) to enable them to live safely in their own homes. 4 Throughout the report we refer to the approved ...IHSS Service Information: Description of necessary services per Functional Index (FI) rankings and assessed hours. All calculations of time per tasks. Paramedical: If Approval of Paramedical Services: details about the and the reported needs on the Request for Order and –Paramedical Services form (SOC 321) and details about anyNeeds assessment and eligibility determination is performed in the home of the applicant prior to authorization of IHSS and at 12-month intervals thereafter. To apply for IHSS please call (530) 661-2955. Medi-Cal. IHSS is funded by Medi-Cal. IHSS applicants must be or become eligible for Medi-Cal in order to receive IHSS.The maximum allowable IHSS hours vary depending on whether the recipient is deemed "severely impaired" or "non-severely impaired." An IHSS recipient is classified as severely impaired if they are authorized for 20 or more hours per week of non-medical personal services, paramedical services, and meal preparation.Your provider must be trained to perform paramedical services. IHSS regulations require that a licensed healthcare professional, such as a doctor, order and direct the paramedical services. Your doctor will need to complete a paramedical form, …The IHSS Residual (IHSS-R) Program is for people who are not eligible for full-scope Medi-Cal. It provides a maximum of 283 hours of services per month for people with severe disabilities and a maximum of 195 hours for people with disabilities that are not severe. Children under 18 who don't have a parent to provide services.To be eligible for IHSS Services, a person must meet the following conditions: • Be disabled, blind, or age 65 or older (children potentially eligible) • Unable to live safely in their own home without assistance. • Meet financial need requirement. Aging and Social Services 760-873-6364 162 Grove St., Suite J Bishop, CA 93514. HHS ...These are the types of services IHSS can provide: • Personal care services like dressing, bathing, feeding, toileting • Paramedical services like helping with injections, wound care, ... This form must be completed before services can be authorized. 4. Authorization The county will send a Notice of Action (NOA) telling the applicant if they ...requirements, you may be able to receive IHSS services. IHSS is a Medi-Cal program and is funded by federal, state, and county dollars. Services . These are the types of services IHSS can provide: • Personal care services like dressing, bathing, feeding, toileting • Paramedical services like helping with injections, wound care, colostomy, andThere's a popular myth that the IRS says paying taxes is voluntary. While that's untrue, some people are exempt from paying taxes. Who are they? Advertisement Some people will tell...To be eligible for IHSS Services, a person must meet the following conditions: • Be disabled, blind, or age 65 or older (children potentially eligible) • Unable to live safely in their own home without assistance. • Meet financial need requirement. Aging and Social Services 760-873-6364 162 Grove St., Suite J Bishop, CA 93514. HHS ...Monday – Thursday 7:30 a.m. – 5:00 p.m. Friday 8:00 a.m. – 12:00 p.m. 4025 W. Noble Ave, Suite A, Visalia CA 93277 (559) 623-0600 (800) 571-9555. In-Home Supportive Services (IHSS) Do you find it difficult to take care of yourself and your home? Do you think you might need nursing home care soon? If you qualify for Medi-Cal, you might ...services in order for him/her to remain at home. You are asked to indicate on this form what specific services are needed and what specific condition necessitates the services. In-Home Supportive Services is authorized to fund the provision of paramedical services, if you order them for this patient. For the purpose of this program, paramedical ...Agents are available to chat and address tickets during IHSS Helpline business hours. IHSS Helpline Business Hours. Monday through Friday 8 a.m. to 5 p.m. Pacific Time, excluding holidays. IHSS Helpline (888) 822-9622. IHSS Helpline Community Chat Guide. Live chat:Chat with an Agent.To apply for In-Home Supportive Services, please complete the application (PDF) and first page of the Health Care Certification (PDF).Your Licensed Health Care Professional (LHCP) will need to complete the second page of the Health Care Certification.Fax them to 916-787-8922, ATTN: IHSS Intake and call the Placer County Adult Intake number at 916-787 …The In-Home Supportive Services (IHSS) Program provides services to more than 600,000 low-income older adults and people with disabilities, including children. Public Authorities have trained and registered more than 600,000 providers throughout California, allowing some of the state’s most vulnerable populations to remain with greater ...Eligibility Criteria: To be eligible for WPCS, individuals must already be receiving In-Home Supportive Services (IHSS) and have a maximum of 283 IHSS hours. The program is specifically for tasks not covered by IHSS hours. Application Process: Candidates apply for enrollment in the HCBA waiver. To be considered for the Waiver Personal Care ...In-Home Supportive (IHSS) Fact Sheets - Chinese. The following resources are provided for program recipients/consumers. It is intended to help individuals understand their rights and responsibilities in the In-Home Supportive Services (IHSS) program. For additional resources, go to IHSS Recipient/Consumer Resources.Dear Doctor: This patient has applied for In-Home Supportive Services (IHSS) and stated that he/she needs certain paramedical services in order for him/her to remain at home. You are asked to indicate on this form what specific services are needed and what specific condition necessitates the services. In-Home Supportive Services is authorized ...services. This publication contains the attached material, which you will need in order to request protective supervision and prepare for a hearing. 1) Assessment of Need for Protective Supervision for In-Home Supportive Services Program (SOC 821 (3/06)). - This form should be completed by the IHSS recipient's doctor.Nov 28, 2018 · Medi-Cal funded Statewide program to help people including children with disabilities remain in their own homes. Provides basic services to individuals who cannot safely perform the tasks themselves. Provides paramedical services authorized by a medical professional. Provides protective supervision for people (including children) with cognitive ...San Bernardino County In-Home Supportive Services Public Authority. 784 E. Hospitality Lane San Bernardino, CA 92415-0034. Toll Free 1 (866) 985-6322 Fax (909) 927-4176. CLIENT REGISTRY ASSESSMENT.Placerville. 3057 Briw Road. Placerville, CA 95667. Phone (530) 642-4800. South Lake Tahoe. Phone (530) 642-4800. The In-Home Supportive Services (IHSS) Program pays for supportive services that help people remain safely in their own home.To be eligible, the person receiving services must be on Medi-Cal and over 65 years of age, or disabled or ...3. Edit soc 321 form. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file. 4. Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.Customer service is critically important in the digital age. Keep your team in top form and your customers happy with these top 10 customer service books. If you buy something thro...You must make a referral for IHSS to the San Bernardino County Department of Aging and Adult Services by calling the IHSS Central Intake Unit at the following toll free telephone number: 877-800-4544. Fax 909-948-6560. An IHSS referral may be assigned to one of the six offices in San Bernardino County listed below: Barstow.How do I apply for IHSS paramedical hours? Paramedical services are services ordered and directed by the child’s physician or other licensed medical provider. Sometimes, doctors will request assistance from parents in filling out the paramedical services form (SOC 321)).• Submit completed Health Care Certification Form (SOC 873) • Have Assessed Need for Services ... Supportive Services (SOC 295) • Send or fax: • In-Home Supportive Services PO BOX 269131 Sacramento, CA 95826 • FAX:(916) 854-8828. IHSS AUTHORIZED TASKS • Domestic Services ... Paramedical: RECIPIENT ROLE AS EMPLOYER • Locate, hire ...Learn the answers to common questions about In-Home Supportive Services (IHSS), which provides care for kids with disabilities in California. Why Undivided. ... they will include a new copy of the paramedical services form, and it will be checked on the form that you need to have an updated one." ... Paramedical services are services ordered ...Dear Doctor: This patient has applied for In-Home Supportive Services (IHSS) and stated that he/she needs certain paramedical services in order for him/her to remain at home. You are asked to indicate on this form what specific services are needed and what specific condition necessitates the services. In-Home Supportive Services is authorized ...IHSS Paramedical Services: Rules and Regulations Join Galt Advocacy for a discussion about the key points of paramedical services.SOC 321 – Request for Order and Consent Paramedical Services To be completed by your Doctor to receive authorized IHSS hours for paramedical services. SOC 332 – IHSS Recipient Employee Responsibilities Checklist Must be signed by the recipient acknowledging their responsibilities as the employer. SOC 426A – IHSS Program Designation of ...Basic Eligibility Requirements. Be 65 years old or older, blind, and/or disabled as defined by Social Security Administration (SSA) standards. Disabled children are also potentially eligible for IHSS; Live in your own home. Hospitals, nursing homes, and licensed community care facilities are not considered "own home"; *IHSS applicants must ...Contact Social Services. Child Hotline Information: If you suspect there is an emergency requiring immediate intervention, call 911; To report suspected child abuse or neglect call the 24 hour Child Abuse Hotline at (805) 781-KIDS (5437) or toll free 1-800-834-KIDS (5437)Understanding IHSS in California for 2024: IHSS is designed to provide personal and domestic services to eligible individuals to help them live more independently and safely in their own homes. The program is funded jointly by state, federal, and county governments and is administered by the California Department of Social Services (CDSS).Download SOC 321- Request for Order and Consent Paramedical Services - Public Social Services (Los Angeles County, CA) formIHSS Provider Orientation, February 2020 Page 6 of 7 IHSS Service Tasks errands such as delivering a delinquent payment to prevent a utility shutoff or picking up a prescription. This does not include time to pay monthly bills. Paramedical Services Paramedical services are skilled tasks that the recipient's doctor or a nurseIHSS PROVIDER’S SERVICES AND RELEASE AGREEMENT If you need assistance in reading or understanding this document, you should obtain the help of a trusted family member, friend or representative. You intend to use the services of the PASC Homecare Registry. The Registry provides referrals of IHSS homecare Providers to participating …services. This publication contains the attached material, which you will need in order to request protective supervision and prepare for a hearing. 1) Assessment of Need for Protective Supervision for In-Home Supportive Services Program (SOC 821 (3/06)). - This form should be completed by the IHSS recipient's doctor.Mar 26, 2021 · The In-Home Supportive Services (IHSS) Program is a statewide Medi-Cal program that provides long-term services and supports for California residents who are aged, blind or disabled and at risk of nursing home placement. Available benefits include personal care assistance and homemaker services to assist these individuals in living safely and ...What are three services a person could receive through IHSS? What makes a service paramedical? Paramedical Exam Form is not the form you're looking for? ... Related to para medical form ob form MEDICAL DIAGNOSTIC LABORATORIES, L.L.C. 2439 User Road Hamilton, NJ 08690-3303 (609) 570-1000 Fax (609) 570-1050 Toll Free (877) 269-0090 www.mdlab.com ...In-Home Supportive Services (IHSS) Plus Waiver Program ..... 30-785 CALIFORNIA-DSS-MANUAL-SS MANUAL LETTER NO. SS -06-03 Effective 10/12/06 Page 50 . This page is intentionally left blank. ... county returns the transfer form on February 19th, stating that they will assume responsibility effective March 1st. - The transfer period begins January ...CDSS ProgramsIHSSFact Sheets. In-Home Supportive Services (IHSS) Fact Sheets. The following resources are provided for program recipients/consumers. It is intended to help individuals understand their rights and responsibilities in the In-Home Supportive Services (IHSS) program. For additional resources, go to IHSS Recipient/Consumer Resources .Provide health care certification Form SOC 873 showing your need for services. 2 Apply in one of the following ways: Call (415) 355-6700. Fax or mail the completed IHSS Referral form. Community providers or discharge planners should submit referrals online at SFGetCare.org. 3IHSS can authorize domestic and personal care services. Call (209) 468-1104, and a staff member will take an application over the phone. Or complete the on-line application and fax to (209) 932-2663 or you may mail it to: Human Services Agency, IHSS PO Box 201056 Stockton, CA 95201. TO APPLY FOR IN-HOME SUPPORTIVE SERVICES.Next in Consumers: Provider Registry. (415) 243-4477 Voice (415) 243-4407 Fax (415) 593-8114 HR Fax. The San Francisco In-Home Supportive Services (IHSS) Public Authority connects low income seniors and people with disabilities to qualified IHSS providers, so they may live healthier, happier and safer lives at home and engaged in the community.The Tasmanian Ambulance Service (TAS) plays a crucial role in providing emergency medical services to the residents of Tasmania. TAS paramedics are trained to handle a wide range o...PROVIDER IDENTIFICATION NUMBER. HOURS ASSIGNED PER MONTH. I understand that by completing and submitting this form to the county In-Home Supportive Services (IHSS) program, I am requesting the IHSS program to assign the indicated number of my authorized hours to the named provider. I further understand that by making this request, my provider ...Advertisement It's very important to know what you must declare or reveal on an official CBP declaration form (informally called the "customs form") before re-entering the country ...Problems with downloading forms? CDSS forms and publications are available only in Portable Document Format (PDF). ... PUB 104 (12/06) - In-Home Supportive Services Individual Provider Benefits and Services Information ; PUB 244 (12/03) - Establishing Paternity For You and Your Child ; PUB 271 (2/17) - Never Shake a Baby Brochure;• Only ask the Provider to do work for the Recipient as assigned by IHSS • Supply enrollment forms and cooperate with the Provider in completing them ... ____ Other paramedical services: _____ Sample Job Agreement for IHSS 3 | P a g e Rev 10/2021 By signing below, the Recipient (Employer) and Provider (Employee) agree to the terms ...Dear Doctor: This patient has applied for In-Home Supportive Services (IHSS) and stated that he/she needs certain paramedical services in order for him/her to remain at home. You are asked to indicate on this form what specific services are needed and what specific condition necessitates the services. In-Home Supportive Services is authorized ...Published: Apr. 26, 2022 Updated: Jun. 27, 2022. IHSS: What Are Paramedical Services and Who Qualifies to Receive Them? | Undivided. Watch on. IHSS can provide funding for paramedical services for a child with disabilities. Learn more about what these services are and who is eligible for them. For more about what IHSS can offer, go here.The IHSS Program will help pay for services provided to a client to help them remain safely in their home. To be eligible, must be over 65 years of age, 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.Feb 1, 2019. #5493.01. Print this Publication. Protective supervision is an IHSS service for people who, due to a mental impairment or mental illness, need to be observed 24 hours per day to protect them from injuries, hazards, or accidents. An IHSS provider may be paid to observe and monitor a disabled child or adult when the person can remain ...To be eligible for IHSS Services, a person must meet the following conditions: • Be disabled, blind, or age 65 or older (children potentially eligible) • Unable to live safely in their own home without assistance. • Meet financial need requirement. Aging and Social Services 760-873-6364 162 Grove St., Suite J Bishop, CA 93514. HHS ...SOC824.pdf. STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY. CALIFORNIA DEPARTMENT OF SOCIAL SERVICES QUALITY ASSURANCE OPERATIONS SUPPORT UNIT. In-Home Supportive Services Quarterly Report On Quality Assurance/Quality Improvement (QA/QI) For Personal Care Services Program (PCSP), IHSS Plus Option (IPO) And IHSS Residual (IHSS-R) Programs ...The IHSS Plus Waiver was converted to the IHSS Plus State Plan Option Program September 2009. The IHSS Plus Program pays parents or spouses to provide services to qualified Medi-Cal recipients. Eligibility for program participation includes persons who are 65 years or older, blind, or disabled who might be placed in an out-of-home care facility.In-Home Supportive Services (IHSS) Advocates Manual. Jan 1, 2020. #5470.01. This Manual is a joint project between Disability Rights California and Justice in Aging, and replaces the “In-Home Supportive Services Nuts & Bolts Manual.”. The IHSS Advocates Manual is geared towards attorneys and advocates. Publication #5470.01 (pdf)To the extent that it can be helpful in disputes with IHSS, take extra care to document, when appropriate, that a family provides only in-kind services that IHSS does not provide. Step 4: Determine If Client Will Pay a Share of Cost. IHSS recipients with too much income must pay a share of cost (SOC). (Welf. & Inst. Code, § 12305.)To the extent that it can be helpful in disputes with IHSS, take extra care to document, when appropriate, that a family provides only in-kind services that IHSS does not provide. Step 4: Determine If Client Will Pay a Share of Cost. IHSS recipients with too much income must pay a share of cost (SOC). (Welf. & Inst. Code, § 12305.)Some of the services that can be authorized through IHSS include: housecleaning, meal preparation, laundry, grocery shopping, personal care services (such as bowel and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and protective supervision for the mentally impaired.Personal Care Services/Non–Medical Care: bathing, feeding, dressing, grooming and toileting. Paramedical Tasks: assistance with medications, injections, bowel ...Once the application is complete, mail it to IHSS Office: County of Solano, IHSS. 275 Beck Avenue, MS 5-110. Fairfield, CA 94533. IHSS Electronic Timesheet Service. An Electronic Timesheet (ETS) allows In-Home Supportive Services (IHSS) Waiver. Personal Care Services (WPCS) providers and recipients to submit and approve their.It is intended to help individuals understand their rights and responsibilities in the In-Home Supportive Services (IHSS) program. ... Paramedical Services . ... (PUB 521) Translated versions in Armenian, Chinese, and Spanish will be posted at Translated Forms and Publications; IHSS Protecitve Supervision for Minor Children (PUB 522) Translated ...Sex therapy is a form of talk therapy that focuses on sexual health. These online sex therapy services may help you overcome sex-related challenges. We include products we think ar...hearings when there is a dispute about the number of In-Home Supportive Services (IHSS) hours you need. This information packet will also help you prepare for the County IHSS worker's initial intake assessment or the annual review. Doing a self assessment will help you figure out how many hours you think you need and whatThe In-Home Supportive Services program (IHSS) allows limited-income elderly, blind, or disabled people to hire someone to help them with housework, meal preparation, and personal care. With this help, the IHSS recipient may remain safely in their home and will not need to move into a care facility or an institution. The IHSS program is funded by federal, state, and county resources.hazard abatement, protective supervision, and paramedical services. The IHSS program provides hands on and/or verbal assistance (reminding or prompting) for the services described above. This form must be completed before IHSS services can be authorized. The social worker has the responsibility to authorize service hours.Find Home Care Near You. Join 16,943 Families Who've Found Home Care Options on SeniorLiving.org. Or Call: (855) 241-1699.SOC 2279 IHSS Program Live-In Family Care Provider Overtime Exemption English Armenian Cambodian Chinese Farsi Korean Russian Spanish Tagalog Vietnamese SOC 2298 IHSS & WPCS Live-In Self-Certification Form for Federal and State Wage ExclusionIHSS Service Information: Description of necessary services per Functional Index (FI) rankings and assessed hours. All calculations of time per tasks. Paramedical: If Approval of Paramedical Services: details about the and the reported needs on the Request for Order and –Paramedical Services form (SOC 321) and details about anyIn-Home Supportive Services (IHSS) IHSS Recipients; Recipient Forms; Recipient Forms. Recipient Forms. If you need assistance completing any of these forms, please contact the IHSS Helpline at (888) 822-9622. ...Complete Paramedical Form 2020-2024 online with US Legal Forms. ... In-Home Supportive Services (IHSS) The care recipient has control over hiring, supervising, and terminating their caregivers. For your parents to be eligible, they must meet specific requirements, which include an income of less than $1,271, and their "countable" resources ...care professional must return a signed copy of form SOC 321: Request for Order and Consent - Paramedical Services before the county social worker can approve the service. Once approved, the IHSS provider can provide the paramedical services as a part of their job duties. Protective SupervisionThe Public Authority works diligently with the United Domestic Workers (UDW) union in a shared effort to improve wages and benefits received. Learn more about the benefits of being an IHSS caregiver. Apply for services or become a caregiver by calling the IHSS Home Line and Public Authority at (888) 960-4477. Click here to visit our Riverside ...IHSS Social Services 353 West Julian Street San Jose, CA, 95110. Mailing Address: IHSS Social Services P.O. Box 11018 San Jose, CA, 95103-1018 . You need a time card or you havent received your paycheck; You need tax forms – W-2, W-4, DE-4, Live-In Self-Certification Form for Federal and State Tax Wage Exclusion (SOC 2298) You need to …PROTECTIVE SUPERVISION (per WEEK): PARAMEDICAL SERVICES (per WEEK): TOTAL WEEKLY HOURS:MINUTES OF SERVICE YOU CAN GET: MULTIPLY BY 4.33 (average # of weeks per month) TO CONVERT TO MONTHLY HOURS:MINUTES: x 4.33 = SUBTOTAL MONTHLY HOURS:MINUTES OF SERVICE YOU CAN GET: ADD MONTHLY DOMESTIC HOURS:MINUTES OF SERVICE YOU CAN GET (from above):An unofficial sub dedicated for In Home Support Services. IHSS is a Human Services Department program in California, designed to help low-income elderly and people of any age living with a disability remain living safely and independently in their own home. IHSS is an alternative to out-of-home care. Clients of the program select their own ...Agents are available to chat and address tickets during IHSS Helpline business hours. IHSS Helpline Business Hours. Monday through Friday 8 a.m. to 5 p.m. Pacific Time, excluding holidays. IHSS Helpline (888) 822-9622. IHSS Helpline Community Chat Guide. Live chat:Chat with an Agent.6112 Service Locations for STAR+PLUS HCBS Program. Revision 19-1; Effective June 3, 2019. All services through the STAR+PLUS Home and Community Based Services (HCBS) program, except minor home modifications (MHMs), can be provided to members in locations of their choice. Nursing services, therapy services, adaptive aids (including dental) and ...In-Home Supportive Services (IHSS) In-Home Supportive Services, also known as IHSS, can help pay for services if you’re a low-income elderly, blind or disabled individual, including children, so that you can remain safely in your own home. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities.Paramedical Services - Full Color, Black and White; Share-of-Cost - Full Color, Black and White; Teaching and Demonstration - Full Color, Black and White; Functional Index Rankings and Hourly Task Guidelines (revised 5/29/19) - Full Color; IHSS Program Services; IHSS Protective Supervision Services for Minor Children; IHSS Recipient Right to ...To the extent that it can be helpful in disputes with IHSS, take extra care to document, when appropriate, that a family provides only in-kind services that IHSS does not provide. Step 4: Determine If Client Will Pay a Share of Cost. IHSS recipients with too much income must pay a share of cost (SOC). (Welf. & Inst. Code, § 12305.)There are three ways you can submit forms to IHSS: US Mail. DSS-IHSS. PO Box 1912. Fresno CA 93718-1912 . By Fax (559) 600-5400 (health care certifications, paramedical and protective supervision forms) (559) 600-7762 (change of address/phone, provider terminations) Upload Documents Online. Secure Document SubmissionIHSS Companion Guide - English (2017) Download The Resource Here. Bet Tzedek Legal Services is a non-profit public interest law center that provides free legal services to low-income residents of Los Angeles County. Bet Tzedek means "House of Justice" in Hebrew. Bet Tzedek serves persons of all racial, religious and ethnic backgrounds ...Paramedical services (giving injections, wound care, etc.) may be provided with medical need verification. Protective Supervision may also be authorized in special cases. Once approved for IHSS, periodic home visits are made by IHSS and Quality Assurance social workers to assess the recipient’s continued need for services.If you are a member in Riverside, San Bernardino or San Diego Counties you may be eligible to receive In-Home Supportive Services. Please contact Case Management at (888) 562-5442 ext. 127604 for assistance. IHSS helps pay for services that allow you to live safely in your own home. It's considered an alternative to out-of-home care, such as ...Pub #5493.01. Protective supervision is an IHSS service for people who, due to a mental impairment or mental illness, need to be observed 24 hours per day to protect them from injuries, hazards or accidents. An IHSS provider may be paid to observe and monitor a disabled child or adult when the person needs 24-hour supervision and can remain .... For general questions: Email: [email protected]What is the In-Home Supportive Services program? IHSS is a Medi-Cal pr An unofficial sub dedicated for In Home Support Services. IHSS is a Human Services Department program in California, designed to help low-income elderly and people of any age living with a disability remain living safely and independently in their own home. IHSS is an alternative to out-of-home care. Clients of the program select their own ... The In-Home Supportive Services (IHSS) program CALIFORNIA DEPARTMENT OF SOCIAL SERVICES ____/_____/_____ STATE OF CALIFORNIA -HEALTH AND HUMAN SERVICES AGENCY IN-HOMESUPPORTIVESERVICES(IHSS)PROGRAM HEALTHCARECERTIFICATIONFORM A. APPLICANT/RECIPIENTINFORMATION (Tobecompletedbythecounty) … 603-2 CDSS position is that IHSS recipient, who re...

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