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PERSONAL CARE SERVICES PROVIDER MANUAL

www.lamedicaid.com

The services offered under the LT -PCS program are provided by a Medicaid enrolled provider that has a valid HCBS license issued by the Department ’s Health Standards Section (HSS). This provider manual chapter specifies the requirements for reimbursement for services provided through this program.

  Services, Provider, Services provider

IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM …

file.lacounty.gov

IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM PROVIDER ENROLLMENT FORM INSTRUCTIONS: † Use black or blue ink to fill out. Print information clearly. † Fill out, sign and return this form in person to the office or location designated by the county. Bring original federal or state government-issued identification and your original Social Security card when returning this form.

  Form, Services, Provider, Home, Enrollment, In home supportive services, Supportive, Provider enrollment form

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