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Supportive Services Ihss

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PROVIDER NUMBER IN-HOME SUPPORTIVE SERVICES

www.cdss.ca.gov

IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM PROVIDER WORKWEEK & TRAVEL TIME AGREEMENT (To be completed by a provider who provides authorized services to multiple recipients) PROVIDER NUMBER _____ STATE OF CALIFORNIA − HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES SOC 2255 …

  Social, Services, Department, California, California department of social services, Home, In home supportive services, Supportive, Ihss

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 …

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

WAIVER PERSONAL CARE SERVICES (WPCS) FREQUENTLY

www.dhcs.ca.gov

To qualify to receive WPCS services, an individual must meet all of the following criteria: be enrolled in either the IHO or HCBA Waiver; and be receiving State Plan personal care services through In Home Supportive Services (IHSS); and has a doctor’s order that specifies that heor she requires waiver personal care The WPCS must be

  Services, Care, Frequently, Personal, Home, In home supportive services, Supportive, Ihss, Pwcs, Personal care services

IN-HOME SUPPORTIVE SERVICES PROVIDER DIRECT

cdss.ca.gov

IN-HOME SUPPORTIVE SERVICES PROVIDER DIRECT DEPOSIT ENROLLMENT INSTRUCTIONS You are not eligible for Direct Deposit if you are planning to send 100% of funds deposited to your bank to another bank outside the US. You will need the following information to complete the Direct Deposit Enrollment Form: 1. The name of your Bank. 2. The Bank Routing ...

  Services, Direct, Provider, Home, Deposits, Supportive, In home supportive services provider direct deposit, In home supportive services provider direct

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