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PROVIDER NUMBER IN-HOME SUPPORTIVE SERVICES …

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESSOC 2255 (11/15)PAGE 1 OF 7 PROVIDER NAME: PROVIDER NUMBER : PROVIDER REQUIREMENTS: State law (Welfare and Institutions Code section ) limits providers in the ihss and Waiver Personal CareServices (WPCS) programs to working a maximum weekly NUMBER of hours providing ihss and WPCS. Aprovider who works for multiple recipients is limited to providing 66 hours per workweek. The maximum weekly workweek does not include travel time as described in Part B of this form.

IHSS services to both recipients, you can get paid for that travel time, but that time cannot be more than seven hours per workweek. These seven hours are in addition to the 66 hours. •To get paid for that travel time, you must travel directly from one recipient’s location to the other recipient’s location

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  Services, Home, In home supportive services, Supportive, Ihss, Ihss services

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