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Home Supportive Services Ihss Program Provider Enrollment Agreement

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SOC 846 (10/19) - In-Home Supportive Services (IHSS ...

SOC 846 (10/19) - In-Home Supportive Services (IHSS ...

www.pascc.org

IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM PROVIDER ENROLLMENT AGREEMENT SOC 846 (10/19) Page 1 of 6. 1. I attended the required provider enrollment orientation for IHSS providers and I understand and agree to the following: • I was given information about being a provider in the IHSS program. • I was informed of my …

  Programs, Services, Agreement, Provider, Home, Enrollment, In home supportive services, Supportive, Ihss, Provider enrollment, Program provider enrollment agreement, Ihss program

IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM …

IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM …

www.cdss.ca.gov

completing a provider orientation, and returning a signed Provider Enrollment Agreement (SOC 846). • The county will send me a notice telling me if the person I have chosen as my provider does not complete the provider enrollment requirements or if he/she is not eligible to be an IHSS provider.

  Programs, Services, Agreement, Provider, Home, Enrollment, In home supportive services, Supportive, Ihss, Provider enrollment, Ihss provider, Provider enrollment agreement

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