Form SOC2258A In-home Supportive Services Program Notice to Recipient of Provider's Third Violation (90-day Suspension of Eligibility) for Exceeding Workweek and / or Travel Time Limits - California

Form SOC2258A In-home Supportive Services Program Notice to Recipient of Provider's Third Violation (90-day Suspension of Eligibility) for Exceeding Workweek and / or Travel Time Limits - California

What Is Form SOC2258A?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is SOC2258A?
A: SOC2258A is a form used in California's In-home Supportive Services Program.

Q: What does SOC2258A notify the recipient of?
A: It notifies the recipient of their provider's third violation and the resulting 90-day suspension of eligibility.

Q: What are the violations that can lead to a suspension?
A: Exceeding workweek and/or travel time limits can lead to a suspension.

Q: Who is eligible for the In-home Supportive Services Program?
A: Residents of California who need assistance with activities of daily living and meet certain eligibility criteria are eligible for the program.

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Form Details:

  • Released on March 1, 2016;
  • The latest edition provided by the California Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form SOC2258A by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC2258A In-home Supportive Services Program Notice to Recipient of Provider's Third Violation (90-day Suspension of Eligibility) for Exceeding Workweek and / or Travel Time Limits - California

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