Form SOC853 In-home Supportive Services Program Notice of Provider Ineligibility - California

Form SOC853 In-home Supportive Services Program Notice of Provider Ineligibility - California

What Is Form SOC853?

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 Form SOC853?A: Form SOC853 is a Notice of Provider Ineligibility for the In-home Supportive Services Program in California.

Q: What is the In-home Supportive Services Program?A: The In-home Supportive Services Program is a program in California that helps eligible individuals receive supportive services in their own home.

Q: Who can receive services through the In-home Supportive Services Program?A: Eligible individuals who have disabilities, are blind, or are elderly can receive services through the In-home Supportive Services Program in California.

Q: What does the Form SOC853 indicate?A: Form SOC853 indicates that a provider is ineligible to participate in the In-home Supportive Services Program.

Q: Why would a provider be declared ineligible through Form SOC853?A: A provider can be declared ineligible if they do not meet the qualifications or if they have been found guilty of certain offenses.

Q: What should a provider do if they receive Form SOC853?A: If a provider receives Form SOC853, they should review the reasons for their ineligibility and take appropriate action if necessary.

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Form Details:

  • Released on October 1, 2009;
  • 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;
  • Fill out the form in our online filing application.

Download a fillable version of Form SOC853 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC853 In-home Supportive Services Program Notice of Provider Ineligibility - California

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