Form SOC2255 In-home Supportive Services (Ihss) Program Provider Workweek & Travel Time Agreement - California

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Form SOC2255 In-home Supportive Services (Ihss) Program Provider Workweek & Travel Time Agreement - California

What Is Form SOC2255?

This is a legal form that was released by the California Department of Health Care 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 SOC2255?A: SOC2255 is a form used for the In-home Supportive Services (Ihss) Program Provider Workweek & Travel Time Agreement in California.

Q: What is the In-home Supportive Services (Ihss) Program?A: The In-home Supportive Services (Ihss) Program is a California state program that provides assistance to eligible individuals with disabilities or older adults who need help with daily activities in their own homes.

Q: What is the purpose of the SOC2255 form?A: The purpose of the SOC2255 form is to establish an agreement between the IHSS program provider and the recipient regarding the provider's workweek schedule and travel time.

Q: Who needs to fill out the SOC2255 form?A: Both the IHSS program provider and the recipient need to fill out the SOC2255 form.

Q: What information is required in the SOC2255 form?A: The SOC2255 form requires the provider's name, provider number, recipient's name, recipient's case number, and details about the workweek schedule and travel time.

Q: Are there any deadlines for submitting the SOC2255 form?A: The deadlines for submitting the SOC2255 form may vary depending on the county. It is advisable to contact your local IHSS office for specific information.

Q: Can the SOC2255 form be modified or canceled after submission?A: Yes, the SOC2255 form can be modified or canceled after submission. It is important to notify your local IHSS office about any changes or cancellations.

Q: What happens after submitting the SOC2255 form?A: After submitting the SOC2255 form, it will be reviewed by the IHSS program staff. If approved, the agreement will go into effect and the provider will follow the agreed-upon workweek schedule and travel time.

Q: What should I do if I have questions or need assistance with the SOC2255 form?A: If you have questions or need assistance with the SOC2255 form, you can contact your local county IHSS office for guidance and support.

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Form Details:

  • Released on November 1, 2015;
  • The latest edition provided by the California Department of Health Care 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 SOC2255 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Health Care Services.

Download Form SOC2255 In-home Supportive Services (Ihss) Program Provider Workweek & Travel Time Agreement - California

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