Form SOC855AL Ihss Program Notice to Recipient of Provider Ineligibility Tier 1 Crimes (Elder or Dependent Adult Abuse / Child Abuse & Fraud Against a Government Health Care or Supportive Services Program) - California

Form SOC855AL Ihss Program Notice to Recipient of Provider Ineligibility Tier 1 Crimes (Elder or Dependent Adult Abuse / Child Abuse & Fraud Against a Government Health Care or Supportive Services Program) - California

What Is Form SOC855AL?

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 SOC855AL?
A: SOC855AL is a form used to notify recipients of the In-Home Supportive Services (IHSS) program in California about provider ineligibility due to Tier 1 crimes.

Q: What are Tier 1 crimes?
A: Tier 1 crimes include elder or dependent adult abuse, child abuse, and fraud committed against a government health care or supportive services program.

Q: Who receives the SOC855AL form?
A: Recipients of the IHSS program in California receive the SOC855AL form if their provider is found ineligible due to Tier 1 crimes.

Q: What is the purpose of the SOC855AL form?
A: The SOC855AL form is used to inform recipients of the IHSS program in California about the criminal ineligibility of their provider, ensuring their safety and well-being.

Q: What should a recipient do if they receive the SOC855AL form?
A: If a recipient receives the SOC855AL form, they should follow the instructions provided, which may include choosing a new provider and reporting any concerns or suspicions of abuse or fraud to the appropriate authorities.

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Form Details:

  • Released on October 1, 2018;
  • 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 SOC855AL by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC855AL Ihss Program Notice to Recipient of Provider Ineligibility Tier 1 Crimes (Elder or Dependent Adult Abuse / Child Abuse & Fraud Against a Government Health Care or Supportive Services Program) - California

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