Form SOC849 In-home Supportive Services Program Notice of Incomplete Provider Enrollment Form - California

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form SOC849 for the current year.

Form SOC849 In-home Supportive Services Program Notice of Incomplete Provider Enrollment Form - California

What Is Form SOC849?

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 SOC849?A: SOC849 is a form used for the In-home Supportive Services (IHSS) program in California.

Q: What is the In-home Supportive Services (IHSS) program?A: The IHSS program provides assistance to eligible low-income individuals with disabilities or those who are 65 years and older to help them stay safely in their own homes.

Q: What is the purpose of the SOC849 form?A: The SOC849 form is used to notify providers that their enrollment form for the IHSS program is incomplete.

Q: Who needs to complete the SOC849 form?A: This form is for providers who have submitted an enrollment form for the IHSS program, but there is missing or incorrect information.

Q: What should providers do if they receive the SOC849 form?A: Providers should review the form to identify the missing or incorrect information and provide the necessary updates or corrections.

Q: What are the consequences if providers do not complete the SOC849 form?A: If providers do not complete the SOC849 form or provide the required information, their enrollment in the IHSS program may be delayed or denied.

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Form Details:

  • Released on December 1, 2020;
  • 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 SOC849 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC849 In-home Supportive Services Program Notice of Incomplete Provider Enrollment Form - California

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