Form SOC864 In-home Supportive Services (Ihss) Program Individualized Back-Up Plan and Risk Assessment - California

Form SOC864 In-home Supportive Services (Ihss) Program Individualized Back-Up Plan and Risk Assessment - California

What Is Form SOC864?

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 SOC864?
A: Form SOC864 is the Individualized Back-Up Plan and Risk Assessment form for the In-home Supportive Services (IHSS) Program in California.

Q: What is the IHSS Program?
A: The IHSS Program is a program in California that provides assistance with daily activities for eligible individuals who have disabilities or are elderly.

Q: What is the purpose of Form SOC864?
A: The purpose of Form SOC864 is to create a personalized back-up plan and assess the potential risks involved in providing care through the IHSS Program.

Q: Who needs to complete Form SOC864?
A: IHSS recipients and their designated representatives are required to complete Form SOC864.

Q: What information is included in Form SOC864?
A: Form SOC864 includes information such as the recipient's personal and medical information, emergency contacts, available resources, and identified risks.

Q: Is Form SOC864 mandatory?
A: Yes, Form SOC864 is mandatory for IHSS recipients and their designated representatives.

Q: Can someone help me in filling out Form SOC864?
A: Yes, IHSS staff or designated representatives can provide assistance in filling out Form SOC864.

Q: Do I need to update Form SOC864 regularly?
A: Yes, IHSS recipients are required to update Form SOC864 annually or whenever there are changes in their circumstances.

Q: What are the potential risks that are assessed in Form SOC864?
A: The potential risks that are assessed in Form SOC864 may include falls, medication errors, emergencies, and caregiver availability.

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Form Details:

  • Released on February 1, 2023;
  • 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 SOC864 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC864 In-home Supportive Services (Ihss) Program Individualized Back-Up Plan and Risk Assessment - California

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