Form SOC873 In-home Supportive Services (Ihss) Program Health Care Certification Form - California

Form SOC873 In-home Supportive Services (Ihss) Program Health Care Certification Form - California

What Is Form SOC873?

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 the SOC873 form?A: The SOC873 form is the In-home Supportive Services (IHSS) Program Health Care Certification Form in California.

Q: What is the purpose of the SOC873 form?A: The purpose of the SOC873 form is to certify the health care needs of an individual participating in the IHSS program.

Q: Who needs to fill out the SOC873 form?A: The SOC873 form needs to be filled out by a licensed health care professional who can assess and certify the individual's health care needs.

Q: What information is required on the SOC873 form?A: The SOC873 form requires information about the individual's medical condition, functional limitations, and the level of care required.

Q: Are there any fees associated with the SOC873 form?A: No, there are no fees associated with the SOC873 form.

Q: How often does the SOC873 form need to be updated?A: The SOC873 form needs to be updated annually or whenever there is a significant change in the individual's health care needs.

Q: What happens after the SOC873 form is submitted?A: After the SOC873 form is submitted, it will be reviewed by the IHSS program for eligibility and to determine the level of care needed.

ADVERTISEMENT

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 SOC873 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form SOC873 In-home Supportive Services (Ihss) Program Health Care Certification Form - California

4.4 of 5 (21 votes)
  • Form SOC873 In-home Supportive Services (Ihss) Program Health Care Certification Form - California

    1

  • Form SOC873 In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 2

    2

  • Form SOC873 In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 3

    3

  • Form SOC873 In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 1
  • Form SOC873 In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 2
  • Form SOC873 In-home Supportive Services (Ihss) Program Health Care Certification Form - California, Page 3
Prev 1 2 3 Next
ADVERTISEMENT

Related Documents