WebDisabled children may be eligible for IHSS. If parents are out of the house working, school, training. If you are raising a child with special needs like as autism, Down syndrome, epilepsy, or cerebral palsy, you might be eligible for IHSS Protective Supervision as a provider. I am interested in your help with: instruction for parents enrolled only part-time; 3) the parent is physically or Applicants with severe deficits in memory, orientation, and judgment are more likely to qualify for protective supervision than applicants with moderate deficits. A parent who is on paid or unpaid leave or has been What happens at the assessment for Protective Supervision? IHSS AssessmentIHSS AppealRehearing RequestState Court ReviewOther, Please attach any documentation (e.g. % WebIHSS regulations impose additional requirements on parent providers for minors when there are two parents in the household. provider. Why Choose an IHSS Lawyer for Your Appeal? Foster parents are not subject to the IHSS parent If you are already receiving protective supervision hours and the NOA ended your eligibility, your request for a hearing should be made within 10 days of the notice, before the NOA becomes effective. With a DB101 account, you can easily save and find your favorite DB101 pages, mini-tools, and estimator sessions. The Personal Care Services Program (PCSP) began in April 1993, and was the first IHSS program to obtain federal funding for recipients. IHSS Application in Spanish. In that situation, the family The California Department of Social Services allows you to have an authorized representative at your hearing, whether an attorney, advocate, family member, or friend. PUB 387 (5/09) - California Electronic Benefit Transfer (EBT) Card - The easy, safe, and convenient way to receive your food stamp benefits. parent is unavailable to perform shopping or errands essential for the family, search The California Department of Social Services has 1 0 obj Services that can be performed in the workplace include meal preparation and cleanup, personal care services (except routine bed baths), and paramedical services. explain why you did not provide it for the hearing; explain why you think the new evidence would change the decision; and, submit a copy of the new evidence, if possible. The reasons to request a rehearing include: You can submit your rehearing request by: State Hearings Division recipients reaches the maximum number of IHSS work hours, the family can hire a - This form is to be completed by the IHSS recipients doctor. The more entries you include in the log, the stronger your case for protective supervision becomes. We aim to provide a wide range of injection molding services and products ranging from complete molding project management customized to your needs. IHSS pays up to 283 hours per month for services; the hourly wages differ per county. However, a non-parent provider cannot be paid An IHSS Protective Supervision provider takes care of children with severe mental For caretakers, including parents of children with autism, Down syndrome, and other developmental disabilities, Protective Supervision, part of the IHSS program, can Children under 18 who dont have a parent to provide services. Other counties may issue additional timesheets for providers. Recipients of IHSS protective supervision services whose hours were prorated may receive a retroactive benefits payment once their hours are adjusted for services provided after July 1, 2020. The IHSS agency provides additional supports, services , , . If the applicant is a minor and client of a regional center, provide relevant regional center documents, such as an IPP or IFSP. Typically, the judge will ask the county hearing representative if he/she would like to make an opening statement. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities. (ACL 19-02, January 9, 2019. provider if the parent left full-time employment or is unable to obtain If, however, the child only touches the hot stove when the parent is cooking, then it may well be considered a predictable behavior (as the parent knows when the child may attempt the behavior). the childs IHSS provider, the county determines if that parent is eligible to Disabled children are also eligible for IHSS. IHSS pays up to 283 hours per month for services; the hourly wages differ per county. An IHSS provider may be paid to watch a child who has special needs to prevent injuries or accidents, when that child needs 24-hour supervision so he can remain safely at home. For example, an applicant with a documented history of nonself-directing behavior, who has a tendency to open the front door and start walking away, does not necessarily have to make it into the street in order for this to be considered potentially dangerous behavior. You must have Medi-al to qualify for IHSS. Next, submit the application to your county IHSS office. Under the regulations, a There are limits on how many IHSS hours can be used for certain services. 1 issued clarification regarding application of In Home Supportive Services Document the applicants dangerous behaviors, including any attempted dangerous behaviors. FREE training program for IHSS/WPCS providers to enhance providers skills and career growth. available to be the childs IHSS provider, hours are assigned based on the an ihss provider may be paid to observe and monitor a disabled child or adult when the person can remain safely at home if 24 hour supervision is provided. IHSS stands for In-Home Supportive Services. We endeavor to answer all inquiries within 24 hours on business days. hbbd``b`+ @QjX "A @+ IHSS and WPCS Provider Workweek Exemptions Become Law in 2017 As of July 1, 2017, there are now two IHSS exemptions which are codified in California state Submit a completed Health Care Certification form. an IEP, SOC 821 doctor's form, Notice of Action, etc.). Based on the information gathered the social worker will assess the types of services you need and the number of hours the county will authorize for each of these services. WebWhat is IHSS Protective Supervision? A provider who works for only one recipient cannot work more than 70 hours and 45 minutes per week.7 A provider who works for two or more recipients cannot work more than 66 hours per week.8 For households with multiple recipients of protective supervision services, additional care providers may be needed for the increase in hours. By submitting this form, you agree to receive communication from American Advocacy Group via email, phone, or other means. For example, a parent might let a neurotypical child play safely and independently in a different room for an extended period of time, whereas a parent of a nonself-directing minor of the same age may have to be significantly more vigilant in order to prevent the child from harm. PUB 223 (1/04) - So, You Want To Open A Group Home For Children? Need more supervision than a minor of comparable age who is not mentally impaired or mentally ill. For friendly visiting or other social activities; When the need is caused by a medical condition and the form of the supervision required is medical; For example, an applicant with diabetes is not eligible for protective supervision to help when the applicant has an episode of hypoglycemia; To prevent or control anti-social or aggressive behavior directed toward others; For example, hitting ones siblings or peers. The elimination of protective supervision proration may result in an increase in IHSS hours. To be eligible, you must be 65 year of age and over, or disabled, or 15-25.). The program provides a maximum of 195 to 283 hours of services per month, depending on the severity of the impairment. You can appeal your denial of protective supervision by: California Department of Social Services Many children with autism engage in this behavior. to be a paid IHSS provider for the child. The applicants mental functioning is evaluated by considering the extent to which the applicants cognitive and emotional impairments impact activities of daily living, and by considering the applicants memory, orientation, and judgment on a three-point scale (Ranks 1, 2, and 5). The State issues all checks for individual provider payments. <> On January 1, 2022, the minimum wage will increase to $15 per hour. There are limitations to the number of hours an IHSS provider can work per week. For example, if your child tries to escape from home, tries to eat something inedible, tries to touch the hot stove, etc., but you prevent it from happening, you should record that incident. If you prefer speaking in a language other than English, specify which language in your request. Provide the doctor with specific examples of the applicants dangerous behaviors and deficiencies in memory, orientation, and judgment. endobj The social worker will also review all relevant documentation you provide. Be sure to include the date of the incident, a brief description of the incident, and how many times per day it occurred. to provide IHSS when one or more parents in the home are able and available. IPO: To be eligible for IPO, you do <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 14 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Note: If you can show that you need more hours than what is listed above, you may qualify to get it. If you have an authorized representative, the judge will ask if he/she would like to make the applicants opening statement. Sacramento, CA 94244-2430. 517 - 12th Street It will also show when you provided protective supervision to prevent injuries or accidents. IHSS Career Pathways Program is Now Available! 0 comments. IHSS Application in English YesNo. Most of the requirements apply to all applicants, regardless of age. You currently get 80 hours of IHSS for use at your home. The IHSS Program is a federal, state and locally funded program designed to help pay for services provided to you so that you can remain safely in your own home. childs needs when the child is in each parents home. You should be prepared to discuss each of the requirements for protective supervision, as well as any documentation you provide for your case. On January 1, 2022, the minimum wage increased to $15 per hour. The hours are determined by the task, except for protective supervision. endobj vocational training program, with unavailability limited to the time of If a parent who is an IHSS provider for other Make sure that most of the boxes are marked severe or at least moderate. [?ob6]g'8|{f[oB+_gO0]*ED#v\ @(^`{|u9+OSvA-E!W:p!Ps^ jXgk:yD#8\>xhY+ %f%AjJt>~LJ g 97b-=w39wRew$Af"De&~WC!SzU 3 L6PwyBsm8!^q}FarOBE[>n'a00)8s?OV/Oix~;:7\[yI4'5]Tl({:,mSo?S}*._,v"/XksmgU=vemY,)Si;aQ>n;L@#M/R9B\H&]m@cEZn.DIOl t1cd,g~.^6r|\J_KE#r,w!0-luaQL>|UWCOsnI}Lw(>.zCO R9Cd. )i@h}Yp|I j U.-XaZZ#I4*ge~ZhQp#:g|b DV>8?9F 420 0 obj <>stream The State of California and its counties have an interest in ensuring that only the most qualified applicants are approved, because protective supervision is the most expensive IHSS program. Disabled children are also potentially eligible for IHSS.IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities. <>>> Note: You can request to transfer IHSS hours to the workplace but you cannot request additional hours specifically for use at the workplace. %%EOF Learn about reasonable accommodations and programs that help make work possible. Ive always done my taxes and this is my first year having IHSS as my only income, so I was wondering if its Providers must also review impacted IHSS cases as soon as administratively possible but no later than the regularly scheduled reassessment. A completed Health Care Certification (SOC 873) must be received by the county prior to authorization of services. obtaining full-time employment because no other suitable provider is available. WebHas any live in provider done their taxes only using the IHSS income? 4 0 obj reevaluated. The county welfare departments process applications for IHSS assistance, determine the needs of applicants, and authorize services. It can be challenging to secure protective supervision. Nhp vo lin kt di y c phin bn ti v y . If your county has homemaker employees, you may receive services from a county homemaker. At Furnel, Inc. we understand that your projects deserve significant time and dedication to meet our highest standard of quality and commitment. If you feel your child might meet the qualifications, call your social worker and ask for an assessment for IHSS Protective Supervision. IHSS is an alternative to out-of-home care and is administered by county welfare departments under the authority of the California Department of Social Services. full-time employment because of the need to care for their child. For example, the term self-directing in the IEP context might refer to a child who is able to draw with markers without instruction or assistance. Therefore, it is a bit confusing and repetitive for CDSS to include an additional requirement that the individual must be likely to engage in potentially dangerous activities. |. You or your supervisor must tell us if you should no longer have this role. After you apply for protective supervision for your loved one (the applicant), a county social worker will schedule a home visit to determine the applicants need for protective supervision. Additionally, you must have these documents organized and ready to submit: Now look through all three documents: IPP, CDER, and IEP, to see if any of the three mentions any of the dangerous behavior your child engages in and highlight them. This includes: If your child engages in any of the examples listed above or similar activities, you should look into becoming a Protective Supervision provider. hb```M,* eah r[8Mq}ra`Hu'V';Etm31H`^B@, egP\}QI ![89HMf\bV 4/ @ZQpD"@ 2, An IHSS provider may be paid to watch a child who has special needs to prevent injuries or accidents, when that child needs 24-hour supervision so he can remain safely n+4/NsG[0Ew>WDFoH^;c;d`:^JP5 \=uu6YZ=D]e/ O?FL@Nl`X5!vira:P> ' FQTH*aZ2m. IHSS recipients who receive government benefits and are issued a retroactive check may need to report the payment to the agency administering their government benefits. Based On Your Medi-Cal Eligibility Your Household May Be Eligible For CalFresh Food Benefits, PUB 521 (10/21) - In-Home Supportive Services (IHSS) Protective Supervision Services For Adults, PUB 521L (10/21) - In-Home Supportive Services (IHSS) Protective Supervision Services For Adults, PUB 522 (10/21) - In-Home Supportive Services (IHSS) Protective Supervision Services For Minor Children, PUB 522L (10/21) - In-Home Supportive Services (IHSS) Protective Supervision Services For Minor Children, PUB 523 (1/23) - Parent Appeal Information Pamphlet. finds that there is not an eligible provider. Spend some time looking at your results. Determining whether a parent can be a paid IHSS duty to care for the child upon adoption. IHSS-R recipients make up less than 1.5% of the overall IHSS population. While a variety of benefits are available, the most important for families of children with special needs is Protective Supervision. During the home visit, the county social worker makes observations and gathers information. Protective supervision is available for both adults and minors (18 and under). be nonself-directing due to a mental impairment or mental illness; be likely to engage in potentially dangerous activity; and. This means that a parent, relative, or other caretaker can potentially earn more than $4,000 a month assisting their loved one at home. The In-Home Supportive Services (IHSS) program will help pay for services provided to you so that you can remain safely in your own home.To be eligible, you must be over 65 years of age, disabled, or blind. Copyright 2023World Institute on Disability, Technology 2002-2023Eightfold Way Consultants. Get paid faster? To qualify as severely impaired, an applicant must need at least 20 total hours per week of services in one or more of the following IHSS areas: non-medical personal services, preparation of meals, meal cleanup (when preparation of meals and feeding are also required), and paramedical services. hours per week. Because unions negotiate with the employer of record in each county, the wage rates may vary from county to county. visit the In-Home Supportive Services Program website. Give this list to your Social Worker and also to your doctor. Provider Fraud and Elder Abuse complaint line: Sit in person with the doctor while she fills out the form, while telling her to use your list of dangerous behaviors from your log to write on the form. Schedule for 2022 Year-End Payroll Processing. More supervision means that the child must require more time and/or more intensity of supervision than a neurotypical child of the same age. You can request your hearing to take place in person or over the phone. Claim Your 2020 State And Federal Credits - You Earned It - It's Your Money, PUB 438 (11/15) -TrustLine Parent Pamphlet, PUB 439 (11/15) - License Exempt Provider Pamphlet, PUB 456 (3/11) - Important Information For Relatives Pamphlet (Requires 8 1/2" x 14" paper printed landscape), PUB 461 (1/22) - Join The California Department of Social Services Volunteer Emergency Services Team (VEST), PUB 462 (6/22) - Join The Functional Assessment Service Team (FAST), PUB 463 (10/13) - Education Travel Reimbursement, PUB 468 (10/16) - Approved Relative Caregivers Funding Option Program, PUB 470 (4/21) - Your Rights Under Adult Protective Services, PUB 472 (6/21) - Parent Appeal Information Pamphlet, PUB 474 (12/14) - Rights of Resident Councils, PUB 475 (10/18) - Residential Care Facility for the Elderly (RCFE) Complaint Poster, PUB 484 (7/15) - Keep More Of Your Money - Poster, PUB 488 (2/16) - Foster Youth Mental Health Bill of Rights - Questions to Ask About Medications, PUB 490 (4/18) - Know Your Sexual and Reproductive Health Rights, PUB 500 (5/20) - Complaint Investigation Process - Statewide Children's Residential Program - State Licensed Foster Parents, PUB 501 (2/16) - Complaint Investigation Process - Statewide Children's Residential Program -County Licensed Foster Parents, PUB 502 (5/20) - Complaint Investigation Process - Statewide Children's Residential Program - Foster Family Agency Certified Parents, PUB 511 (8/19) - Finding A Competent Therapist, PUB 515 (10/19) - Risks and Effects ofLead Poisoning, PUB 516 (9/19) - You May Be Eligible For 12 Months Of Child Care, PUB 520 (11/21) - Great News! Make sure that your daily log shows that the dangerous behaviors can occur at any time of day or night. Your parents are absent because of employment, education, or training for vocational purposes. Have a Medi-Cal eligibility determination. IHSS providers meeting certain requirements may apply for a workweek exemption, allowing them to work more hours. Timesheets and other payroll forms received/submitted between December 28th to January 1st will be processed beginning Monday, January 2, 2023 due to end of year processing. reason other than the recipient childs IHSS needs, that parent is not eligible The judge will ask all parties to swear, under oath, that their testimony will be truthful. Keep a log to describe all the potential accidents that would happen if your child were not supervised. To apply for Protective Supervision, first complete the Application for In-Home Supportive Services, also known as SOC 295. If you lock your account, you won't be able to log in again. Please choose an optionAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming, Have you received a Notice of Action? 2022 Legislation Affecting Persons with Disabilities, New Rules for IHSS: Elimination of Proration of Protective Supervision Services, Special Education Rights & Responsibilities Manual (SERR), Rights Under The Lanterman Act Manual (RULA), https://www.disabilityrightsca.org/publications/recent-changes-to-in-home-supportive-services-ihss-and-waiver-personal-care-services, https://www.disabilityrightsca.org/publications/lump-sum-payments-and-medi-cal-eligibility, https://www.disabilityrightsca.org/publications/lump-sum-payments-and-ssi-eligibility, https://www.dhcs.ca.gov/services/medi-cal/Pages/CountyOffices.aspx, https://www.cdss.ca.gov/Portals/9/Additional-Resources/Letters-and-Noti, http://www.cdss.ca.gov/lettersnotices/entres/getinfo/acl/2016/16-07.pdf, who received the payment and for how much, that the money is owed for retroactive IHSS provider wages, paid pursuant to ACL 20-111. why the payment is exempt (if applicable), such as. %PDF-1.5 % How do I request a rehearing for Protective Supervision? What happens at the hearing for Protective Supervision? Protective supervision is an IHSS service for people who, due to a mental impairment or mental illness, need to be observed 24 hours per day to protect them from injuries, hazards or accidents. The county must send you its statement of position at least two working days before the hearing. The guidance CDSS offers for this requirement is to consider whether the applicant retains the physical ability to put him/herself at risk of harm. ), Legal Services of Northern California In general, the value of the services provided through the IHSS program will not exceed $3,500 per month. IHSS Fraud Hotline: 888-717-8302 The method of payment for retroactive benefits may vary by county. It provides financial assistance to adults and children with developmental disabilities so they can remain at home safely. The health care professional you choose should ideally be someone whom the applicant has seen for an extended period of time, not just an appointment or two. Medi-Cal recipients must report the payment to the county welfare department within 10 days after it is received.10 Supplemental Security Income (SSI) recipients must report the payment to the Social Security Administration as soon as it is received, but no later than the 10th day of the month following the month the payment is received.11. Abuse of discretion means that the administrative law judge did not proceed in a manner required by law, the decision was not supported by the findings, or the findings were not supported by the evidence. If you need assistance locating a provider, call the Personal Assistance Services Council (PASC), the Public Authority for Los Angeles County IHSS providers. At Furnel, Inc. our goal is to find new ways to support our customers with innovative design concepts thus reducing costs and increasing product quality and reliability. If parents are sleeping or caring for other family members. There are three possible outcomes of your writ petition: CDSS will pay for your attorneys fees if you succeed in setting aside the administrative law judges decision. A county cannot deny using a parent provider How to Secure Protective Supervision - A Complete Guide, Cmo Obtener IHSS Protective Supervision - Una Gua Completa, Copyright 2021 IHSS Law Office of James Diskint. Do not mail in this form or drop it off at the doctors office. As a result, this particular dangerous behavior might not qualify for protective supervision, because it likely does not require 24-hour-a day oversight. Sacramento, CA 94244. Receive In-Home Services. Sacramento, CA 95814, Summaries of select CalWORKs, CalFresh, Health and Housing Regulations, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window). You must tell your IHSS worker about this additional need during the needs assessment process. Regional Center Individual Program Plan (IPP): This is a document created by the Regional Center. After opening statements, the administrative law judge will then likely hear testimony from all relevant witnesses. 2 0 obj Tips for Using Adobe PDF Files, Notice of Action Documents(used by county governments), Copyright 2023 California Department of Social Services, NA Back9 (5/22) - Your Hearing Rights (Full Rights Are Listed in CDSS PUB 412), NA Description Of Services L (3/15) - Description Of services, NA IHSS Back L (3/15) - Your Hearing Rights, NA 200 (12/20) - Notice Of Action - Multipurpose - Include Budget, NA 200 (7/21) - Notice Of Action - Multipurpose - Include Budget, NA 210 (5/20) - Discontinue, Suspend Financial Eligibility, NA 213 (10/21) - Deny - Financial Eligibility, NA 213A (12/20) Notice Of Action Deny Financial Eligibility, NA 213A (7/21) Notice Of Action Deny Financial Eligibility, NA 214 (4/00) - Discontinue, Suspend Transfer of Property, NA 215 (1/00) - Continuation Page, Sponsor Non Citizens Deemed Income, NA 216 (11/99) - Sponsored Non Citizens Property, NA 271 (12/20) - Notice Of Action - Continuation Page - Family Income Computations - Cash Aid, NA 271 (7/21) - Notice Of Action - Continuation Page - Family Income Computations - Cash Aid, NA 274 (4/99) - Continuation Page Overpayment Computations (prior to 10-1-89), NA 274B (4/99) - Continuation Page Overpayment Computations (for 10/1/89 to 8/31/91), NA 274C (4/99) - Continuation Page - Overpayment Computations (for 9/1/91 to 8/31/95), NA 274D (1/00) - Continuation Page - Overpayment Computations (Ortega 9/1/95 to 12/31/97), NA 274E (6/11) - Notice Of Action Overpayment Computations For 1-1-98 to 6-30-2011, NA 274F (6/11) - Notice Of Action - Overpayment Amount Owed (For Overpayments Occurring On Or After 7/1/2011), NA 274G (7/19) - Notice Of Action - Continuation Page - Overpayment ComputationsOccurringOn Or After10/1/2013, NA 274H (12/20) - Notice Of Action - Continuation Page - Overpayment Computations Between 6/1/2020 and 05/31/2021, NA 274I (7/21) - Notice Of Action - Continued - Overpayment Amount Owed For Overpayments Occurring Between 6-1-2021 and 5-31-2022, NA 274J (7/21)-Notice of Action Continued - Overpayment Amount Owed For Overpayments Occurring On or after 6-1-2022, NA 275 (4/99) - Continuation Page - Overpayment Adjustment Computation - Cash Aid, NA 277 (1/00) - Continuation Page Optional Persons Transfer of Property, NA 278 (1/00) - Discontinue/Suspend Optional Persons Transfer of Property, NA 279 (1/00) - Excess Property (with Good Faith), NA 280 (1/00) - Excess Property (w/o Good Faith), NA 281 (6/11) - Notice Of Action - Underpayment Amount Owed (For Underpayments Occurring on or After 1-1-98 thru 6-30-2011), NA 281A (6/11) - Notice Of Action Underpayment Amount Owed (For Underpayments Occurring On Or After 7/1/2011), NA 281B (5/13) - Notice Of Action Continuation Page - Underpayment Computations On Or After 10/1/2, NA 281C (7/19) - Notice Of Action - Continuation Page - Underpayment Computations Occurring On Or After 6/1/2020, NA 281C (12/20) - Notice Of Action Continuation Page - Underpayment Amount Owed (For Underpayments Occurring Between 6-1-2020 and 5-31-2021), NA 281D (7/21) - Notice Of Action (Continued) Underpayment Amount Owed (For Underpayments Occurring Between 6-1-2021 and 5-31-2022), NA 281E(7/21) - Notice Of Action (Continued) Underpayment Amount Owed (For Underpayments Occurring On Or After 6-1-2022), NA 290 (2/14) -Notice Of Action - Multipurpose, NA 300 (7/19) - Notice Of Action - Continuation Page - Recipient Financial Eligibility Test, NA 300 (10/21) - Notice Of Action - Continuation Page - RecipientFinancial Eligibility Tests, NA 301 (10/21) - Continuation Page - Applicant Financial Eligibility Test, NA 403 (1/22)- Notice Of Action - For Resource Families, Including Homes Certified By AFoster Family Agency, County Approved Relative Homes, Non-Relative Extended Family Members, Foster Family Homes, Non-Related Legal Guardians, Intensive Treatment Foster Care and/or Intensive Services Foster Care, Group Homes and Short-Term Residential Therapeutic Programs, NA 403A (4/17) - Notice Of Action Approval, Change Or Discontinued For Kinship - Guardians Only, NA 421 (6/21) Assistance Dog Special Allowance (ADSA) - Notice Of Action - Approval, NA 422 (11/21) - Assistance Dog Special Allowance (ADSA), NA 422L (1/22) -Assistance Dog Special Allowance (ADSA) Notice of Action Denial, NA 530 (4/11) - Notice Of Action -48-Month Time Limit, NA 530 (4/21) - Notice Of Action - 60-Month Time Limit, NA 531 (12/20) - Notice Of Action - Continuation Page-48-Month Time Limit- Includes Budget, NA 531 (4/21) - Notice Of Action - Continuation Page - 60-Month Time Limit - Includes Budget, NA 531 (7/21) - Notice Of Action - Continuation Page - 60-Month Time Limit - Includes Budget, NA 532 (7/19) - Notice Of Action - Continuation Page - 48-Month Time Limit Discontinue, NA 532 (12/20) - Notice Of Action - Continuation Page - 48-Month Time Limit Discontinue - Includes Budget, NA 532 (4/21) - Notice Of Action - Continuation Page - 60-Month Time Limit Discontinue - Includes Budget, NA 532 (11/21) - Notice Of Action- Continuation Page - 60-Month Time Limit Discontinue - Includes Budget, NA 691 (3/18) - Notice Of Denial - Cash Assistance Program For Immigrants (CAPI), NA 692 (12/17) - Notice Of Change - Cash Assistance Program For Immigrants (CAPI), NA 693 (9/22) - Notice Of Approval - Cash Assistance Program For Immigrants (CAPI), NA 791 (9/18) - Notice Of Action - Approval/Denial/Change, NA 816 (3/14) - Notice Of Action - Sanction Of Other Parent After Failed Compliance Plan, NA 817 (3/14) - Notice Of Action - Sanction Of Participant After Failed Compliance Plan, NA 818 (3/14) - Notice Of Action - Taking You Out Of Welfare To Work, NA 820 (1/01) - Notice Of Action - Transportation Approval, NA 821 (1/01) - Notice Of Action - Transportation Approval/Denial, NA 822 (7/16) - Notice Of Action - Transportation Change, NA 823 (8/00) - Notice Of Action - Ancillary Expenses Approval/Denial, NA 825 (8/00) - Notice Of Action - Payment Adjust Transportation, NA 827 (7/99) - Notice Of Action - Recoupment Unused Advance Payment, NA 828 (7/99) - Notice Of Action - Transportation And Ancillary Exp Overpayment, NA 832 (3/20) - Notice of Action - Child Care Services, NA 833 (4/20) - Notice of Action - Child Care Services Change, NA 834 (3/20) - Notice of Action - Child Care Services Denial, NA 835 (3/20) - Notice of Action - Child Care Services Discontinuance, NA 840 (3/14) - Notice Of Action - Welfare To Work Plan, NA 840A (10/03) - Notice Of Action - Determination Of Good Cause/No Good Cause, NA 841 (3/14) - Notice Of Action - Welfare-To-Work Plan, NA 843 (6/99) - Notice Of Action - Ineligible, NA 844 (8/99) - Notice Of Action - Adequate Progress, NA 845 (3/14) - Notice Of Action - Sanction and Removal Of The Other Parent's Needs, NA 960X SAR (9/13) - Notice Of Action - Stop Aid;Report Not Received, NA 960Y SAR (10/14) - Notice Of Action - Stop Aid;Report Incomplete, NA 991 (10/03) - Notice Of Action - Refugee Cash Assistance (RCA)/Entrant Cash Assistance (ECA) MC-Decrease/Expiration (Time-Expiration), NA 992 (5/03) - Refugee Cash Assistance (RCA) Application Approval, NA 994 (11/00) - Food Stamp Notice Of Discontinuance (Failure to Meet Non-Assistance CFAP Work Requirement (Violation Prior To Three Consecutive Month Grace Period), NA 995 (5/13) - Food Stamp Notice of Denial/Disqualification For The California Food Assistance Program, NA 996 (11/00) - Food Stamp Notice Of Discontinuance (Failure to Meet Non-Assistance CFAP Work Rule (Violation After Receipt Of Three Consecutive Month Grace Period, NA 1209 (2/02) - Notice Of Action - Change In The Amount Of Kin-Gap Payment, NA 1210 (4/02) - Notice Of Action - Discontinue, NA 1211 (2/00) - Notice Of Action - Denial, NA 1212 (2/00) - Notice Of Action - Discontinue Property, NA 1213 (2/00) - Notice Of Action - Discontinue Restricted Account, NA 1214 (2/00) - Notice Of Action - Change Under/Overpayment, NA 1217 (9/22) - Notice Of Action - Cash Assistance Program For Immigrants - Notice of Overpayment, NA 1218 (9/22) - Notice Of Action - Cash Assistance Program For Immigrants - Notice Of Underpayment, NA 1230 (9/22) - Cash Assistance Program for Immigrants Notice of Overpayment - Waiver Approval, NA 1231 (9/22) - Cash Assistance Program for Immigrants Notice of Overpayment - Partial Waiver Approval, NA 1232 (2/21) - Cash Assistance Program for Immigrants Notice of Overpayment - Waiver Denial, NA 1233 (3/02) - Notice Of Action - Multipurpose, NA 1239 AR (12/20) - Notice Of Action - Continuation Page - Annual Reporting Budget, NA 1239 AR (8/21) - Notice Of Action - Continuation Page - Annual Reporting Budget, NA 1239 SAR (12/20) - Notice Of Action - Continuation Page - Semi-Annual Reporting Budget, NA 1239 SAR (8/21) - Notice Of Action - Continuation Page - Semi-Annual Reporting Budget, NA 1240 (4/13) -Notice Of Action - Food Stamp Overissuance & Dormant EBT Account, NA 1250 (11/12) - Notice Of Action In-Home Supportive Services (IHSS) Approval, NA 1250L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Approval, NA 1251 (5/09) -Notice Of Action In-Home Supportive Services (IHSS) Approval Continuation, NA 1251L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Approval Continuation, NA 1252 (5/09) - Notice Of Action In-Home Supportive Services (IHSS) Denial, NA 1252L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Denial, NA 1253 (11/12) - Notice Of Action In-Home Supportive Services (IHSS) Change, NA 1253L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Change, NA 1254 (5/09) - Notice Of Action In-Home Supportive Services (IHSS) Change Continuation, NA 1254L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Change Continuation, NA 1255 (5/09) - Notice Of Action In-Home Supportive Services (IHSS) Termination, NA 1255L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Termination, NA 1256 (5/09) - Notice Of Action In-Home Supportive Services (IHSS) Share Of Cost, NA 1256L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Share Of Cost, NA 1257 (5/09) - Notice Of Action In-Home Supportive Services (IHSS) Multi, NA 1257L (3/15) - Notice Of Action In-Home Supportive Services (IHSS) Multi, NA 1261 (1/16) - Notice Of Action - Form and Instructions - For Group Homes, Short-Term Residential Treatment Centers, Foster Family Agencies, Transitional Housing Placement-Plus Foster Care and Transitional Housing Placement Program, NA 1261A (3/20) - Notice Of Action For Approved Relatives, Non-Relative Extended Family Members, Foster Family Homes, Non-Related Legal Guardians or Non-Minor Dependents Residing In A Supervised Independent Living Setting, NA 1261B (1/16) - Notice Of Action - Form And Instructions - For Kinship-Guardians Only, NA 1263 (8/11) - Notice Of Action - Overissuance Budget Worksheet, NA 1267 (4/13) - CalFresh Informing Notice Of Receiving Intercounty Transfer, NA 1268 (4/13) - CalFresh Informing Notice Of Sending Intercounty Transfer, NA 1269 (11/11) - Notice Of Action - Approve Non-Minor Dependent, NA 1270 (11/11) - Notice Of Action - Discontinue Non-Minor Dependent, NA 1271 (5/14) - Notice Of Action - Denial Of Home Assessment/Approval, NA 1273 (7/13) - Electronic Notification Agreement, NA 1274 (7/13) - Electronic Notification Notice, NA 1275 (7/13) - Electronic Notification Cancellation Notice, NA 1276 (1/15) - Notice Of Action - Welfare-to-Work 24-Month Time Clock Limit Notice, NA 1277 (1/16) - Notice Of Action - Approved Relative Caregiver (ARC) Overpayment, NA 1278 (11/16) - Notice Of Action - Approve Approved Relative Caregiver (ARC) Payment, NA 1279 (5/22) Notice of Action Deny Approved Relative Caregiver (ARC) Payment, NA 1280 (5/22) Notice of Action Discontinue Approved Relative Caregiver (ARC) Payment, NA 1281 (11/16) - Notice Of Action - Change Approved Relative Caregiver (ARC) Payment, NA 1282 (12/19) - Notice Of Action In-Home Supportive Services (IHSS) Overpayment - Advance Pay, NA 1282L (12/19) - Notice Of Action In-Home Supportive Services (IHSS) Overpayment - Advance Pay, PI 2 (6/15) - IRS Office Of Safeguards Data Incident Report, PUB 13 (5/22) - Your Rights Under California Public Benefits Programs - For People Applying For Or Receiving Public Aid In California, PUB 56 (12/06) - The In-Home Supportive Services Program, PUB 69 (5/22) - County Forms Catalog2021-2022, PUB 104 (12/06) - In-Home Supportive Services Individual Provider Benefits and Services Information, PUB 179A (5/15) - A Manual Communication Guide For Field Officers, PUB 190 (8/06) - How To Hire And Supervise Your In-Home Supportive Services (IHSS) Provider, PUB 203 (1/04) - In-Home Supportive Services - Guide to Workers Compensation Benefits for Individual Providers. 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