You request 20 hours of service for use at your workplace. According to theCalifornia Department of Social Services (CDSS) current interpretation of the regulations, an individual must: For minors, there is an additional requirement. 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. 2) Protective Supervision Sample Doctors Letter. Explain why a rehearing should be granted; Request an interpreter in your preferred language, if applicable; and. X"l6.4],ndJKJ_eF"!3gw'Wo Your ability to provide convincing documentation may very well make or break your case for protective supervision. If the parents circumstances change, provider eligibility will be Sacramento, CA 94244-2430. siblings, which allows IHSS services from a non-parent provider for up to 8 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. ` qr The IEP outlines that your child is eligible for special education and related services to benefit from the general education program. However, adoptive parents are subject to the IHSS parent provider rules because they have a legal duty to care for the child upon adoption. Determining whether a parent can be a paid IHSS provider and/or hire a non-parent provider is a separate and distinct inquiry from whether the child is eligible for IHSS. PUB 391 (5/15) - Basic Medical Sign Language, PUB 393 (12/06) - Notification of Parents' Rights - Child Care Center, PUB 394 (12/06) - Notification of Parents' Rights - Family Child Care Home, PUB 400 (8/17) - Safely Surrendered Baby Campaign Brochure, PUB 400 (8/17) - Safely Surrendered Baby Campaign Brochure (Black & White), PUB 400B (5/18) - Safely Surrendered Baby Kit-Order Form, PUB 400C (6/17) -Safely Surrendered Baby Know Your Rights, PUB 400C-1 (6/17) - Safely Surrendered Baby Law- Know Your Rights Poster, PUB 401 (3/10) - Safely Surrendered Baby Campaign Poster - poster size, PUB 403 (1/13) - English and Spanish - We Accept EBT - EBT Retailers Posters, PUB 403A (1/13) - English and Spanish - We Accept EBT - Farmers' Market Poster, PUB 403B (1/13) - English and Spanish - We Accept EBT - Merchant EBT Poster, PUB 411 (8/11) - 20 Facts About Child Abuse And Neglect (Paper size 8 1/2" x 11" printed landscape), PUB 412 (Multilingual) (8/13) - State Hearing Information (Print Letter Size), PUB 412 (Multilingual) (8/13) - State Hearing Information (Print Tabloid Size), PUB 414 (9/18) - Crisis Nurseries Board Of Directors Booklet, PUB 420 (10/08) - Supplemental Security Income (SSI) Information for Transitioning Foster Youth, PUB 421 (10/08) - Supplemental Security Income (SSI) for Youth with Disabilities, PUB 422 (10/08) - Supplemental Security Income (SSI) for Foster Youth with Disabilities, PUB 428 (12/21)- It's Your Money -Get It - The State and Federal Earned Income Tax Credit (EITCs), PUB 429 (12/21)- California EITC is Here! Provide the doctor with specific examples of the applicants dangerous behaviors and deficiencies in memory, orientation, and judgment. IHSS Protective Supervision consists of closely watching your childs behavior and intervening as appropriate to safeguard him or her against injury, hazard, or accident. A child who makes bad decisions about her health or safety, is confused or wanders off, gets lost, or forgets to start or finish something, A child who may get hurt if she is left home alone because she may wander out of the house, let strangers in, light fires, leave water running, eat inedible things, or do things that are self-harming such as head banging, biting, and scratching, A child who must be supervised 24-hours a day. Advocacy services for those with disabilities. Your caseworker may approve those 20 hours, but if that happens, you will only get 60 hours of IHSS at home. Some counties may issue a check directly to the recipient for these additional hours. Webo When assessing a child for protective supervision, the Social Worker will counsel the care provider that specialized parenting classes are available that teach the parent The method of payment for retroactive benefits may vary by county. PO Box 944243, MS 21-36 Its not a contract, but it does guarantee the necessary support and services that are agreed upon and written for your child. can hire a non-parent provider. provider and/or hire a non-parent provider is a separate and distinct inquiry 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. provider. How do I seek State Court review for Protective Supervision? WebThe IHSS agency hires your attendants, provides 24-hour back-up services, and has a nurse on staff for supervision. Currently, as an IHSS Protective Supervision provider, the maximum number of hours you can claim is 283 per month. WebHas any live in provider done their taxes only using the IHSS income? 1 0 obj If approved, you will be notified of the services and the number of hours per month which have been authorized. IHSS Career Pathways Program is Now Available! #231 That equates to $3,396 per month today. parents are subject to the IHSS parent provider rules because they have a legal If the applicant is a minor and client of a regional center, provide relevant regional center documents, such as an IPP or IFSP. Recent legislation created various options for counties to implement In-Home Supportive Services (IHSS) provider wage and benefit increases. If so, what is the date of the Notice of Action? How do I apply for Protective Supervision? 2 0 obj This means that a parent, relative, or other caretaker can potentially earn more than $4,000 a month assisting their loved one at home. This is called aid paid pending and ensures that you maintain the same number of IHSS hours until the appeal is decided. Children usually are not eligible for IHSS domestic chores, 1.5 hours if you have to use a laundromat. 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. Protective Supervision is part of the In-Home Support Services (IHSS) program in California. However, a non-parent provider cannot be paid Also, make sure to highlight any behavior and safety concerns. However, the definition of nonself-directing already includes the requirement that the individual will most likely engage in potentially dangerous activities. duty to care for the child upon adoption. In general, the value of the services provided through the IHSS program will not exceed $3,500 per month. The county must send you its statement of position at least two working days before the hearing. Although applicants can successfully secure protective supervision on their own, many applicants are denied protective supervision due to a lack of proper documentation and understanding of the eligibility requirements. WebThe IHSS Plus Option (IPO) Program is for people who get services from a spouse or parent (for people under age 18), or who get restaurant meal allowance or advance pay. If you disagree with the countys denial of protective supervision, you have the right to appeal. For more information about these service limits, see the IHSS fact sheet on Functional Index Rankings and Hourly Task Guidelines. Because case workers are so overloaded, you must keep calling every single week and checking in if you have an open case waiting for a decision. This assessment will include information given by you and, if appropriate, by your family, friends, physician or other licensed health care professional. If there are behaviors he engages in that are not noted, you could call a meeting and have them added to his school and/or Regional Center reports. 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. How to Secure Protective Supervision - A Complete Guide, Cmo Obtener IHSS Protective Supervision - Una Gua Completa, Copyright 2021 IHSS Law Office of James Diskint. 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. 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. What are the eligibility requirements for Protective Supervision? If you live with at least one parent, you can pay someone other than your parent to provide IHSS if: If you live with at least one parent, your parent can be paid to do IHSS if: If you live with both parents, one of your parents can be paid to do IHSS if: You can use IHSS personal care services to help you get, keep, or return to work. The application is also available in other languages, including, but not limited to: SOC 295 in Spanish; SOC 295 in Chinese; and SOC 295 in Armenian. 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. We endeavor to answer all inquiries within 24 hours on business days. 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! If you retain an attorney or advocate to help you with your protective supervision case, IHSS requires an authorized representative form. We offer full engineering support and work with the best and most updated software programs for design SolidWorks and Mastercam. An IHSS Protective Supervision provider takes care of children with severe mental impairments and makes sure they dont hurt themselves while they are living at home. Be sure to include the date of the incident, a brief description of the incident, and how many times per day it occurred. MPP 30-763.453. The court agrees with you that the administrative law judge made some kind of error, but determines that there is not enough evidence for the court to decide the issue and sends (remands) the case back to CDSS for a rehearing. Learn about reasonable accommodations and programs that help make work possible. 15-25.). The minor must also: However, CDSS interpretation that nonself-directing is a separate eligibility requirement seemingly has no legal basis. Comment Regarding: In-Home Supportive Services (IHSS): IHSS Programs, For more information about these service limits, see the IHSS fact sheet on Functional Index Rankings and Hourly Task Guidelines, Work Incentives Planning and Assistance (WIPA) counselor, county In-Home Supportive Services (IHSS) office, Health Insurance Counseling & Advocacy Program (HICAP), Department of Rehabilitation (DOR) office, America's Job Center of California (AJCC), Adults who get care services from a parent, or, Adults who dont have a spouse to provide services, or. Nhp vo lin kt di y c phin bn ti v y . Why Choose an IHSS Lawyer for Your Appeal? If parents are unable to provide care due to disability or illness. Generally, applicants who are determined to have severe deficits in their mental functioning are more likely to qualify for protective supervision. After all testimony is given, the administrative law judge asks the parties if they would like to make a closing statement, which concludes the hearing. Note that it is CDSS policy that leaving an applicant alone for some fixed short period of time, is not, by itself, a reason to deny protective supervision. provider if the parent left full-time employment or is unable to obtain Severely and non-severely disabled people can get up to 283 hours of services per month, including protective supervision. mentally unable to provide IHSS services; 4) the parent is unavailable because Mag-click sa ibaba para sa isang buong nada-download na bersyon. The Personal Care Services Program (PCSP) began in April 1993, and was the first IHSS program to obtain federal funding for recipients. % (ACL 19-02, January 9, 2019. An applicant is never required to suffer an actual injury in order to be eligible for protective supervision. For example, a county social worker might say that the applicant is too young to receive protective supervision, even though there is no minimum age requirement. If the applicants physical condition makes it impossible to engage in any dangerous activities that would require oversight and intervention, then the applicant is not eligible for protective supervision. The court agrees with CDSS and denies your writ petition; The court agrees with you that the administrative law judge made some kind of error, and the court grants you protective supervision and/or other supportive services; and. For additional resources, go to IHSS Recipient/Consumer Resources. In-Home Supportive Services 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. An IHSS provider may be paid to observe and monitor a disabled child or adult when IHSS Timesheet Issues/Questions: IHSS Service Desk for Providers and Recipients Are you sure you want to lock your account? If your county has homemaker employees, you may receive services from a county homemaker. If you need assistance locating a provider, call the Personal Assistance Services Council (PASC), the Public Authority for Los Angeles County IHSS providers. Disclaimer:This publication is legal information only and is not legal advice about your individual situation. After opening statements, the administrative law judge will then likely hear testimony from all relevant witnesses. Determining whether a parent can be a paid IHSS available to be the childs IHSS provider, hours are assigned based on the Protective supervision hours will be provided for up to 195 hours per month or 283 hours, depending on the severity of the impairment and the persons IHSS program. 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. WebIHSS is a California government program that provides financial support for in-home caretakers of impaired elders, persons with disabilities, and children with developmental disabilities including autism. IHSS helps older adults and people with disabilities with daily activities such as bathing, dressing, laundry, shopping, and cooking. therefore can hire a non-parent IHSS provider when: 1) the parent is unavailable Next, submit the application to your county IHSS office. Typically, nonself-directing refers to a persons inability to make decisions without external control. To defend the countys position, a county hearing representative will attend the hearing, often accompanied by a county social worker. x[[o~0o IHSS includes the following services: Domestic Services: General household chores to maintain the cleanliness of Individualized Education Program (IEP): This document will be created by your childs school. 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. If you prefer speaking in a language other than English, specify which language in your request. 2) Protective Supervision Sample Doctors Letter. In-Home Supportive Services, commonly referred to as IHSS, is a statewide program administered by each county under the direction of the California Department IHSS pays up to 283 hours per month for services; the hourly wages differ per county. When disabled and low-income (receipt of SSI means automatic eligibility). County welfare departments administer the IHSS program under the oversight of the California Department of Social Services. Prior to and during the hearing, you have the right to examine the countys nonprivileged information that it used in making its decision to deny protective supervision. The elimination of protective supervision proration may result in an increase in IHSS hours. considered to have left employment to care for their child and is ineligible to (866) 376-7066, Suspect Fraud? One way to determine whether the applicants supervision requires more intensity is toevaluate the nature, frequency, and duration of the interventions necessary to prevent injuries and compare those to the interventions necessary for a neurotypical child. parents home. To be eligible, you must be 65 year of age and over, or disabled, or To apply for IHSS, complete an application and submit it to your County IHSS Office. What happens at the assessment for Protective Supervision? 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. Application for In-Home Supportive Services. from whether the child is eligible for IHSS. IHSS. FREE training program for IHSS/WPCS providers to enhance providers skills and career growth. Document the applicants dangerous behaviors, including any attempted dangerous behaviors. IHSS Application in English 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. WebIn-Home Supportive Services (IHSS) IHSS paperwork can be mailed, faxed or emailed to the following: Mail: 101 Cirby Hills Drive, Roseville CA 95678 Fax: 916-787-8922 or 530-886-3690 Email IHSS@placer.ca.gov or PublicAuthority@placer.ca.gov Current COVID Information for IHSS Recipients & Providers COVID Information and Forms IHSS 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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