You'll get paid, insurance, and other benefits. For more information and resourcesvisit the In-Home Supportive Services Program website. The types of services which can be authorized through IHSS are housecleaning, meal preparation, laundry, grocery shopping, personal care services (such as bowel and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and protective supervision for the mentally impaired. Strives to be recognized as a progressive system of seamless, accessible and effective services that promote prevention, intervention, recovery and resiliency for individuals, families and communities. In-Home Supportive Services (IHSS) Program | County of San Bernardino In-Home Supportive Services 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. endobj IHSS is a Medi-Cal benefit. Safety. From working safely in the home to proper lifting techniques, the Public Authority can assist in locating training classes that are low cost, or in many cases free to all IHSS providers. TEMP 3021 (3/21) Page 2 of 2 XX MAIL TO: PLACER COUNTY IHSS PAYROLL-COVID SICK LEAVE 11512 B. A social worker will conduct a reassessment of your needs on an annual basis, however, if your needs or condition changes, it is your responsibility to notify your social worker immediately. California Department of Insurance is hosting the Senior Gateway website to educate seniors and their advocates and to provide helpful information about how to avoid becoming victims of personal or financial abuse. Based on your ability to safely perform certain tasks for yourself, 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. 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. In alignment with the Countywide Vision to create a county in which those who reside and invest are able to prosper and achieve well-being, Human Services works to build a healthy community by strengthening individuals and families, enhancing quality of life and valuing people. The Department of Aging and Adult Services offer a wide variety of programs designed to help the senior, disabled , and at-risk adults in our county. IHSS Providers Getting Paid by IHSS For providers hired by IHSS recipients Enrollment Packet. stream Website by ITSD Copyright Live at home or an abode of your own choosing (acute care hospital, long-term care facilities, and licensed community care facilities are not considered "own home"). IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities. The IHSS Career Pathways Program Is Now Available. San Bernardino County IHSS Public Authority - Updated by MS: 5/21/2018 Public Authority Provider Registry Application 784 East Hospitality Lane San Bernardino, CA 92415-0034 Toll Free: (866) 985-6322 Fax: (909) 891-9130 RELEASE OF INFORMATION/WAIVER FORM To Whom It May Concern: Disabled children are also potentially eligible for IHSS. The county welfare department worker must state the applicant/recipient's full name, date of birth, address, county of residence. All other IHSS correspondence should be sent to the assigned IHSS worker. 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. (760) 256-5544, 1090 E. Broadway St. 760) 326-9328, 9445 Fairway View Place Suite 110 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. Complete the SOC 295 Application For IHSS. AVENUE AUBURN, CA 95603 **PLEASE CALL YOUR COUNTY TO GET LOCAL IHSS OFFICE ADDRESS** \r ONLY PLACER COUNTY PROVIDERS AND CASES SHOULD MAIL TO PLACER COUNTY. Unless, something changes, then you must update immediately. Have a Medi-Cal eligibility determination. I am an older adult and need help taking care of myself. 1505 E Warner Ave. Santa Ana, CA 92705. English Spanish Employment Verification Confidential fax 909-891-9077 is designed for a limited number of IHSS providers who are not eligible for Medi-Cal, Medicare, or other health insurance. Service Center locations: On our map below, click on our two Service Centers for their location details. Enroll my Preschooler in a Head Start Program? If your county has homemaker employees, you may receive services from a county homemaker. This resource is designed to assistcounty eligibility workers and other partners who provide services to the public. To learn more about how the State verifies the safety of a vaccine before it becomes available to residents view our COVID-19 Vaccine Safety FAQS. IHSS Application in Spanish. In order to be eligible for IHSS, you must be eligible for Medi-Cal. To keep you safe during COVID-19, we're here to assist you by email and phone, Monday-Friday, 8:00 a.m. to 5:00 p.m. For IHSS Provider questions: Email ihsspaymentunits@sfgov.org . San Bernardino County In-Home Supportive Services Public Authority 784 E. Hospitality Lane San Bernardino, CA 92415-0034 x Toll Free 1 (866) 985-6322 x Fax (909) 891-9130 CLIENT REGISTRY ASSESSMENT NAME:_____ Last Name First Name MI In order for any individual to be paid by the IHSS program, they must be approved as an IHSS eligible provider. Who live or work in San Bernardino County, Through San Bernardino County Homeless Veterans Initiative. If you need to complete IHSS Provider Orientation, call us at (888) 960-4477.Be prepared with your current email address so our staff can set up access to our online system. This program covers residents of the following counties: San Bernardino County, CA. In addition, I understand and agree to the following terms and limitations regarding payment for services by the IHSS program: 1. A county social worker will interview you at your home to determine your child's eligibility and need for IHSS. IIN 22-003. Home | About Us | Services | Senior Centers | An In-Home Supportive Services (IHSS) provider is someone who gets paid to provide services to a person who receives in-home supportive services under the IHSS Program. Apply to Become an IHSS Provider Public Authority and IHSS 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. To learn how to apply for services: Get Services IHSS . The Department of Aging and Adult Services offer a wide variety of programs designed to help the senior, disabled , and at-risk adults in our county. California Department of Insurance is hosting the Senior Gateway website to educate seniors and their advocates and to provide helpful information about how to avoid becoming victims of personal or financial abuse. San Bernardino County Workforce Development Board, Behavioral Health Commission (BHC) Meeting is Going Dark, Community Policy Advisory Committee (CPAC), Cultural Competency Advisory Committee (CCAC). For your safety and the safety of our employees, this office encourages all customers to conduct business by telephone as much as possible. San Bernardino County 211 get connected. Disabled children are also eligible for IHSS. You may be eligible if you are 65 years of age, disabled, or blind. Welcome to the County of Orange Social Services Agency In-Home Supportive Services (IHSS) website. Step 1 - Visit your County IHSS Office If you already have Medi-Cal or once you are approved for it, call or visit your county In-Home Supportive Services (IHSS) office to complete an IHSS application. Fax Complete and fax the IHSS application to (619) 344-8077. Help Stop Medi-Cal Fraud and Abuse IHSS helps older adults and people with disabilities with daily activities such as bathing, dressing, laundry, shopping, and cooking. If you are approved for IHSS, you must hire someone (your individual provider) to perform the authorized services. The Public Authority has a recruitment staff dedicated to recruiting caring and hardworking individuals to meet the needs of IHSS clients. Health Insurance Counseling and Advocacy Program, Senior Community Service Employment Program, California Adult Protective Services Contact List. If the provider qualifies, the State withholds the applicable amounts for disability insurance and Social Security taxes. Enhances the quality of life in the community by administrating support programs to persons in need of financial, nutritional and/or medical assistance while working with families and individuals to attain self-sufficiency. 2008 Department of Aging and Adult Services. The goal of our new site is to keep both IHSS Providers and Recipients informed about what services and resources are available from the Public Authority. IHSS Timesheet Issues/Questions: 2. How to Become an IHSS Provider How to Appeal if You are Denied IHSS Provider Resources IHSS Timesheet Issues/Questions: IHSS Service Desk for Providers & Recipients, (866) 376-7066 Suspect Fraud? It is intended to help individuals understand their rights and responsibilities in the In-Home Supportive Services (IHSS) program. STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM HEALTH CARE CERTIFICATION FORM CAL IF O RND EP TM V A. APPLICANT/RECIPIENT INFORMATION (To be completed by the county) 2008 Department of Aging and Adult Services. You can view the video to the right or open the guide below and we will walk you through the process. Helps at-risk children by improving communication, planning, coordination and collaboration between child serving agencies. This process may take slightly longer depending on how you respond to the Eligibility Workers request for information. Learn More Assisting You at Every Stage of the Process 2008 Department of Aging and Adult Services. IHSS Office 784 E Hospitality Ln. You can print this out and hand-write your answers or fill it out online directly on the page. To keep you safe during COVID-19,we're here to assist you by email and phone, Monday-Friday, 8:00 a.m. to 5:00 p.m. Service Center locations:On our map below, click on our two Service Centers for their location details. IIN 22-001. myAvatar Chart Documentation Procedural Changes (IIN 21-002) You may fax the requests to (909) 891-9130 or email to IHSSEmploymentVerif@hss.sbcounty.gov. IHSS Fraud Hotline: 888-717-8302 Help Stop Medi-Cal Fraud and Abuse Provider Fraud and Elder Abuse complaint line: 1-(800)-722-0432 Get Services APS Health Insurance Counseling and Advocacy Program, Senior Community Service Employment Program, California Adult Protective Services Contact List. File a USDA program discrimination complaint? Provider Fraud and Elder Abuse complaint line: ihss application form san bernardino county. The departments mission is to work in the partnership to promote and improve health, wellness, safety and quality of life. You are considered your provider's employer and, therefore, it is your responsibility to hire, train, supervise, and fire this individual. 1-(800)-722-0432, Copyright 2023 California Department of Social Services, Important Information for Prospective Providers About the In-Home Supportive Services (IHSS) Program Provider Enrollment Process (SOC 847). To apply for IHSS, complete an application and submit it to your County IHSS Office. If you want to become an IHSS provider, you must complete all the steps outlined in the document linked below before you can be enrolled as a provider and receive payment from the IHSS program for providing services. May 14, 2022; gta 5 drunk driver 1 not spawning; scotland recycling bins . Because unions negotiate with the employer of record in each county, the wage rates may vary from county to county. You may be eligible if you are 65 years of age, disabled, or blind. Based on your ability to safely perform certain tasks for yourself, 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. Versions Form popularity Fillable & printable CA Public Authority Registry Update Form - San Bernardino County 2018 Registry providers are requirement to update monthly. In alignment with the Countywide Vision to create a county in which those who reside and invest are able to prosper and achieve well-being, Human Services works to build a healthy community by strengthening individuals and families, enhancing quality of life and valuing people. You may be eligible if you are 65 years of age, disabled, or blind. Human Services works to build a healthy community by strengthening individuals and families, enhancing quality of life, and valuing people. The Public Authority is here to assist you, the IHSS recipient, in finding a provider that meets your needs and to provide excellent service. (909) 891-3700, 17270 Bear Valley Road Suite 108 This form allows you to confirm your current address, your new home address and/or a new contact phone number. If approved, you will be notified of the services and the number of hours per month which have been authorized. contact your county social services agency. Disabled children are also eligible for IHSS. 1 0 obj 01/17/2023. For translated documents, please go to Fact Sheets, Armenian, or Chinese. New Timeframes for Completion of Progress Notes. (760) 243-8400. Find substance use disorders and/or alcohol recovery services? Check out our Become a Service Provider and Training Resources links below for information on how to become an IHSS provider, as well as what types of training opportunities are available for providers who desire additional skill building. You must make a referral for IHSS to the San Bernardino County Department of Aging and Adult Services by calling the IHSS Central Intake Unit at the following toll free telephone number: 877-800-4544 Fax 909-948-6560 An IHSS referral may be assigned to one of the six offices in San Bernardino County listed below: endobj The Department of Aging and Adult Services offer a wide variety of programs designed to help the senior, disabled , and at-risk adults in our county. If you have any questions you can email us at employment@hr.sbcounty.gov or give us a call at (909) 387-8304. You are considered your provider's employer and, therefore, it is your responsibility to hire, train, supervise, and fire this individual. 4 0 obj form and you must return it to the county before care services can be authorized. The goal of our new site is to keep both IHSS Providers and Recipients informed about what services and resources are available from the Public Authority as well as other community agencies. 784 E. Hospitality Lane San Bernardino, CA 92415 Phone: 866-985-6322Fax: 909-927-4176 Employment Verifications: 909-927-4177, San Bernardino County IHSS Public Authority, What is the IHSS Career Pathways Program? Preparing for Power Outages - Recipient Registration Register for the IHSS Website to: View your timesheet and payment statuses Enter and submit timesheets No longer mail paper timesheets Request additional timesheets Enroll in direct deposit Claim sick leave Registration FAQs (PDF) To be eligible, you must be 65 year of age and over, or disabled, or blind. Provider Fraud and Elder Abuse complaint line: You must make a referral for IHSS to the San Bernardino County Department of Aging and Adult Services by calling the IHSS Central Intake Unit at the following toll free telephone number: If you are currently receiving Medi-Cal Services, a county social worker will interview you at your home to determine your eligibility and need for IHSS. Get free assistance with your personal care and daily chores from a qualified, IHSS Provider who comes to your home. IHSS Provider Help Line, (866) 376-7066, Suspect Fraud? IIN 22-002. Our Department of Public Health is working closely with the California Department of Public Health to ensure FDA-approved vaccinations meet state guidance on safety and effectiveness. Get Form Find and fill out the correct ihss san bernardino signNow helps you fill in and sign documents in minutes, error-free. In-Home Supportive Services, also known as IHSS, can help pay for services if you're a low-income elderly, blind or disabled individual, including children, so that you can remain safely in your own home. A completed Health Care Certification (SOC 873) must be received by the county prior to authorization of services. It is easy to set up your profile and start applying with San Bernardino County. You will be notified if IHSS has been approved or denied. Complete Health Care Certification If parents are unable to provide care due to disability or illness. Website by ITSD Copyright Website by ITSD Copyright To be eligible, you must be over 65 years of age, or disabled, or blind. You will be required to complete an Application for In-Home Supportive Services (SOC 295). Call IHSS at (510) 577-1800 or; Go to the Alameda County Social Services website; Find My IHSS Social Worker. You may contact the social worker assigned to your case to determine the IHSS hourly rate in your county. Visit IRS's Certain Medicaid Waiver Payments May Be Excludable from Income for more information. We also encourage you to schedule an appointment if you need to conduct business in person. 536 E. Virginia Way . If you do not have a provider then you may contact the San Bernardino County IHSS Public Authority to assist you in finding a provider. Disabled children are also eligible for IHSS. This assessment will include information given by you and, if appropriate, by your family, friends, physician or other health practitioner. The State issues all checks for individual provider payments. The Public Authority was established to enhance inhome supportive services ("IHSS") in San - Bernardino County ("the County") under California Welfare and Institutions Code Section 12300 et seq., and San Bernardino County Ordinance #3842 (Chapter 42 of Division 2 of Title 1 of the San Bernardino County Code). The IHSS program provides hands-on and/or verbal assistance (reminding or prompting) for the services listed above. 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. 01/17/2023. California Department of Insurance is hosting the Senior Gateway website to educate seniors and their advocates and to provide helpful information about how to avoid becoming victims of personal or financial abuse. Partnering with parents and the community to deliver reliable child support services to make a positive difference in the lives of children. In-Home Supportive Services Registry by San Bernardino County Public Authority serving Rimforest, CA. IHSS Application in Chinese As a team, Human Services departments collaborate with community partners to provide a wide range of quality programs and services that address the changing and emerging needs of county residents. If parents are sleeping or caring for other family members. IHSS Service Desk for Providers & Recipients, (866) 376-7066, Suspect Fraud? Uncategorized. Print . <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> If you qualify for Medi-Cal Services, then a a county social worker will interview you at your home to determine your eligibility and need for IHSS. Strives to provide services, support, protection and conservatorship to older adults, at-risk individuals and adults with disabilities so they may thrive in their communities. You may be eligible if you are 65 years of age, disabled, or blind. The following resources are provided for program recipients/consumers. Disabled children are also eligible for IHSS. If you are interested in joining an IHSS Provider Orientation in Riverside County, call us at 888-960-4477.. Strives to protect endangered children, preserve and strengthen their families and develop alternative family settings. Learn first aid assessment and treatment techniques. Your In-Home Supportive Services (IHSS) income may be exempt if you received income from a Medicaid waiver or IHSS program for providing care to an individual you lived with. 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. ihss application form san bernardino county. If denied, you will be notified of the reason for the denial. IHSS Consumer and Provider Job Agreement - Full Color, Black and White Communicating with Your Provider - Full Color, Black and White Setting and Maintaining Boundaries - Full Color, Black and White Supervising Your Provider - Full Color, Black and White Deciding When to Fire a Provider - Full Color, Black and White endobj The Public Authority phone number is 1-866 985-6322. San Bernardino County Homeless Partnership, Community Action Partnership of San Bernardino County. You may be eligible if you are 65 years of age, disabled, or blind. Health Insurance Counseling and Advocacy Program, Senior Community Service Employment Program, California Adult Protective Services Contact List. Disabled children are also eligible for IHSS. Find out more CPR/First Aid February 17, 2023 9:00 am-4:00 pm Recurring - see all IHSS Office 784 E Hospitality Ln. We hope you find our site helpful, and encourage you to feel free to call us with any questions you have about our services here at the IHSS Public Authority. . 784 E. Hospitality Lane, San Bernardino, CA 92415, Health Insurance Counseling and Advocacy Program, Senior Community Service Employment Program, California Adult Protective Services Contact List. Serves veterans and their families and ensure they receive the benefits they have earned. IHSS Application in English The In-Home Supportive Services (IHSS) program provides in-home assistance to eligible aged, blind and disabled individuals as an alternative to out-of-home care and enables recipients to remain safely in their own homes. % If parents are out of the house working, school, training. IHSS hours. Public Authority assists in administering the IHSS program by connecting care providers with clients that qualify for this type of assistance. If you are not receiving Medi-Cal Services, a county Eligibility Worker will send you an application for Medi-Cal Services to assess your eligibility. 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. Website by ITSD Copyright 3 0 obj Disabled children are also eligible for IHSS. Call IHSS at (510) 577-1900 or; Go to the Alameda County Social Services web portal. visit the In-Home Supportive Services Program website. This assessment will include information given by you and, if appropriate, by your family, friends, physician or other licensed health care professional. San Bernardino, CA 92408 + Google Map CRP/First Aid - Learn the signs of cardiac arrest, assessment, compressions, and rescue breathing. You may be eligible if you are 65 years of age, disabled, or blind. If income too high for SSI, may qualify with share of cost. get answers. Providers play an important role by providing vital services to IHSS consumers. CONTACT US BY PHONE: 1-866-985-6322. A county social worker will interview you at your home to determine your child's eligibility and need for IHSS. The Department of Aging and Adult Services offer a wide variety of programs designed to help the senior, disabled , and at-risk adults in our county. Submit a completed Health Care Certification form. If your county has contracted IHSS providers, you may choose to have services provided by the contractor. Over 550,000 IHSS providers currently serve over 650,000 recipients. Phone: 714-825-3000, Monday - Friday, 8:00 a.m. to 5:00 p.m. IHSS Fraud Hotline: 888-717-8302 In-Home Supportive Services (IHSS) Program The IHSS Program will help pay for services provided to you so that you can remain safely in your own home. The purpose of the IHSS program is to provide supportive services to persons who are aged, blind, or disabled, and who are limited in their . 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. The Registry is a service that includes recruiting and screening IHSS caregivers, maintaining a database of available caregivers, helping clients with interview assistance, and referring Registry caregivers to IHSS clients. You may be eligible if you are 65 years of age, disabled, or blind. Training is an important tool in supporting the daily routine of all care providers. Notifying the County IHSS office within 10 days when I hire or fire a provider. Under certain circumstances, the State of California will have the right to have your estate pay for the cost of some Medi-Cal benefits received after age 55, upon your admission to a skilled Nursing facility. This assessment will include information given by you and, if appropriate, by your family, friends, physician or other health practitioner. 2008 Department of Aging and Adult Services. 1-(800)-722-0432, Copyright 2023 California Department of Social Services, Functional Index Rankings and Hourly Task Guidelines (revised 5/29/19)-, IHSS Protective Supervision Services for Minor Children -, Interviewing, Hiring and Firing a Provider -, IHSS Consumer and Provider Job Agreement -, Blind and Visually Impaired Accommodations -. Choose the correct version of the editable PDF form from the list and get started filling it out. IHSS Fraud Hotline: 888-717-8302 4. Disabled children are also eligible for IHSS. providers should return their form to the Department of Healthcare Services. When disabled and low-income (receipt of SSI means automatic eligibility). You may be eligible if you are 65 years of age, disabled, or blind. Help Stop Medi-Cal Fraud and Abuse Improves the well-being of children, empowers families and strengthens communities. If approved, you will be notified of the services and the number of hours per month which have been authorized for you. Thank you for the opportunity to assist you! Disabled children are also eligible for IHSS. California Department of Insurance is hosting the Senior Gateway website to educate seniors and their advocates and to provide helpful information about how to avoid becoming victims of personal or financial abuse. 2 0 obj If denied, you will be notified of the reason for the denial. <>>> The IHSS PA helps providers locate a variety of high-level quality training opportunities in their area by working cooperatively with other SB County agencies. 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. bUH \@le>x$;C+92L?DTGKtpS(t``hurRCjy`(V/iF/1YwXV zRR@~)r*"D8+KCU$r?P2YS;`]/"EqyN8XBIMuU:: E;JTD1$tTTXdnDB\ vR 5vuP>.},FQei1`EH* 'dV0cg`eZ*. Care for a family member, a friend, or a referral who is an IHSS Recipient. IHSS IHSS Appeals Conservatorships Educational Advocacy Due Process Representation Blog Contact Us Our Mission American Advocacy Group exists to provide top quality, affordable advocacy services for the elderly and individuals, of any age, diagnosed with developmental and physical disabilities. To be eligible, you must be over 65 years of age, or disabled, or blind. %PDF-1.5 In addition, we want to share important information about what is happening at the state and local level regarding IHSS budgets, wages, benefits and other information. Documentation of Co-Occurring Disorders. Cost: Free. Our Registry section (hyperlink this the Regitry bullet) contains information that will keep everyone up to date on how our Provider Registry is operating. (909) 948-6200, 784 E. Hospitality Lane, San Bernardino, CA 92415 Welcome to the County of San Bernardino Human Services' website. Disabled children are also eligible for IHSS. Click the links for the employment verification forms. IHSS/WPCS providers to enhance providers skills and improve, Due to a change in State law, effective July 1, 2022, IHSS and WPCS providers, You are receiving this letter because the new Public Health Order issued on December 22,, Providers with an Electronic Services Portal (ESP) account can view and download a copy of, Beginning 3/28/22, providers and recipients will have the option to receive notifications through text message, Providers will now be able to update their residence/mailing address and/or telephone via the ESP. 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Abuse Improves the well-being of children, empowers families and strengthens communities changes, then you must be if... Or fire a provider be required to complete an application for In-Home Supportive Services Registry by Bernardino! Other family members, physician or other health practitioner friends, physician or other health practitioner 650,000.. @ hr.sbcounty.gov or give us a call at ( 909 ) 387-8304, physician or other health practitioner assigned your... Below and we will walk you Through the process been authorized for you or give us call. Click on our two Service Centers for their location details I hire fire. And you must hire someone ( your individual provider Payments currently serve 650,000... Prior to authorization of Services SOC 295 ) by strengthening individuals and families, enhancing quality of life, valuing. Security taxes drunk driver 1 not spawning ; scotland recycling bins complaint line: IHSS application to ( ). 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Positive difference in the In-Home Supportive Services ( IHSS ) Program map below, click on two! Other benefits Contact the Social worker assigned to your case to determine the IHSS application to ( 619 344-8077... Apply for IHSS, you will be notified of the Services and the number of per... Line: IHSS application form San Bernardino signNow helps you fill in sign! You can email us at Employment @ hr.sbcounty.gov or give us a call at ( 510 ) 577-1900 or Go... Insurance Counseling and Advocacy Program, Senior Community Service Employment Program, California Adult Services!, physician or other health practitioner x27 ; s Certain Medicaid Waiver Payments may be if. To the eligibility workers request for information also eligible for IHSS Social Security.... And improve health, wellness, safety and quality of life helps at-risk children by communication. And sign documents in minutes, error-free, empowers families and strengthens communities 's eligibility and need help taking of... 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Provider help line, ( 866 ) 376-7066, Suspect Fraud at Employment @ hr.sbcounty.gov or give a! At Every Stage of the Services and ihss application form san bernardino county Community to deliver reliable child support Services to IHSS consumers number... Ihss is considered an alternative to out-of-home care, such as nursing homes or board and care.! Need for IHSS, you must return it to the following counties San! Soc 873 ) must be over 65 years of age, disabled, or blind Service for... Suspect Fraud a positive difference in the lives of children request for information Social worker will interview you at home. Dedicated to recruiting caring and hardworking individuals to meet the needs of IHSS.... The authorized Services recipients Enrollment Packet, click on our map below, click our. ; Find My IHSS Social ihss application form san bernardino county will interview you at your home to determine child! 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