Form Soc 2271 - In-Home Supportive Services (Ihss) Program Provider Notification Of Recipient Authorized Hours And Services And Maximum Weekly Hours Page 3

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Important Things to Remember:
• If you need any additional information regarding the services that have been authorized
for your recipient and the work you must provide to him/her beyond what has been
provided in the chart included in the previous page, you may view the Manual of
Policies and Procedures (MPP) sections referenced in the chart on the CDSS website
at or contact your local county IHSS office.
• It is your responsibility to follow the workweek schedule created by your recipient.
• If your recipient’s monthly hours change, you will receive another notification of your
recipient’s weekly authorized hours reflecting the change in hours.
• The hours you can claim on your timesheet will be reduced if you start or stop work
in the middle of a month.
• It is the responsibility of the recipient to make payment to you of any share of cost
deducted from your paycheck.
• If more than the recipient’s authorized monthly hours are worked, those
services are not considered IHSS and it is the responsibility of your recipient
to provide payment for those additional hours. The IHSS program only pays
for IHSS program authorized hours and services.
• Contact your county IHSS office immediately if your recipient is hospitalized or
passes away. Without county approval, you cannot claim hours for work done while
the recipient is hospitalized or after the date-of-death.
• Social Security taxes and State Disability are automatically deducted from your
paycheck. To have State or Federal income tax withholding deducted from your
paycheck, you must complete and turn in a W-4 and/or DE-4 to your county IHSS
office.
• If the recipient for whom you work is your parent, spouse, or child, you may not be
eligible for withholding of Social Security or Medicare taxes or unemployment taxes.
• If you are injured while providing IHSS services, contact your county IHSS or Public
Authority office immediately.
Should you have any questions regarding any of the information provided on this notice
or if you are no longer working as an IHSS provider, please contact your county IHSS
office.
SOC 2271 (11/15)
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Form Soc 2271a - In-home Supportive Services (ihss) Program Recipient Notice Of Maximum Weekly Hours Form Soc 2271a - In-home Supportive Services (ihss) Program Recipient Notice Of Maximum Weekly Hours Legal
Form Soc 2267 - In-home Supportive Services Program Notice To Recipient Denial Of Exception To Exceed Weekly Hours Form Soc 2267 - In-home Supportive Services Program Notice To Recipient Denial Of Exception To Exceed Weekly Hours Legal
Form Soc 2266 - In-home Supportive Services Program Notice To Recipient Approval Of Exception To Exceed Weekly Hours Form Soc 2266 - In-home Supportive Services Program Notice To Recipient Approval Of Exception To Exceed Weekly Hours Legal
Form Soc 2267a - In-home Supportive Services Program Notice To Provider Denial Of Exception To Exceed Weekly Hours Form Soc 2267a - In-home Supportive Services Program Notice To Provider Denial Of Exception To Exceed Weekly Hours Legal
Form Soc 2266a - In-home Supportive Services Program Notice To Provider Approval Of Exception To Exceed Weekly Hours Form Soc 2266a - In-home Supportive Services Program Notice To Provider Approval Of Exception To Exceed Weekly Hours Legal
Form Soc 857a - In-home Supportive Services Program Notice To Recipient Of Provider Ineligibility Acknowledgement Of Receipt Of Invalid Request For Provider Waiver Form Soc 857a - In-home Supportive Services Program Notice To Recipient Of Provider Ineligibility Acknowledgement Of Receipt Of Invalid Request For Provider Waiver Legal
Form Soc 2285 - In-home Supportive Services Program Notice To Recipient Upholding Provider's Fourth Violation (one-year Period Of Ineligibility) For Exceeding Workweek And/or Travel Time Limits Form Soc 2285 - In-home Supportive Services Program Notice To Recipient Upholding Provider's Fourth Violation (one-year Period Of Ineligibility) For Exceeding Workweek And/or Travel Time Limits Legal
Form Soc 2283 - In-home Supportive Services Program Notice To Recipient Upholding Provider's Third Violation (90-day Suspension Of Eligibility) For Exceeding Workweek And/or Travel Time Limits Form Soc 2283 - In-home Supportive Services Program Notice To Recipient Upholding Provider's Third Violation (90-day Suspension Of Eligibility) For Exceeding Workweek And/or Travel Time Limits Legal
Form Soc 2272b - In-home Supportive Services Program Notice To Recipient Acknowledgement Of Provider's Request For County Violation Review For Exceeding Workweek And/or Travel Time Limits Form Soc 2272b - In-home Supportive Services Program Notice To Recipient Acknowledgement Of Provider's Request For County Violation Review For Exceeding Workweek And/or Travel Time Limits Legal
Form Soc 2259a - In-home Supportive Services Program Notice To Recipient Of Provider's Fourth Violation (one-year Period Of Ineligibility) For Exceeding Workweek And/or Travel Time Limits Form Soc 2259a - In-home Supportive Services Program Notice To Recipient Of Provider's Fourth Violation (one-year Period Of Ineligibility) For Exceeding Workweek And/or Travel Time Limits Legal

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