Form Soc 885 - In-Home Supportive Services (Ihss) Program Notice Of Denial Of Request For In-Home Reassessment Based On State Law Change

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM
NOTICE OF DENIAL OF REQUEST FOR
IN-HOME REASSESSMENT BASED ON STATE LAW CHANGE
TO:
Notice Date:
Case Number:
IHSS Office Address:
IHSS Office Telephone:
Your request for an in-home reassessment has been denied because:
On ________ / ____ / 20___ you asked for a reassessment based on a change in state law which
requires all IHSS recipients’ authorized services hours to be reduced by ____ percent. Your need for
IHSS services has not changed. It has been determined that there has been no change to your
physical or mental condition nor has there been a change in your living situation.
Your State Hearings rights are included with this message.
SOC 885 (6/13)

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