What Form Do I Use to Appeal for More IHSS Hours?

The In-Home Supportive Services (IHSS) program in California can be challenging to apply for, especially if you receive allocated hours that are insufficient for your needs. This guide aims to provide a clear, step-by-step process to appeal for more IHSS hours.

Step 1: Understand Your Current IHSS Hours

Before initiating an appeal, it is essential to comprehend the specifics of your current IHSS hours and the rationale behind their allocation. You should have received a Notice of Action (NOA) from the IHSS office, which details the approved hours and their intended purposes.

Step 2: Gather Supporting Evidence for More IHSS Hours

To build a compelling case for your appeal, you will need substantial evidence demonstrating the necessity for increased hours. Consider including the following:

• Medical Documentation: Obtain notes and records from your healthcare provider that explicitly state your medical conditions and the necessity for additional care.
• Care Logs: Maintain a detailed log of your daily activities and the time required to complete them, illustrating that the current hours are inadequate.
• Letters from Care Providers: Secure letters from your current IHSS provider explaining why additional hours are essential for your well-being.

Step 3: Complete the Appropriate Form

To formally appeal for more IHSS hours, you must fill out the Request for State Hearing form, also known as the SOC 856. Here are the steps to obtain and complete this form:

• Obtain the Form: The SOC 856 form is available at your county IHSS office or can be downloaded from the California Department of Social Services website.
• Complete the Form: Provide all required information, including your name, case number, and a detailed explanation of why you require additional hours. Be precise and attach all supporting documentation.

Step 4: Submit the Form

Once you have completed the SOC 856 form and gathered all necessary evidence, submit your appeal. You can either mail the form to the address provided on it or submit it in person at your local IHSS office. Retain copies of all submitted documents for your records.

Step 5: Prepare for Your Hearing

After submitting your appeal, you will receive a notice specifying the date and time of your hearing. This is your opportunity to present your case. To prepare:

• Review Your Evidence: Familiarize yourself with all submitted documents and evidence.
• Practice Your Presentation: Consider rehearsing your explanation with a trusted individual to ensure clarity and confidence.
• Maintain Composure: During the hearing, remain calm, focused, and articulate when explaining the necessity for additional hours.

Step 6: Attend the Hearing

On the scheduled hearing date, arrive punctually and bring all relevant documents. Present your case respectfully and respond to any questions the judge may have.

Step 7: Await the Decision for More IHSS Hours

Following the hearing, you will receive the decision by mail. If the ruling is in your favor, your IHSS hours will be adjusted accordingly. If the decision is unfavorable, you may consider filing another appeal if necessary.

Appealing for more IHSS hours can be a complex process, but thorough preparation and persistence can lead to a successful outcome. Collect substantial evidence, articulate your needs clearly, and seek assistance from advocacy groups if needed. Your well-being is paramount, and ensuring you receive the necessary care is worth the effort.

Need help? In California, the In-Home Supportive Services (IHSS) program provides crucial financial help for families raising children with special needs. American Advocacy Group is on the front lines every day, making positive change happen for people diagnosed with autism, Down syndrome, and a range of diagnoses across the continuum. As a leading advocate for all people with intellectual and developmental disabilities and their families, and the premier provider of the support and services people want and need, we understand the system and know how to take action regarding your best interests.

CONTACT US FOR HELP. Dial (877) 762-0702 or email us at [email protected].