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1 svnakaryuti ∂F·m svnakaryuti ∂F·m svnakaryuti ∂F·m svnakaryuti ∂F·m svnakaryuti ∂F·m IHSS (karCYybMerIenAk~ ¨gpÊH´nmnusßBikar) (karCYybMerIenAk~ ¨gpÊH´nmnusßBikar) (karCYybMerIenAk~ ¨gpÊH´nmnusßBikar) (karCYybMerIenAk~ ¨gpÊH´nmnusßBikar) (karCYybMerIenAk~ ¨gpÊH´nmnusßBikar) ehIynigkarsÊg’V‘n’®bmaNemIlx¬ Án‰g ehIynigkarsÊg’V‘n’®bmaNemIlx¬ Án‰g ehIynigkarsÊg’V‘n’®bmaNemIlx¬ Án‰g ehIynigkarsÊg’V‘n’®bmaNemIlx¬ Án‰g ehIynigkarsÊg’V‘n’®bmaNemIlx¬ Án‰g (IHSS Fair Hearing and Self-Assessment Packet) karENnaM karENnaM karENnaM karENnaM karENnaM kJçb’sMNuMerOgenH KWbJÇËnmk[elakG~kk~¨geKalbMNgCYyelakG~keFI√tMNagedayx¬Án‰g ehIynigeFI√tMNag[ G~kd´TeTotenAeBleLIgsvnakark~¨geBlmanCem¬aHGIBIcMnYn In-Home Supportive Services (IHSS) (karCYyp∂l’ kicçbMerIEfTSenApÊH) …kicçbMerIB¥aVl Medi-Cal (em‘DI-xal) pÊal’x¬Án (PCS - PIsIueGs) EdlelakG~k®tUvkarenaH. kJçb’sMNuMB·tmanenH k*CYyelakG~kerobcMx¬ÁnsMrab’karBinit¥V‘n’emIledaybuKlBIexanFI IHSS … karBinit¥emIl sMNuMerOgvij®bcaMq~S. esck∂I®Jgdl’ IHSS kJçb’B·tmanenHCaTUeTAt®mUvdl’kmµviFI IHSS nig Medi-Cal PCS TSg BIr. kareFI√V‘n’sµanemIlx¬Án‰gnwgCYyelakG~kKitemIlcMnYnem‘agelakG~kKitfaelakG~k®tUvkar ehIynigGI√Edl®tUv bg˙aj®Vb’dl’G~kmkeFI√karsÊg’V‘n’emIlenaH. esovePAENnaMenH minmanerobrab’GI√TSgGs’GMBId˜eNIrkar´nkmµviFI IHSS eT. B·tmanbEnƒmGMBIkmµv^FI IHSS, cUrTUrs&BÊmkP~ak’gar PAI ehIysuMsYrGMBI cuHkmµv^FI IHSS enaH ? (What About IHSS?), karcuHpßayrbs’P~ak’gar PAI elx 5168.01 . sUmTUrs&BÊmkeyIgx∆¨M ebIsinCaelakG~kmanbJ˙aGI√GMBIesovePA ENnaM®tg’kEn¬gEdlBuMmanGFib∫ay®Vb’ : TMnak’TMngCMnYyTahflancas’nigG~kbMerIehIynigkmµviFI IHSS, esck∂ I®tUv karmin®twm®tUv, s®makB¥aVl, ¿TTYl®Vk’C˜nYyelIscMnYn¿ .l. manbYnEp~kenAk~¨gkJçb’enH. 1. Ep~kdMbUgBn¥l’GMBIreboberobcMsMrab’karsÊg’V‘n’emIl, rebobes~IsuM nigkarerobcMsMrab’kareLIgb∂wgtva‘ ehIynig ®tUveFI√y‘agNaenAeBlb∂wgtva‘enaH. 2. Ep~kTIBIr KWCaeyabl’rbs’G~kTTYl IHSS man edIm∫IykmkBn¥l’nUvmUlehtuEdl®tUvkarem‘ag IHSS bEnƒm. 3. Ep~kTIbI´nkJçb’enH man®kdasGFib∫ayBn¥l’c∫as’las’elIkicçbMerIBIkmµviFI IHSS: kmµviFI IHSS sMrab’ekµg, kicçbMerIEfTSkarJr, kicçbMerIB¥aVl®sal@ ehIynigkmµviFI IHSS sMrab’CYymnusßmanCm©Wvibti∂p¬Ëvcit∂. 4. Ep~kTIbYn KW®kdasbMeBjem‘agelakG~k®tUvkar. 5013.06 Cambodian 06/26/02 SACRAMENTO LEGAL OFFICE 100 Howe Avenue, Suite 235 North, Sacramento, CA 95825-8202 Telephone: (916) 488-9950 Fax: (916) 488-9960 Toll Free/TTY/TDD: (800) 776-5746
27

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Page 1: (IHSS Fair Hearing and Self-Assessment Packet) · PDF file1 svnakaryuti∂F·m IHSS (karCYybMerIenAk~¨gpÊH´nmnusßBikar) ehIynigkarsÊg’V‘n’®bmaNemIlx¬Án‰g (IHSS Fair

1

svnakary

uti∂F·ms

vnakaryuti∂F·m

svnakary

uti∂F·ms

vnakaryuti∂F·m

svnakary

uti∂F·m IH

SS (karC

YybMerIenAk~g

pÊH´nm

nusßBikar)

(karCYy

bMerIenAk~g

pÊH´nm

nusßBikar)

(karCYy

bMerIenAk~g

pÊH´nm

nusßBikar)

(karCYy

bMerIenAk~g

pÊH´nm

nusßBikar)

(karCYy

bMerIenAk~g

pÊH´nm

nusßBikar)

ehIy

nigkars

Êg’V

‘n’®bmaN

emIl

x¬Án‰g

ehIy

nigkars

Êg’V

‘n’®bmaN

emIl

x¬Án‰g

ehIy

nigkars

Êg’V

‘n’®bmaN

emIl

x¬Án‰g

ehIy

nigkars

Êg’V

‘n’®bmaN

emIl

x¬Án‰g

ehIy

nigkars

Êg’V

‘n’®bmaN

emIl

x¬Án‰g

(IHS

S F

air Hearin

g an

d S

elf-Assessm

ent P

acket)

karENnaM

karENnaM

karENnaM

karENnaM

karENnaM

kJçb’s

MNuMerOg

enH KWbJ

ÇËnmk[

elakG

~kk~¨geKal

bMN

gCYy

elakG

~keFI√tMNag

edayx¬Án‰

g eh

Iynig

eFI√tMNag

[G~kd´TeTotenAeBl

eLIgs

vnakark~¨geBl

manC

em¬aHG

IBIcMnYn

In-Hom

e Supportive S

ervices (IHS

S) (karC

Yyp∂l

’kic

çbMerIEf

TSenApÊH) …

kicçbMerIB¥aV

l M

edi-Cal (em

‘DI-xal) p

Êal’x¬Án (P

CS

- PIsIueG

s) Edl

elakG

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çb’s

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edaybuKl

BIexanFI IHS

S …

karBinit¥emIl

sMN

uMerOgvij

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gdl

’ IHS

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S nig

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al PC

S TSg

BIr.

kareFI√V‘n’s

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x¬Án‰gnwg

CYy

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cMnYnem

‘agel

akG~kKitf

aelakG

~k®tUvkar ehIy

nigGI√Edl

®tUvbg˙aj

®Vb’dl

’G~km

keFI√karsÊg’V

‘n’emIl

enaH. esovePAEN

naMenH minm

anerobrab

’GI√TSg

Gs

’GMBId˜eN

Irkar´nkmµviFI

IHS

S eT. B·tm

anbEnƒm

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S, cUrTUrs

&BÊmkP~ak’g

ar PA

I ehIy

suMs

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µv^FI IHS

S enaH ? (W

hat About

IHS

S?), karc

uHpßay

rbs

’P~ak’gar P

AI el

x 5168.01 . s

UmTUrs

&BÊmkey

IgxƬM eb

IsinC

aelakG

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J˙aG

I√GMBIes

ovePAEN

naM®tg’kEn¬g

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b’ : TMnak’TMng

CMnYy

Tahflanc

as’nig

G~kb

MerIehIy

nigkm

µviFI IHS

S, esck∂I®tUv

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®tUv, s®m

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, ¿TTYl®V

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elIs

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.

manb

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kJçb’enH.

1.Ep

~kdMbUgBn¥l

’GMBIreb

oberob

cMs

Mrab’kars

Êg’V

‘n’emIl

, rebob

es~~Is

uM nigkarerob

cMs

Mrab’kareL

Igb∂wgtva‘ eh

Iynig

®tUveFI√y‘ag

NaenAeBl

b∂wgtva‘enaH.

2.Ep

~kTIBIr KWCaey

abl

’rbs

’G~kTTYl

IHS

S m

an edIm∫Iy

kmkBn¥l

’nUvmUl

ehtuEdl

®tUvkarem‘ag

IHS

S b

Enƒm.

3.Ep

~kTIbI´nkJ

çb’enH m

an®kdasGFib

∫ayBn¥l

’c∫as

’las

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çbMerIBIkm

µviFI IHS

S: km

µviFI IHS

S s

Mrab’ekµg

,kic

çbMerIEf

TSkarJr, kic

çbMerIB¥aV

l®s

al@ eh

Iynig

kmµviFI IH

SS

sMrab

’CYy

mnus

ßmanC

m©Wvib

ti∂p¬Ëvc

it∂.

4.Ep

~kTIbYn KW®kdas

bMeBj

em‘ag

elakG

~k®tUvkar.

5013.06C

ambodian

06/26/02

SA

CR

AM

EN

TO L

EG

AL O

FF

ICE

100 How

e Avenue, S

uite 235 North, S

acramento, C

A 95825-8202

Telephone: (916) 488-9950 Fax: (916) 488-9960

Toll Free/T

TY

/TD

D: (800) 776-5746

AdamB
Typewritten Text
Disability Rights California
Page 2: (IHSS Fair Hearing and Self-Assessment Packet) · PDF file1 svnakaryuti∂F·m IHSS (karCYybMerIenAk~¨gpÊH´nmnusßBikar) ehIynigkarsÊg’V‘n’®bmaNemIlx¬Án‰g (IHSS Fair

2

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’ suxum

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sƒab

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Ep~k

12300). mnus

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Page 3: (IHSS Fair Hearing and Self-Assessment Packet) · PDF file1 svnakaryuti∂F·m IHSS (karCYybMerIenAk~¨gpÊH´nmnusßBikar) ehIynigkarsÊg’V‘n’®bmaNemIlx¬Án‰g (IHSS Fair

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2. eFI√karV‘n’s

µanx¬Án‰g

eFI√karV‘n’s

µanx¬Án‰g

eFI√karV‘n’s

µanx¬Án‰g

eFI√karV‘n’s

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Un¥) :

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.40 =24 naTI

.80 =48 naTI

.08 =05 naTI

.42 =25 naTI

.83 =50 naTI

.10 =06 naTI

.45 =27 naTI

.85 =51 naTI

.15 =09 naTI

.50 =30 naTI

.90 =54 naTI

.17 =10 naTI

.55 =33 naTI

.92 =55 naTI

.20 =12 naTI

.58 =35 naTI

.95 =57 naTI

.25 =15 naTI

.60 =36 naTI

1.00 =60 naTI

.30 =18 naTI

.65 =39 naTI

2.00 =120 naTI

.33 =20 naTI

.70 =42 naTI

3.00 =180 naTI

.35 =21 naTI

.75 =45 naTI

4.00 =240 naTI

5.00 =300 naTI

eyIgKitf

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∂g, eh

IyCaTUeTA 5 dg

k~¨gmYy

´f©®V

M´f©mYy

GaTit¥enA

eBleTAs

alaeron …

enAkEn¬gh

√wkh√Wn, eh

Iy 7 dg

mYy

´f©enAc

ugs

V∂h

_, eBlevl

aral’s

V∂h

_ (5x6 naTI x 5 ´f©) +

(7x6 naTI x 2 ´f©) =

234 naTI = 3 em

‘ag 54 naTI =

3.9 em‘ag

.

TIbJ

çb’ enAel

I®kdaseday

ELk el

akG~k®tUvs

resrc

uHBImUl

ehtuG

I√VnC

aelakG

~kmanC

MenOfa el

akG~k®tUvkarem

a‘gIH

SS

bEnƒm

. edIm∫IC

Yyel

akG~k Ep

~kTI II ´ne®sam

sMbu®tenHm

ancuHray

bJ

ÇI ¿mUl

ehtuEdl

®tUvkarem‘ag

IHS

S b

Enƒm¿

Edley

IgV

nF¬ab’eX

Ijk~¨g

krNIx¬HrYc

mkeh

Iy. m

Uleh

tux¬H ®bEh

lCaG

acmanenAk~¨g

sMN

uMerOgrb

s’el

akG~k.

Page 4: (IHSS Fair Hearing and Self-Assessment Packet) · PDF file1 svnakaryuti∂F·m IHSS (karCYybMerIenAk~¨gpÊH´nmnusßBikar) ehIynigkarsÊg’V‘n’®bmaNemIlx¬Án‰g (IHSS Fair

4

3. erobcM[

rYce®s

cs

Mrab’kars

Êg’V

‘n’emIl

BI exanFI erob

cM[

rYce®s

cs

Mrab’kars

Êg’V

‘n’emIl

BI exanFI erob

cM[

rYce®s

cs

Mrab’kars

Êg’V

‘n’emIl

BI exanFI erob

cM[

rYce®s

cs

Mrab’kars

Êg’V

‘n’emIl

BI exanFI erob

cM[

rYce®s

cs

Mrab’kars

Êg’V

‘n’emIl

BI exanFI

eKalbMN

grb

s’evIk&rexanFIm

kBinit¥emIl

pÊH KWedIm

∫Ise®m

cGI√Edl

G~kTTYl

IHS

S …

G~kdak’J

k¥suMGac

… m

inGac

eFI√x¬Án‰

gV

n ehIy

kicçbMerIG

I√smcMeJ

HbuKl

enaH ehIy

nigeBl

Edl®tUvb

MeBjPar:kic

çTSgenaHV

n. Par:kicçrb

s’el

akG~k KWC

Yy evIk&rexanFI V

nyl

’BIbJ

˙aEfrkßaTSg

Gs

’rbs

’elakG

~k ehIy

nigkarEf

rkßaBIess

Edl®tUvkar eh

Iyman

n&yy

‘agN

a ebIKitC

aeBlevl

aenaH. vasMxan’N

as’Edl

®tUvmankarh

µt’ct’nig

ebIkc

Mh. c

UrkuMb®g

YmbJ

˙aBikarelak

G~k eh

Iynig

karEfrkßaEdl

®tUvkarenaH BIe®JHeFI√dUec

~H elakG

~k®bEh

lCab

Jçb’karTTYl

em‘ag

Edlel

akG~k®tUvkar

enaH. eTaHCael

akG~kKitf

a vaCakarxµHeG

onk~¨gkareF√IdUec

~~Hk*eday vaC

akarcaMV

c’ Edl

®tUvBn¥l’[

VneBj

lk≈N

: eFI√dUec

~~H evIk&rexanFI Vny

l’nUvkal

:eTs:el

akG~kc

∫as’l

as’.

muneBl

evIk&rexanFI mkdl

’eyIgs

Um®V

b’el

akG~kC

amunf

a cUrb

MeBj®kdas

kargar IH

SS

k~¨gEp

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Yyem

‘agEdl

elakG

~k®tUvkarenaH. (cUrc

gcaMf

a exanFI GnuJ

Ôat[GI√Edl

elakG

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‘ueNˆaH eh

IyminG

nuJÔat

[eBl

bEnƒm

sMrab

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Yy[

mankar ¿®s

Yl®s

Nuk¿ enaHeT. ”Tah

rN_ kic

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∂l’[

manPaB®s

Yl®s

Nuk dUC

aeVs

sMGatFUl

IbEnƒm

edIm∫I[

kEn¬gs

ÌatlÌ). el

akG~k®tUve®tom

x¬ÁnBn¥l’®kdas

bMeBj

em‘ag

eFI√kar :V

neFI√GI√x¬H, el

akG~kKitem

‘agcMN

ayeFI√kareday

rebob

Na, kk∂aG

I√Edlel

akG~ky

kmke®b

I, ehIy

ebIs

inCam

anPaBTak’Tg

ehtuG

I√VnC

aeBl-eFI√-karEdl

Vnb

JÇak’enaH m

in®Kb’®Kan’c

MeJHkal

:eTs:rb

s’el

akG~k. el

akG~kG

aceFI√

bJ

ÇIrmanb

MNgmYy

eFI√dUec~Hel

akG~km

ineP¬cGI√V

neLIy

.

elakG

~k®tUve®tomx¬ÁnC

ae®scedIm

∫IBn¥l’nUvm

Uleh

tuelakG

~kKitfa em

‘agEdl

elakG

~k®tUvkarenaH, CaBies

s eb

Isin

Caxus

Eb¬kBIG

I√Edl exanFI V

nGnuJ

Ôat[BIm

un ehIy

GI√Edl

elakG

~kyl

’fa Edl

Caes

ck∂I®tUvkarnaeBl

≤LËvenH.

k~¨gcMEN

k´nkarsÊg’em

Ilrb

s’ exanFI, ®KUeBT¥B¥aV

lel

akG~knwg

VnTTYl

®kdasbMeBj

GMBIB·tm

an´nsmtƒPaB

Edlel

akG~kG

acEf

rkßax¬Án‰gV

n, smtƒPaB®b

®Bwt∂, skm

µPaB/PaBBikar, ehIy

nigkarTak’Tg

edIm∫IBinit¥em

IlnUv

esck∂I®tUvkars

Mrab’karJ

remIl

lk≈N

:suxPaBxYrk∫al

rbs

’elakG

~k. ebis

inCael

akG~k®tUvkarkic

çbMerIB¥aV

l®s

al@, ®kdas

bMeBj

kicçbMerIB¥aV

lnwg

ep∆IeTA[

eBT¥B¥aVl

eraKelakG

~k. elakG

~kKYr[mnIÊrB¥aV

l …

kariya

l&y

evCÇbN

iÎtdwgCam

un fanwg

man®kdas

bMeBj

eFI√dUec~Hel

akG~kG

accUl

rYmk~¨g

eBlbMeBj

®kdasenaHp

gEdr.

4. kt’TuknUvesck∂I®tUvkarBies

s kt’TuknUves

ck∂I®tUvkarBies

s kt’TuknUves

ck∂I®tUvkarBies

s kt’TuknUves

ck∂I®tUvkarBies

s kt’TuknUves

ck∂I®tUvkarBies

s

yk‰

ksarb

JÇak’BIes

ck∂I®tUvkarBies

s ”Tah

rN_ l

ixitbJ

Çak’BI®KUeBT¥EdlBn¥l

’fa el

akG~k®tUvkarm

anTIkEn¬grs

’enA edayKµanl

ÌgFUl

I BIe®JHm

aneraKTas’nig

GI√mYy

…bJ

˙aBiVkdkdeg

˙Im, l

ixitbJ

Çak’BIbJ

˙abt’eC

IgtUc

FM, …®tUvkarp

¬as’b∂ËrkMral

BUke®cInC

aBIrdgk~¨g

mYy

Ex. ebIs

inCael

akG~k®tUvkar®b

ePT´nsJ

Ôahat’®V

N …

G~kB¥aV

leraKeday

cit∂s

a®s∂ …

cak’f

~aM …bMBg

’bUm …

kar®sUb .l

. cUry

k®kdasBI evIk&rexanFI eTA[

evCÇbN

iÎt/G~kB¥aV

leraKc

it∂sa®s

∂ edIm∫Ib

JÇak’BIes

ck∂I®tUvkar eh

Iynig

karGnuJ

ÔatsMrab

’kicçbMerIB¥aV

l®s

al@enaH.

5. kmµviFIb

MerIkm

µviFIbMerI

kmµviFIb

MerIkm

µviFIbMerI

kmµviFIb

MerI IHS

S Tl

’nigkic

çbMerIEf

TS Tl

’nigkic

çbMerIEf

TS Tl

’nigkic

çbMerIEf

TS Tl

’nigkic

çbMerIEf

TS Tl

’nigkic

çbMerIEf

TS Med

i-Cal p

Êal’x¬Án (

pÊal

’x¬Án (pÊal

’x¬Án (pÊal

’x¬Án (pÊal

’x¬Án (PC

SP

- PIsIueG

sPI)

PIsIueG

sPI)

PIsIueG

sPI)

PIsIueG

sPI)

PIsIueG

sPI) km

µviFI IHS

S nig

kicçbMerI P

CS

P C

akm

µviFImand˜eN

IrkarEtmYy

. kmµviFI M

edi-Cal m

anlk≈ ni∂k:®Kb

’®Kgel

IkicçbMerIEf

TS Medi-C

al pÊal

’x¬ÁnVn®b

kasfa

c∫ab

’ Tm¬ab

’rbs

’ IHS

S ®tUveFI√tam

enAeBlmankarG

nuJÔatiec

jkic

çbMerI[

e®bI®V

s’. ®km

c∫ab

’ Welf. &

Inst. Code

§14132.95 (i) . enAeBleKniy

ayfa “IH

SS

” CaTUeTAm

ann&yfa IH

SS

nig M

edi-Cal P

CS

P TSg

BIrenHEtm∂g. kic

çbMerIC

Yydl

’®bCa Bl

rdΩPaKe®cInFanara‘b

’rgeday

Medi-C

al PC

SP

EdlrdΩaPiV

lbg’f

¬kicçbMerI[

Jk’kN

∂al -

edayV

nrdΩaPiVl

bg’´f

¬[J

k’kN∂al

´nkicçbMerI M

edi-Cal ep

ßg@eTot. eb

IsinC

akicçbMerITSg

Gs

’enaH p∂l

’[eday

b∂I…®b

BnÏ …“Bukm

∂ayekµg

e®kamGay

u …eb

IsinC

amankarb

g’´f

¬TukCam

un, kicçbMerIEdl

®Kb’®Kg

e®kamkm

µviFI IHS

S

BIe®JHc

∫ab’ M

edicaid rdΩaPiVl

. kicçbMerIEf

TSkarJr KW®Kb

’®KgFanab

g’´f

¬eGay

e®kamkm

µviFI IHS

S Edr. m

ankarxusEb

¬kelIkal

:eTs:m

ankMritEtb‘ueN

ˆaH : ebIs

inCam

anG~kN

am~ak’m

an®Vk’c

MNUl

xıs’Edl

minG

acmans

iTÏsuM®V

k’C˜nYy

SS

I (eGs

eGs

Gay

) k*b‘uEn∂G

acmans

iTÏsuM M

edi-Cal V

n edayminBiV

kCYy

bg’´f

¬e®kamkm

µviFI Aged &

Disabled F

ederal Poverty Level P

rogram (km

µv^FIrdΩaPiVl

elImnus

ßmanG

ayucas

’ ≠ Bikark~¨g

PaB®kI®k) …k*C

a

Page 5: (IHSS Fair Hearing and Self-Assessment Packet) · PDF file1 svnakaryuti∂F·m IHSS (karCYybMerIenAk~¨gpÊH´nmnusßBikar) ehIynigkarsÊg’V‘n’®bmaNemIlx¬Án‰g (IHSS Fair

5

“Pickle” (C

ab’kun), b

uKlenaH ®b

Ehl

CaG

ac C

Yybg’´f

¬ ebIs

inCab

uKl’enaHV

ne®CIs

erIsTTYl

®Vk’C

˜nYyV

nmun.

ebIs

inCaG

~kNam

~ak’mans

iTÏTTYl M

edi-Cal enAe®kam

kmµviFI N

ursing Facility W

aiver (kmµviFIel

IkElgenAm

NÎl

EfTS) …

e®kamkm

µviFI Waiver for P

erson with D

evelopmental D

isabilities (kmµviFIel

IkElgs

Mrab’[

mnus

ßEdlekIt

manPaBBikar) m

nusßenaHm

ansiTÏTTYl

kicçbMerIEdl

p∂l

’[eday

b∂I…®b

BnÏ …eb

Iekµge®kam

Gay

u, “Bukm∂ay

Gac

man

siTÏp

∂l’.

6. enAeBlmnus

ßEdlmanPaBBikarV

nerobGaJ

h_BiJ

h_

enAeBlmnus

ßEdlmanPaBBikarV

nerobGaJ

h_BiJ

h_

enAeBlmnus

ßEdlmanPaBBikarV

nerobGaJ

h_BiJ

h_

enAeBlmnus

ßEdlmanPaBBikarV

nerobGaJ

h_BiJ

h_

enAeBlmnus

ßEdlmanPaBBikarV

nerobGaJ

h_BiJ

h_

ebIs

inCam

nusßm

anPaBBikarrs’enAC

amYy

b∂I…®b

BnÏ, b∂I…®b

BnÏ …G~kN

am~ak’eTot®b

Ehl

CaG

acTTYl

®Vk’Exel

Ikarp∂l

’kicçbMerIBI IH

SS

Vn c

MeJHkic

çbMerIEdl

minTak’Tg

elIkarB¥aV

lpÊal

’x¬Án (cUrem

IlEp

~k 4 enAelI®kdas

kargarPÇab

’mkC

amYy

) ehIy

nigkic

çbMerIB¥aV

l®s

al@. eb

IsinC

ab∂I…®b

BnÏQb’®b

kbkarg

arenAeBl´f

© …xkxanm

inGac

TTYleFI√karg

areBj´f

©Vn BIe®J

HKµanG~kN

aGac

mans

mtƒPaBeFI√C

aG~kp

∂l’kic

çbMerIV

n ehIy

dUcl

TÏpl

bg˙aj

[eX

Ijfa

manG

akar:Gac

e®KaHf~ak’k~¨g

kareF√s®b

Ehs

, kardak’-[-rs

’enAecj

BIpÊH …

B¥aVl

EfTSm

inVnditdl

’, b∂I…®b

BnÏGac

TTYl®V

k’Exk~¨gkarp

∂l’kic

çbMerIEf

TSkarJr nig

CUnG

~kTTYlkic

çbMerIEdl

BikareTACYbeBT¥c

aMVc’. eb

IsinC

ab∂I…®b

BnÏminG

ac …

KµaneBl, kic

çbMerITSg

enHnigkic

çbMerI IH

SS

epßg

eTot@ ®bEh

lCaG

acp∂l

’[eday

G~kd´TeTot. ¿m

inGac

e®bI®V

s’V

n¿ rYmTSg

eBlb∂I…®b

BnÏecj

BIpÊH e®J

HeTAeFI√kargar …

manFur:c

aMVc’ep

ßg@ …

enAeBlb∂I…®b

BnÏkMBugs

Mran …®tUvb

MeBjPar:kic

ç[s

maC

ik®KYsarep

ßg@eTot.

7. ¿bJ

˙aGn’f

yF©n’F©rx¬Sg

¿ ¿b

J˙aG

n’fy

F©n’F©rx¬Sg¿

¿bJ

˙aGn’f

yF©n’F©rx¬Sg

¿ ¿b

J˙aG

n’fy

F©n’F©rx¬Sg¿

¿bJ

˙aGn’f

yF©n’F©rx¬Sg

¿

edIm∫IBinit¥em

Il eb

IsinC

aelakG

~kman ¿b

J˙aG

n’fy

F©n’F©rx¬Sg¿, b

UkeTAnig ¿t®m

UvkarCac

SVc’¿ Ep

~kkicçbMerIV

nKUsbJ

Çak’elI®kdas

kargareday

mandak’s

JÔa (*) C

asMKal

’. ebIbUk rYm

eTAVn 20 em

‘ag …

e®cInC

agenHk~¨g

mYy

GaTit¥

(rYmTSg

kicçbMerIEdl

KµanbMerItam

kmµviFI IH

SS)

2 elakG

~kmans

iTÏTTYlCMnYy

CaG

~kmanb

J˙aG

n’fy

F©n’F©rx¬SgV

n.

ebIs

inCael

akG~km

anbJ

˙aGn’f

yF©n’F©rx¬Sg

Emn, el

akG~km

ansiTÏTTYl

(a) kmµviFI IH

SS

rbs

’x¬ÁnVnC

ab’l

ab’

…G~kp

∂l’karB¥aV

l M

edi-Cal P

ersonal Care S

ervices eTaHCam

ankug®taC

amYy

P~ak’gar exanFI eh

Iy (b) b

g’´f

¬[

mun dUec

~HelakG

~kGac

bg’´f

¬[G~keFI√karrb

s’el

akG~kV

nmun C

aCag

rgcSkuMB¥¨T&rrdΩec

j´f

¬bMerIeG

aytam

e®kay.

ebIs

inCaeKV

nKitfa el

akG~k®tUvkarkic

çbMerIEf

TSkarJr, c

MnYnem‘ag

EfTSkarJ

r elakG

~kGac

TTYlV

n KWeyag

eTAel

I ¿bJ

˙aGn’f

yF©n’F©rx¬aMg

¿ rbs

’elakG

~kEtm∂g.

ebIs

inCaeKKitf

a elakG

~kminm

anbJ

˙aGn’f

yF©n’F©rx¬Sg

eT ehIy

elakG

~kTTYlkic

çbMerIEf

TS Medi-C

al pÊal

’x¬Án,el

akG~knwg

VnTTYl

cMnYnem

‘agV

ndl’eTA 195 em

‘agel

IkicçbMerIEf

TSkarJrk~¨g

mYy

Ex ehIy

nigcMnYnem

‘agbMerIEf

TSM

edi-Cal m

inhYs

BI 283 em‘ag

. ebIs

inCam

anem‘ag

bMerIEf

TSkarJrrb

s’el

akG~kc

uHbnƒy

dUec~Hc

MnYnem‘ag

srub

TSgGs

’minh

YsBI 283 em

‘ag. eb

IsinC

aelakG

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acmans

iTÏTTYlem

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TS Medi-C

al pÊal

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Yy b

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nTTYlEtem

‘ag IH

SS

b‘ueN

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’kicçbMerIenH C

ab∂I…®b

BnÏelakG

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∂ay eb

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aelakG

~kCaekµg

e®kamGay

u …el

akG~kV

nTTYl®V

k’ExCam

un, dUec~Hc

MnYnem‘ag

srub

TSgGs

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acel

IsBI 195

em‘ag

k~¨gmYy

ExeLIy

.

ebIs

inCaeKV

nKitfa el

akG~km

anbJ

˙aGn’f

yF©n’F©rx¬Sg

, dUec~Hc

MnYnem‘ag

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TSkarJr nwg

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ßg@

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kmµviFI M

edi-Cal …

kmµviFI IH

SS

k*eday) eh

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‘agKWV

n 283 em‘ag

.

2 karBinit¥sÊg’em

Il®twm

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Vnp

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MnYs - dUc

CaC

˜nYyCYy

naMeTAbt’eC

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∂l’

[eday

kmµviFIeBl

´f©. edIm

∫IBinit¥sÊg’em

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n’fy

F©n’F©rx¬Sg, el

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BIkmµviFI IH

SS eh

Iynig

kicçbMerIEdl

Vnp

∂l’[

edayKµanb

g’´f

¬dl’kµviFI IH

SS .

Page 6: (IHSS Fair Hearing and Self-Assessment Packet) · PDF file1 svnakaryuti∂F·m IHSS (karCYybMerIenAk~¨gpÊH´nmnusßBikar) ehIynigkarsÊg’V‘n’®bmaNemIlx¬Án‰g (IHSS Fair

6

B. reb

obb∂wgtva‘[

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b∂wges

I~~suMkartva‘

rebob

b∂wges

I~~suMkartva‘

rebob

b∂wges

I~~suMkartva‘

rebob

b∂wges

I~~suMkartva‘

rebob

b∂wges

I~~suMkartva‘

ebIs

inCael

akG~k®b

Qmmuxnig

karbnƒy

em‘ag

…karb

JŒb

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cMnYnsrubkicçkark~¨gpÊHcMnYnsrubkicçkark~¨gpÊHcMnYnsrubkicçkark~¨gpÊHcMnYnsrubkicçkark~¨gpÊHcMnYnsrubkicçkark~¨gpÊH

´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥

cMnYnsrubcMnYnsrubcMnYnsrubcMnYnsrubcMnYnsrubral’GaTit¥ral’GaTit¥ral’GaTit¥ral’GaTit¥ral’GaTit¥

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kicçbMerIkicçbMerIkicçbMerIkicçbMerIkicçbMerI cMnYn´f©cMnYn´f©cMnYn´f©cMnYn´f©cMnYn´f© cMnYnsrubcMnYnsrubcMnYnsrubcMnYnsrubcMnYnsrubral’GaTit¥ral’GaTit¥ral’GaTit¥ral’GaTit¥ral’GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥

Tak’TgeTAkicçbMerI

a. eFI√m˙ËbGahar, bMerIm˙ËbGahar, bMEbkm˙ËbGahar*

b. eVssMGateBlVyehIynigerobcMmuxmËb**

c. eVkexaGav, b‘HexaGav, GflutexaGav, TukexaGavCaEp~k, bt’exaGav ehIydak’TukexaGav (GnuJÔat[ 60 naTImYyk~gGaTit¥ebIenAk~¨gpÊH, 90 naTIk~gmYyGaTit¥ ebIecjeTAeVkexaGavenAe®kApÊH) ***

d. eTATijm˙ËbGahar (kMrit[ 60 naTIk~¨gmYyGaTit¥)***

e. ParkicçedIreF√Ikargarepßg@ (kMrit[ 30naTIk~¨gmYyGaTit¥)***

cMnYnsrubTak’TgeTAnigkicçbMerIcMnYnsrubTak’TgeTAnigkicçbMerIcMnYnsrubTak’TgeTAnigkicçbMerIcMnYnsrubTak’TgeTAnigkicçbMerIcMnYnsrubTak’TgeTAnigkicçbMerI

*** ebIsinCaelakG~k®tUvkarem‘age®cInCageBlEdlGnuJÔat[enaH sMrab’eFI√kicçbMerITSgGs’ edayeyageTAelIPaBBikarrbs’G~kTTYl (”TahrN_ dUcCaeTATijm˙ËbGahar®ss’@ral’´f©, eVkexaGavCajwkj‘ab’edayehorm˙ËbGaharelI .l.) cUrKUsbJÇak’eBlevlaEdl®tUvkarenAcem¬aHxage®kam.

B L B B L D B L D B L D B L D B L D B L D

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kareVssMGatF©n’

kicçbMerIpÊal’EdlminTak’eTAnigeBT¥

a. kardkdeg˙Im*

b. karsMGatGacm_enam (rYmTSgkarCYyGg¨ynige®kakBIbgn’)*

c. bJç¨kVy …Twk*

d. duslagE®K*

e. es¬økJk’*

f. EfrkßaeBlmanrdUv*

g. PaBedIrVn*

h. eLIgelIE®KnigcuHBIelIE®K*

i. sMGitsMGagx¬Án, gUtTwk, EfTaMsk’,eF~j nig®kck´d*

j. CYyrwt®cVc’´deCIgCYy[Qamrt’,bEg√lx¬ÁnelIE®K, t®mg’x¬ÁnelIreTHBikar, CYyelIkcUlnigecjBIyanCMniH *

k. EfrkßanigCYy´deCIgeQI (rYmTSgreTHBikar) *

cMnYnsrubkicçEfTaMpÊal’cMnYnsrubkicçEfTaMpÊal’cMnYnsrubkicçEfTaMpÊal’cMnYnsrubkicçEfTaMpÊal’cMnYnsrubkicçEfTaMpÊal’

kicçbMerIkicçbMerIkicçbMerIkicçbMerIkicçbMerI cMnYn´f©cMnYn´f©cMnYn´f©cMnYn´f©cMnYn´f© cMnYnsrubcMnYnsrubcMnYnsrubcMnYnsrubcMnYnsrubral’GaTit¥ral’GaTit¥ral’GaTit¥ral’GaTit¥ral’GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥

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yanCMni:sMrab’Ci:eTAB¥aVl

a. eTACYbevCÇbNiÎt_

b. eTAkEn¬gCMnYyepßg@

kar®sakenAxage®kaypÊHedaymanPaBe®KaHf~ak’

Binit¥karJr

be®gonnigbg˙aj

kicçbMerIB¥aVl*(”TahrN_ bMBg’bUm, cak’f~aM, ®bePT´nsJÔahat’®VN, .l., cUrbJÇak’)a.

b.

cMnYnkicçbMerIral’GaTit¥cMnYnkicçbMerIral’GaTit¥cMnYnkicçbMerIral’GaTit¥cMnYnkicçbMerIral’GaTit¥cMnYnkicçbMerIral’GaTit¥(GI√@TSgGs’ elIkElgEtkicçkark~¨gpÊH)

ykelx 4.33 mkKuN edIm∫IrkcMnYnsrubk~gmYyEx

bUkrYmTSgkicçbMerIk~¨gpÊH (kirit[ 6 em‘ag k~gmYyEx luH®taEt®tUvkarem‘agbEnƒmEdlVnbg˙ajenAelITMB&r 1 xagelI)

cMnYnkicçbMerIral’ExcMnYnkicçbMerIral’ExcMnYnkicçbMerIral’ExcMnYnkicçbMerIral’ExcMnYnkicçbMerIral’Ex

kicçbMerIkicçbMerIkicçbMerIkicçbMerIkicçbMerI cMnYn´f©cMnYn´f©cMnYn´f©cMnYn´f©cMnYn´f© cMnYnsrubcMnYnsrubcMnYnsrubcMnYnsrubcMnYnsrubral’GaTit¥ral’GaTit¥ral’GaTit¥ral’GaTit¥ral’GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥ ´f©c&nÊ ´f©Ggar ´f©BuF ´f©®Bhs∫ti_ ´f©su®k ´f©esAr_ ´f©GaTit¥

* sJÔaenHmann&yfacMnYnem‘agesIµeTA 20 em‘ag …e®cInk~¨gmYyGaTit¥, G~kTTYlmansiTiÏCaG~k ¿manPaBf¬g’F©n’F©r¿ BinEmn.** eVsCUte®kayeBlVnehIy rYmTaMgkarBinit¥emIlBitCaf¬g’ ebIsinCMnYy IHSS CacaMVc’edayerobcMm˙ËbGaharnigkare®bI®Vs’._ kmµviFI IHSS nwgbg’´f¬eBle®bIyanCMniHdwkeTAnigdwkmk b‘uEn∂TUeTAminEmneBleTACYbCamYyevCÇbNiÎt …mnIÊrB¥aVleT. enAeBl IHSS minFanaelIeBlrg’caMeT bnÊab’mk IHSS KYrEtbg’

´f¬eBle®bIyanCMniHsMrab’TaMgeTATaMgmk 4 eCIg : eTAmk nigeTAyk.