California Department of Social Services

The NA 1252L form is a variation of the Notice of Action for In-Home Supportive Services (IHSS) denial. Similar to the NA 1252 form, it serves as a formal notice to recipients regarding the denial of their IHSS application. This form provides detailed information explaining the reasons for the denial and offers recipients clarity on why they are ineligible for IHSS services. It also outlines any available recourse or alternative options for obtaining the necessary support.

The NA 1253 form is a Notice of Action provided by the California Department of Social Services to communicate changes in In-Home Supportive Services (IHSS). It serves as a formal notification to recipients, informing them of specific modifications or updates related to their IHSS services. This form provides detailed information about the changes being implemented, ensuring that recipients understand how the adjustments impact their approved services and any associated requirements or conditions.

The NA 1253L form is a variation of the Notice of Action for In-Home Supportive Services (IHSS) change. Similar to the NA 1253 form, it serves as a formal notification to recipients regarding changes in their IHSS services. This form provides comprehensive information about the specific modifications or updates being made, ensuring recipients have a clear understanding of how these changes affect their approved services, as well as any new requirements or conditions that may apply.

The NA 271 form, known as the Notice Of Action - Continuation Page - Family Income Computations - Cash Aid, is a continuation page that accompanies the primary Notice Of Action document. It specifically focuses on providing detailed computations related to family income within the context of cash aid programs. This form includes comprehensive information about income sources, deductions, and calculations, ensuring that recipients have a clear understanding of how their cash aid benefit amount has been determined.

The NA 274G form serves as a continuation page to the primary Notice Of Action document and is specifically used to provide detailed computations regarding overpayments that occurred on or after October 1, 2013. It outlines the specific calculations, including the amount of overpayment, the period it covers, any applicable interest or penalties, and the total amount owed. This form ensures transparency and allows recipients to understand the details and implications of the overpayment situation.

Form NA 1255L is a variation of the Notice of Action used for In-Home Supportive Services (IHSS) termination. Similar to Form NA 1255, it serves as a formal notice to recipients regarding the termination of their IHSS. This form provides detailed information explaining the reasons for the termination and offers recipients clarity on the end of their IHSS services. It also outlines any available recourse or alternative options for obtaining the necessary support.

Form NA 1256 is a Notice of Action used by the California Department of Social Services to communicate the share of cost for In-Home Supportive Services (IHSS). It serves as a formal notification to recipients, providing them with detailed information about the amount they are responsible for contributing toward their IHSS services. This form ensures that recipients understand their financial obligations and can plan accordingly to meet the share of cost requirements.

Form NA 1261 is a Notice of Action provided by the California Department of Social Services specifically designed for use by group homes, short-term residential treatment centers, foster family agencies, transitional housing placement-plus foster care, and transitional housing placement programs. It includes both the form itself and accompanying instructions. This form serves as a formal notification tool, informing recipients in these specific settings about actions, changes, or updates related to eligibility, benefits, or services.

Form NA 1261B is a Notice of Action specifically designed for kinship-guardians. It includes both the form itself and accompanying instructions. This form serves as a formal notification tool, informing kinship-guardians about actions, changes, or updates related to eligibility, benefits, or services specific to their role as guardians. It ensures that kinship-guardians receive detailed information about the specific action taken and any resulting implications or requirements that pertain to their unique circumstances.

Form PUB 240 is an informational publication that provides detailed information about Continuing Care Retirement Communities (CCRCs) in California. The publication offers a comprehensive overview of CCRCs, explaining what they are and how they function. It covers various aspects, including the different types of CCRC contracts, financial considerations such as entrance fees and monthly fees, available services and amenities, resident rights and responsibilities, levels of care, healthcare options, and consumer protections.