Most eligible recipients do not get the full hours it takes their providers to perform the complete paramedical service. They don't make accurate records of all the required steps and time to perform them before the doctor signs the order. This IHSS Guide tells you how to prepare before you apply to get the maximum amount of paramedical services. Counties must follow the attached state IHSS Regulations which describe the conditions for getting paramedical services. You won't know why the doctor is the key person unless you know what eligibility rules the county must follow.
Some counties also use their own rules.
They may tell how the county will evaluate a request and they often have common reasons for denying the service. County's have nurses to review paramedical services ordered by a doctor. These nurses often call doctors to get them to cut hours. The doctor's order is final. The completed and signed doctor's order on Form SOC 321 shows that a person meets all eligibility conditions for the services listed and the hours to provide them.