Ihss provider packet APPLICATION PACKET IN-HOME SUPPORTIVE SERVICES (IHSS) The IHSS program is available for eligible seniors and disabled individuals to help them remain safely in their own homes. NOTE! If you are a provider looking for work and would like to be referred to IHSS recipients by the Public Authority Registry, you must call (866) 351-7722 to begin their registration process before proceeding to request an enrollment packet. Return the packet to the IHSS office either via mail using the envelope provided in the packet, or in-person. Included in your orientation packet is an In-Home Supportive Services (IHSS) Recipient Designation of Provider (SOC426A) packet. Collection of this information is required to deliver the specific services, but use of these services is voluntary. Information regarding Live Scan fingerprinting sites will be provided to you, and you are responsible for paying the fingerprinting fees. S. Download the The resources contained in this packet are valuable and will assist with understanding IHSS, your rights as a participant of the program, and ways to get a hold of us. If you want to become an IHSS provider, you must complete all the steps outlined in the document linked below before you can be enrolled as a provider and receive payment from the IHSS program for providing services. SOC 840 IHSS Program Provider or Recipient Change of Address and/or Telephone Whether applying to become an In-Home Supportive Services (IHSS) Individual Provider or joining the Public Authority’s Caregiver Registry, prospective providers can contact IHSS HOME at (888) 960-4477 to begin the application process. Do you need information on how to enroll? Go to the IHSS Information page for details on the three enrollment steps: Orientation, Background Check and completion of the Enrollment Packet. A Provider who works for more than one recipient and claims travel time between locations can submit his/her claim in one of two ways: Electronically via the Electronic Services Portal (ESP)* OR By mailing the IHSS Travel Claim Form (SOC 2275) to : IHSS Timesheet Processing Facility IHSS Travel Timesheet PO BOX 989780 West Sacramento, CA 95798-9780 *NOTE: Providers needing assistance with the SOC 426A- In-Home Supportive Services (IHSS) Program Recipient Designation of Provider Form: Your client must sign and date the last page. I attended the required provider enrollment orientation for IHSS providers and I understand and agree to the following: I was given information about being a provider in the IHSS program. government-issued photo ID Original Social Security card A Work Authorization (required only if your Social Security card states "Valid for work only with DHS or INS authorization") Completed the IHSS Provider Packet (including SOC 426A How to Become an IHSS Provider Go to an IHSS Provider Orientation given by the county. Provider Enrollment Instructions To become an In-Home Supportive Services (IHSS) provider, you must: Complete the IHSS Provider Enrollment Packet; Attend a mandatory new provider orientation; and Be fingerprinted and complete a criminal background check. Mandatory Orientation for IHSS Providers Are you anew IHSS Provider? Or are you a veteran provider who hasn’t been paid as an IHSS provider for over a year?. Today's session will be approximately one hour long. Complete and sign all mandatory forms included in the IHSS Program Provider Enrollment Packet and return it to the County IHSS Office. In-Home Supportive Services (IHSS) In-Person Orientation Packet Congratulations! You are at the final step of your IHSS Provider Enrollment and will now be eligible to be linked to IHSS clients. For more information about requesting a waiver, the IHSS recipient who wishes to hire you as his/her provider should contact the County IHSS Office or IHSS Public Authority. Failure to provide requested information may result in a denial of services. If I need help finding and hiring another provider(s), I can call my county IHSS Public Authority to obtain a provider from the registry or my county IHSS office. An In-Home Supportive Services (IHSS) provider is someone who gets paid to provide services to a person who receives in-home supportive services under the IHSS Program. IHSS Individual Provider Steps to Enroll Schedule an in-person appointment to start the enrollment Call IHSS at (415)-557-6200 or your IHSS Social Worker to report the last day of service by your IHSS Provider. You can hire another IHSS Provider using the Electronic Services Portal. Phones are answered Monday – Friday from 7:30 AM to 5:30 PM Pacific time, excluding county holidays. CDSS collects personal information directly from individuals who volunteer to obtain some of our services. Complete, sign and return the IHSS Program Provider Enrollment Form (SOC 426) directly to the County IHSS Office or IHSS Public Authority. Be fingerprinted and go through a criminal background check by the California Department of Justice (DOJ). Here you will learn important information about the program and the requirements for you to follow as a provider. Using your home computer, smartphone, or tablet, you can complete all of the required enrollment forms, watch the required orientation videos, and schedule your quick, in-person appointment to provide your ID and Social Security cards to be uploaded into the computer system! Attend 2-hour, group Orientation in San Francisco Arrive 15 minutes early for your Orientation appointment at 77 Otis Street with: Valid state or U. This set of forms notifies IHSS whom the IHSS recipient has chosen to hire and have added to their payroll. gbqccl zfc amkqqxj pzlro urclss nnneaz iustv jfqmg dpvel imld ezwx svxeb dlnwot yoo qcxrxgc