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Provider Enrollment

Advisory Committee



For persons interested in working as an IHSS Individual Provider:

In order for you to work as an In-Home Supportive Services (IHSS) Individual Provider and receive payment from IHSS for your services, you must complete several steps in the enrollment process.

Please do the following:
• Attend an enrollment session to submit your completed paperwork
• Complete and sign the SOC 426 Provider Enrollment Form
• Bring a copy of form SOC 426A signed by the IHSS Consumer you plan to work for
• Submit fingerprints and undergo a criminal background check by the California Department of Justice (DOJ) (This
step will occur at the enrollment session, the fee is $36.)
• Provide a current government issued photo identification card
• Provide your original Social Security card
• Sign a provider agreement stating that you understand and agree to the rules of the program and the responsibilities of being an Individual Provider
• Not be convicted within the last 10 years of the crimes listed on the SOC 426C (attachment below)

Please note:
The name on your identification and Social Security card must match in order to be accepted
• Copies of identification or Social Security cards will not be accepted- all originals must be present

• Do not attend an enrollment session unless you were mailed a complete packet from Public Authority
Please arrive 30 minutes before your enrollment session begins
• Space is limited and applicants will be taken on a first come-first served basis

Information and Forms

SOC 426C (summary of disqualifying crimes)
Enrollment Checklist
Important Phone Numbers
Universal Precautions
SOC 426A Form
Tips for avoiding fraud
Mandated Reporter
SOC 426

Please contact IHSS Public Authority at 866-351-7722 for questions regarding Provider Enrollment.

If you want to learn more about the history of the Public Authority, please go to the following link: PA History


Quality Service = Quality Care

County of San Diego IHSS Public Authority
780 Bay Boulevard, Suite 200, Chula Vista, CA 91910
Toll Free: 1-866-351-7722
Email: info@sdihsspa.com
*Should you require a TTY/TTD phone number, click [here]

Directions to the Public Authority office

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