As part of the enrollment process, you must complete the following steps:
- Call the Provider Enrollment Department at 866-351-7722 to request an Enrollment packet or click here to submit your request online.
- Complete the SOC426 Provider Enrollment Form
- Complete the SOC426A IHSS Program Recipient Designation of Provider Form (The Consumer must sign this form)
- Submit fingerprints and undergo a criminal background check by the California Department of Justice “DOJ”
- Provide a valid government issued photo identification card
-The name on your photo identification and Social Security card must match - Provide your original Social Security card
-Social Security card receipts or copies of your Social Security card will not be accepted - Attend an enrollment session to submit your completed paperwork and proof of identification