IHSS Provider Enrollment - 

If you have already completed your Live Scan Background check, you can sign up for an IHSS Orientation using Eventbrite!

Simply click on the link below and you will be redirected to Eventbrite where you can pick an Orientation meeting on a day and time that works best for you.

Have your Live Scan receipt handy because you will need the ATI number (located on the bottom of your Live Scan receipt and your client’s IHSS case number.

Click here to schedule your In-Person Provider Enrollment

 

Before going to Orientation, make sure you have all of your paperwork filled out. If you need to get copies of your IHSS Provider packet, please feel free to download and complete the forms below. All forms will be required at the IHSS Orientation, along with your State Identification and Social Security Card.

SOC 846 (IHSS Program Provider Enrollment Agreement)

DPSS 305C (Planning with you to avoid Fraud)

The Facts About Workers' Compensation

Form W-4 (2019)

 Direct Deposit Form

 If you would like more information about the IHSS Program, please download the IHSS Provider guide.

Other Resources

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