By Shannin Prather
April 2019 | 2019 Spring Newsletter
When an In-Home Supportive Services (IHSS) consumer decides to add a new Independent Care Provider (IP) to their case, the IHSS consumer must complete a Recipient Designation of Provider (426A) form and submit it to IHSS for them to send payroll timesheets to the new care provider. Any delay in sending the 426A form will delay payment to the IP.
The 426A form is divided into three sections:
Part A: The IHSS consumer will fill out information regarding the provider who has been hired. Both the IHSS consumer and provider will need to complete Part A.
Part B: The IHSS consumer (employer) learns about their responsibilities.
Part C: The IHSS consumer acknowledges their agreement with the responsibilities. This section needs to be completed by the IHSS consumer or an authorized representative.
Once the form is completely filled out, the IHSS consumer and care provider
should each keep a copy for their records and one copy needs to be mailed to IHSS. Please note that the care provider’s Social Security Number (SSN) is only needed on the copy sent to IHSS. If a care provider has already received their provider ID number it can be used in the place of a SSN.
Upon receipt of the 426A form, IHSS needs between three to four weeks to process the form and to mail the timesheets to the care provider.
For example, if the IHSS consumer mailed the completed 426A form to IHSS on April 3 and IHSS receives the form on April 9, the timesheets will be placed in the mail for the care provider around May 7 and may potentially be received by the IHSS provider by May 14. During this time, the IHSS provider can start working for the IHSS consumer. Both the IHSS consumer and provider can keep track of the days and times when the IHSS provider is working, so timesheets can be correctly completed once they are received.
To receive a blank 426A form, call the IHSS office at (408) 792-1600 and request the Provider Changes Packet or visit their office. If you are unable to reach an agent when calling the IHSS office, leave a voicemail asking for the packet to be mailed to you. In the voicemail, include your name, IHSS case number, and mailing address. The SOC 426A form is also available to download and print at cdss.ca.gov/inforesources/forms-brochures
If the person you want to hire as your IHSS care provider has never worked for an IHSS recipient, or if more than one year has passed since they last received a paycheck from IHSS, they will need to go through the State mandated enrollment process before they can be added to your case. They can start the enrollment process at any time by visiting: pascc.org/enrollment.
For assistance with the enrollment process, contact Public Authority Services Enrollment specialists: (408) 350-3252.
When an In-Home Supportive Services (IHSS) consumer decides to add a new Independent Care Provider (IP) to their case, the IHSS consumer must complete a Recipient Designation of Provider (426A) form and submit it to IHSS for them to send payroll timesheets to the new care provider. Any delay in sending the 426A form will delay payment to the IP.
The 426A form is divided into three sections:
Part A: The IHSS consumer will fill out information regarding the provider who has been hired. Both the IHSS consumer and provider will need to complete Part A.
Part B: The IHSS consumer (employer) learns about their responsibilities.
Part C: The IHSS consumer acknowledges their agreement with the responsibilities. This section needs to be completed by the IHSS consumer or an authorized representative.
Once the form is completely filled out, the IHSS consumer and care provider should each keep a copy for their records and one copy needs to be mailed to IHSS. Please note that the care provider’s Social Security Number (SSN) is only needed on the copy sent to IHSS. If a care provider has already received their provider ID number it can be used in the place of a SSN.
Upon receipt of the 426A form, IHSS needs between three to four weeks to process the form and to mail the timesheets to the care provider.
For example, if the IHSS consumer mailed the completed 426A form to IHSS on April 3 and IHSS receives the form on April 9, the timesheets will be placed in the mail for the care provider around May 7 and may potentially be received by the IHSS provider by May 14. During this time, the IHSS provider can start working for the IHSS consumer. Both the IHSS consumer and provider can keep track of the days and times when the IHSS provider is working, so timesheets can be correctly completed once they are received.
To receive a blank 426A form, call the IHSS office at (408) 792-1600 and request the Provider Changes Packet or visit their office. If you are unable to reach an agent when calling the IHSS office, leave a voicemail asking for the packet to be mailed to you. In the voicemail, include your name, IHSS case number, and mailing address. The SOC 426A form is also available to download and print at cdss.ca.gov/inforesources/forms-brochures
If the person you want to hire as your IHSS care provider has never worked for an IHSS recipient, or if more than one year has passed since they last received a paycheck from IHSS, they will need to go through the State mandated enrollment process before they can be added to your case. They can start the enrollment process at any time by visiting: pascc.org/enrollment.
For assistance with the enrollment process, contact Public Authority Services Enrollment specialists: (408) 350-3252.