By Ryan Gallagher
January 2018 | 2018 Winter Newsletter
In-Home Supportive Services (IHSS) consumers may choose to hire a new Independent Care Provider (IP) at any time. Ensure a smooth transition when adding or changing a care provider by following these guidelines:
- If your new IP has never worked for IHSS before, they must start the enrollment process by visiting the enrollment website: pascc.org. For assistance with the enrollment process, contact Public Authority Enrollment: (408) 350-3252.
- Contact your IHSS social worker directly, or call IHSS at (408) 792-1600, to request the Provider Changes Packet, which contains all forms needed to add a care provider to your case: Recipient Designation of Provider Form (SOC 426A), and Provider Changes Form.
- When calling the main IHSS phone number, you are able to leave a voicemail message so you do not need to wait on hold to speak with a representative. In your message leave your name, case number, and state that you wish to add or change a provider. The Provider Changes Packet will be mailed to you. If you prefer, you may remain on hold until your call is answered. Have your IHSS case number ready to provide to a representative, and state that you want to add or change a care provider.
- After you complete the required forms in the Provider Changes Packet, keep a copy for your records and provide one to your IP. The SOC 426A form is a 3-part carbonless form (triplicate carbon copies) that is printed on white, yellow, and pink paper. Mail the white copy (top) to IHSS, keep the yellow copy for your records, and give the pink copy to your provider. Maintaining your own records of this information may be helpful at a future date.
IHSS will process the Provider Changes Form within three to four weeks. Submit change requests in advance when possible. For help finding a new care provider, contact the Public Authority Registry: (408) 350-3251.
In-Home Supportive Services (IHSS) consumers may choose to hire a new Independent Care Provider (IP) at any time. Ensure a smooth transition when adding or changing a care provider by following these guidelines.
- If your new IP has never worked for IHSS before, they must start the enrollment process by visiting the enrollment website: pascc.org. For assistance with the enrollment process, contact Public Authority Enrollment: (408) 350-3252.
- Contact your IHSS social worker directly, or call IHSS at (408) 792-1600, to request the Provider Changes Packet, which contains all forms needed to add a care provider to your case: Recipient Designation of Provider Form (SOC 426A), and Provider Changes Form.
- When calling the main IHSS phone number, you are able to leave a voicemail message so you do not need to wait on hold to speak with a representative. In your message leave your name, case number, and state that you wish to add or change a provider. The Provider Changes Packet will be mailed to you. If you prefer, you may remain on hold until your call is answered. Have your IHSS case number ready to provide to a representative, and state that you want to add or change a care provider.
- After you complete the required forms in the Provider Changes Packet, keep a copy for your records and provide one to your IP. The SOC 426A form is a 3-part carbonless form (triplicate carbon copies) that is printed on white, yellow, and pink paper. Mail the white copy (top) to IHSS, keep the yellow copy for your records, and give the pink copy to your provider. Maintaining your own records of this information may be helpful at a future date.
IHSS will process the Provider Changes Form within three to four weeks. Submit change requests in advance when possible. For help finding a new care provider, contact the Public Authority Registry: (408) 350-3251.

