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Provider enrollment and EVV
The SOC 426 IHSS Provider Enrollment Form
Updated September 16, 2026. Reviewed September 16, 2026 against public CDSS, DHCS, Medicare.gov, VA, and CareScout 2025 California tables. County wages, hours, and wait times still change. Official .gov pages decide.
What SOC 426 is in the IHSS provider packet, why names must match the case, and how it sits next to orientation and the provider agreement.
About 4 minutes to read. Based on CDSS and DHCS public program pages retrieved 2026-09-16. County offices apply these rules. Hourly rates, hour totals, and wait times are local and change.
Short answer
SOC 426 is the IHSS provider enrollment form in the county packet. It identifies the person who wants to be paid and ties them to the recipient’s case. Names and identifiers must match. It sits next to orientation, the SOC 846 agreement, and a background check where required.
Who decides
The county IHSS office and Public Authority accept or return the SOC 426. The county and Medi-Cal still decide the recipient’s hours.
What to do next
Get the current SOC 426 from the county or Public Authority, match the recipient’s name to the IHSS case, and return it with the rest of the enrollment packet.
SOC 426 is the provider’s identity page, not the care plan
CDSS lists SOC 426 among the enrollment pieces an individual provider completes. It is how the county records who wants to be paid to give authorized IHSS help. It is not the Notice of Action. It is not SOC 873. It does not list hour totals. Families who write a care schedule on the margins are mixing two files. Put the schedule in the assessment conversation. Put identity, relationship, and case-matching information on SOC 426 the way the county asks.
Ask the Public Authority for the current form. Counties update packets. A copy saved from a previous year can bounce. The enrollment steps page shows where SOC 426 sits in the usual order: after or alongside orientation, next to SOC 846, and before you treat the background check as optional.
Why names must match the case
The provider file has to attach to a recipient file. If the parent’s name on SOC 426 does not match Medi-Cal or the IHSS case, the packet sits. If your name does not match the identity documents used for work authorization and the background check, the packet sits. Use the legal names the county can verify. If a parent uses a different first name at home, still write the case name and tell the worker about the household name in a note if they ask, not as a substitute on the line.
The same matching problem shows up when an adult child has a married name, a hyphen, or a suffix. Copy from a government ID. Do not shorten. Do not leave the recipient line blank because “they already know us.”
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Questions people ask
- Is SOC 426 the same as the IHSS application?
- No. The recipient applies with SOC 295. SOC 426 is the provider’s enrollment form. Both can be in process at the same time.
- Can one adult child fill SOC 426 for a sibling who will also help?
- Each person who wants to be paid signs their own enrollment forms. Do not share a single SOC 426 across providers.
- What if my legal name does not match the parent’s memory of it?
- Use the name that matches your identity documents and the way the county can verify work authorization. Ask the county how to record a name that changed, rather than inventing a nickname on the form.
Official sources for this guide
Related pages on California Home Help
Reviewed against CDSS, DHCS, Medicare.gov, and CareScout public pages. We do not quote IHSS wages. County IHSS offices and Medi-Cal decide eligibility, hours, and pay. For current county wage rates, use the official CDSS wage page. CDSS county IHSS wage rates.
Official program pages: CDSS: In-Home Supportive Services, CDSS: IHSS for children, County IHSS offices, CDSS: IHSS providers, CDSS: county IHSS wage rates, CDSS: provider orientation, CDSS: Electronic Visit Verification, CDSS: Electronic Services Portal, DHCS: Medi-Cal, Apply for Medi-Cal, BenefitsCal, CDSS: hearing requests, CDSS: forms catalog, CDSS: IHSS overtime and workweek, DDS: regional centers.