SOC 409 Elective State Disability Insurance form. Visit the IHSS Independent Provider Enrollment Center for Monterey website (REVA): REVA is an on-line website application that provides access to IHSS Provider Documents. It would be great if there would be an interview section within the software/online filing to mention this. The California Legislature has established requirements that ALL providers must complete before being paid to work for ANY recipient. A Provider is a caregiver who works for Consumers receiving In-Home Supportive Services (IHSS). IHSS Payroll Information: 510-577-1877. Providers enable low-income seniors and disabled Consumers to … Below are links to several forms that IHSS in-home care providers may find helpful. How do I file the taxes if I'm an IHSS provider? For Providers, if you have any questions regarding which form(s) may apply to you, please call the IHSS Payroll Help Line: (916) 874-9805. IHSS provider and receive payment from the IHSS Program. By completing this form, the provider certif ies that the wages received for providing IHSS and/or WPCS services to the recipient (living in the same address as the provider) will be excluded from federal and state personal income taxes. You'll also find other documents, including important phone numbers and information that you received at orientation. To enroll as an IHSS IP, you must complete five steps: 1. As you are aware, in the state of California a W-2 is generated with Line 1 wages as $0, but other required withholdings are included to assume for a non-professional filer, that it needs to be reported on their taxes.

Disabled children are also potentially eligible for IHSS.IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities.

You MUST complete the all steps within 90 days of the date you began the process. Attend an IHSS new provider orientation at the IHSS Public Authority located at 3700 Branch Center Road, Sacramento CA, 95827 . IHSS Clients/Providers Website. Mail the forms to: Public Authority Provider Enrollment, 401 Mile of Cars Way Suite 200, National City, CA 91950. SOC 426 Provider Enrollment Form SOC 426A Recipient Designation of Provider To apply for IHSS, call 510-577-1900.

The IHSS program is a federal, state, and locally funded program designed to provide assistance to those eligible aged, blind, and disabled individuals who, without this care, would be unable to remain safely in their own homes. The In-Home Supportive Services (IHSS) program will help pay for services provided to you so that you can remain safely in your own home.To be eligible, you must be over 65 years of age, disabled, or blind. Provider Notice (Temp 3001) (notice sent to all Providers) Provider Enrollment Agreement (SOC 846) (r equired of every Provider)