Important Documents

Provider Enrollment Documents

IHSS Individual Provider informational documents are included below.

• EVV State Handout
• Mandated Reporter
• Medi-Cal Fraud
• Tips for Avoiding Fraud
• Sexual Harassment
• Services covered by IHSS
• PA PUB 104 IHSS IP Benefits Notice
• Workers Comp Benefit
• Electronic Services Portal Step by Step guide
• Important Telephone Numbers
• Live-In Provider Self-Certification Information
• Self-Cert Federal State and Tax Wage Exclusion form SOC 2298
• SOC 426C
• Tier 1 Crimes
• Tier 2 Crimes
• Share of cost
• Travel Time
• Universal Precautions
• Violations
• Great Plates flyer