Important information about signing the new provider enrollment form (SOC 426)

It has come to our attention that some counties are asking providers to sign a new form SOC 426 (Provider Enrollment Form) that includes a question about whether the provider “has ever been convicted of a serious crime or misdemeanor.”

COUNTIES SHOULD NOT BE USING THIS NEW FORM. In a letter to all counties (ALL-COUNTY LETTER NO. 09-78) last November, the Department of Social Services instructed the counties to:

• STOP using IHSS provider enrollment forms or other documents requiring individuals to declare that they never have been convicted of a felony crime or serious misdemeanor and/or state that persons convicted of such crimes are not eligible to be IHSS providers; and

• STOP disqualifying or finding individuals ineligible to be IHSS providers on the basis that they have been convicted of a felony or a serious misdemeanor at some point in their life and who are otherwise not disqualified.

If you are asked to sign a Form 426 which includes the question about whether you have ever been convicted “of a serious crime or misdemeanor”, respectfully refuse to sign the document and refer the county official to All County Letter No. 09-78.

Copy of All-County Letter No. 09-78

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Kristine Loomis, Webmaster

Community activist. Advocate for the disabled, elderly, and their care providers -- specifically through California's In-Home Supportive Services Program. Associated college degree and employment experience: communications, computer applications, website design & administration.



Author: Kristine
Date: March 13th, 2010
Comments: 2 Comments »
Filed: Homecare & IHSS News



  • Huimin Zhang

    I had done the fingerprint and fill out a form, but how come I still got the reminder, said I haven’t finished yet

  • http://www.udwa.org Kristine

    Usually counties are only sending out notices to people whose paperwork has not been completed so it is very important that you contact your local IHSS Public Authority and find out why they have sent you the notice. Sometimes mistakes can happen and it is important to make sure there has not been a mistake with your paperwork.

    We have contact information for your local Public Authority on our website if you are in a UDW county. Click the drop-down menu which says “counties” and choose the name of your county. Of course your IHSS PA will also be in the phone book.

    The union also has a toll-free number (800 621-5016) where you may ask for the Member Communications Center and have them help you as well.

    Please don’t wait because the deadline to have the paperwork completely processed will be here on December 31.

    Kristine Loomis