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NOTICE: An HMO form filing submission must include: (i) a product-specific checklist, and (ii) a mental health and substance use disorder benefits parity. These documents can help you make sure you get the right coverage.Complete and sign the IHSS Progranl Provider Enrollment Form (SOC 426), and return it IN PERSON to the location desi. (HMO) and leadership with any problems associated with your tenancy. Skip to main content. If you're heading to your annual checkup, it might be helpful to bring along a preventive care checklist. Pre-Tax Deduction — An amount excluded from income tax. Pre-tax deductions reduce your taxable income. Listed below are the Annual Statement Filing Requirements. The Provider Manual (PDF) helps providers navigate our comprehensive network of administrative and covered services.