SI SF01415.130 California Optional State Supplement (OSS) F – Nonmedical Out-of Home Care Living in the Household of Another - effective February 1, 1982 (RTN 01, 05/2015)

A. General

California pays OSS F whenever an eligible individual/couple meets the criteria in SI SF01415.120 for the Nonmedical Out-of Home Care (NMOHC) payment rate and is in a Federal Living Arrangement B (subject to the VTR). An eligible individual with an ineligible spouse in this living arrangement is not eligible for OSS F (see SI SF01415.120B.4).

Examples:

  1. Mr. Branch lives with his granddaughter. He does not pay her anything for his food or shelter and he needs assistance in taking care of his personal needs. The FO sends an SSP-22 to the County to certify whether he qualifies for the NMOHC payment rate. The County verifies that he meets the requirements to be eligible for NMOHC. Therefore, he is determined to be in an FLA B/OSS F living arrangement

  2. Ms. Olivera and her ineligible spouse live with their niece who provides assistance with Ms. Olivera’ personal needs. She is not eligible for the OSS F because her ineligible spouse is in the household. The FO refers her to apply for In-Home Supportive Services (IHSS).

B. Development and Documentation

California Form SSP-22, Certification for Nonmedical Out of Home Care, must be used to authorize an OSS F payment. Follow development and documentation instructions in SI SF01415.120C.2.b. Store the completed SSP-22 in the electronic file.

Refer individuals who are not eligible for OSS B, but need care and supervision, to the county for possible In-Home Supportive Services (IHSS). Do not use Form SSP-22 as a referral for IHSS.


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http://policy.ssa.gov/poms.nsf/lnx/0501415130SF
SI SF01415.130 - California Optional State Supplement (OSS) F - Nonmedical Out-of Home Care Living in the Household of Another - effective February 1, 1982 (RTN 01, 05/2015) - 05/07/2015
Batch run: 05/07/2015
Rev:05/07/2015