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. 1. 

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

2. 2. 

   Kate Olivera and Kate's ineligible spouse live with their relative who provides assistance with Kate's personal needs. Kate is not eligible for the OSS F because Kate's ineligible spouse is in the household. The FO refers Kate to apply for In-Home Supportive Services (IHSS).

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.