OSS Y applies when a recipient is eligible for state supplementation, but waives the
right to receive it.
Mr. Stackhouse does not want to receive state supplementation and signs a statement
waiving his right to receive it. The FO explains to him that he will only remain eligible
for SSI in California as long as his countable income does not equal or exceed the
Federal Benefit Rate (FBR). In addition, the FO explains that waiving state supplementation
will not affect Medi-Cal eligibility as long as he remains federally-eligible for
SSI and that he will not become eligible for the Supplemental Nutrition Assistance
Program (SNAP). Mr. Stackhouse acknowledges that he understands, but still wishes
to waive receipt of state supplementation.
He currently lives alone and is in Federal living arrangement (FLA) A. Beginning with
the month he chooses to no longer receive state supplementation, his living arrangement
is FLA A/OSS Y.