DHCS Initiatives

MSSP Waiver Renewal 30-Day Public Comment Period

The Department of Health Care Services (DHCS) and the California Department of Aging (CDA) are committed to engaging in a public process for another five-year renewal of the Multipurpose Senior Services Program (MSSP) Waiver, beginning July 1, 2024.

The 1915(c) Home and Community-Based Services Waiver Application was posted for a 30-day Public Comment Period from January 8 – February 6, 2024, prior to submitting to the Centers for Medicare & Medicaid Services (CMS) for approval. CDA accepted public input through 5:00 p.m. on February 6, 2024.

Please contact MSSPService@aging.ca.gov for assistance with an ADA-compliant version of the Waiver Application.

On January 23, 2024, from 10:00 a.m. to 11:00 a.m. CDA held a MSSP Waiver Renewal Webinar to discuss the waiver renewal process, explain proposed changes, and gather stakeholder feedback in preparation for renewing the MSSP Waiver for an additional five years.

MSSP Waiver Amendment Approved

The Department of Health Care Services (DHCS) and the California Department of Aging (CDA) are pleased to announce the approval of the 1915(c) Multipurpose Senior Services Program (MSSP), Home and Community-Based Services Waiver Amendment, Control Number 0141.R06.12. On November 1, 2023, DHCS received official notice from the Centers for Medicare & Medicaid Services (CMS) that the MSSP Waiver Amendment was approved for the period November 12, 2023 through June 30, 2024. The amendment application includes the addition of telehealth as a permanent service delivery option and a revised implementation date (now January 1, 2024) for previously approved changes made for the Code Conversion project, which replaces local billing codes with HIPAA-compliant Healthcare Common Procedure Coding System (HCPCS) national codes.

Please contact MSSPService@aging.ca.gov for assistance with an ADA-compliant version of the Waiver Application.

Previous Amendment Information:

2019-2020 MSSP Waiver Renewal:

MSSP Waiver Appendix K Applications and Approvals

In response to the COVID-19 emergency, the Centers for Medicare & Medicaid Services (CMS) has approved several 1915(c) Home and Community-Based Services (HCBS) Waiver modifications under Appendix K authority, for the Multipurpose Senior Services Program (MSSP). These modifications allow temporary flexibilities, such as telephonic or video visits in lieu of home visits, for MSSP.

Statewide Transition Plan for Home and Community-Based Settings

The California Department of Health Care Services (DHCS) has released a Statewide Transition Plan (STP) as required by new Federal regulations. These regulations, effective March 17, 2014, establish requirements for settings eligible for Medicaid Home and Community-Based Services funding. On June 30, 2023, DHCS received final approval from the Centers for Medicare & Medicaid Services (CMS) on the STP to bring settings into compliance with federal HCBS Setting Final rule regulations. Additional information is available on the DHCS website.