MSSP provides both social and health care management services to assist frail individuals aged 65 or older to remain in their own homes and communities. To be eligible for MSSP, these individuals
must meet the criteria for skilled nursing facility care. The Program’s goal is to prevent or delay institutionalization through ongoing care management, using available community services and
resources, and purchasing needed services when they are not already available. The total annual combined cost of care management and other services must be lower than the cost of receiving
skilled nursing facility care.
MSSP operates under a Medicaid (Medi-Cal in California) 1915(c) Home and Community-Based Services (HCBS) waiver that has been approved by the federal Centers for Medicare & Medicaid Services.
The current waiver extends from July 1, 2019 through June 30, 2024. The California Department of Aging (CDA) administers MSSP under an interagency agreement with the Department of Health Care
Services. CDA’s MSSP Bureau oversees the programmatic, fiscal, and service components of local MSSP site operations.