​​​​​Multipurpose Senior Services Program

The Multipurpose Senior Services Program (MSSP) Waiver provides Home and Community-Based Services (HCBS) to Medi-Cal eligible individuals who are 65 years or older and disabled as an alternative to nursing facility placement.  The MSSP waiver allows the individuals to remain safely in their homes. 

Click the following links to access the Waiver:

Waiver Renewal Approval Letter

Multipurpose Senior Services Program (MSSP) Waiver​

Multipurpose Senior Service Program (MSSP) Waiver Amendment (Link for public comment)

MSSP Waiver Amendment 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 an amendment of the Multipurpose Senior Services Program (MSSP) Waiver. The 1915(c) Home and Community-Based Services Waiver Application is posted below for a 30-day Public Comment Period from October 1 – October 30​, 2021, prior to submitting to the Centers for Medicare and Medicaid Services (CMS) for approval.

• Application for a 1915(c) HCBS Waiver

Public comments may be submitted to the MSSP Service email inbox at MSSPService@aging.ca.gov; please include "MSSP Waiver Amendment Public Comment" in the subject line.

Public comments may also be submitted to CDA by mail to the following address:

California Department of Aging
Multipurpose Senior Services Program Bureau
2880 Gateway Oaks Drive, #200
Sacramento, CA 95833

CDA will continue to accept public input through 5:00 p.m. on October 30, 2021.


Select one of the links below for additional information on the MSSP Program: 

Type of Waiver

1915(c) Home and Community-Based Services Waiver 

Eligibility Requirements

  • READ BEFORE ENROLLING
  • Medi-Cal individuals who, but for the provision of such services, would require the Nursing Facility (NF) level of care
  • Aged 65 years and older
  • Individuals shall only be enrolled in one HCBS waiver at any a time
  • Individuals must reside in a county with an MSSP Site

Services Provided

  • Case Management
  • Personal Care Services
  • Respite Care (in-home and out-of-home)
  • Environmental Accessibility Adaptations
  • Minor Home Repair, etc.
  • Transportation
  • Chore Services
  • Personal Emergency Response System (PERS)/ Communication Device
  • Adult Day Care
  • Protective Supervision
  • Meal Services - Congregate / Home Delivered
  • Social Reassurance / Therapeutic Counseling
  • Money Management
  • Communication Services: Translation / Interpretation

Funding Source

State General Funds and Federal Medicaid Funds

Enrollment Cap

11,370

Waiver Term

July 1, 2019 through June 30, 2024

MSSP Waiver Renewal ​

Links for Additional Information

Social Security Act - Title XIX
1915(c) Home and Community-Based Services Waiver
Contact Information

Last modified date: 10/7/2021 10:08 AM