While this ACL was issued to provide the updated Memorandum of Understanding (MOU) between IHSS and the CDSS, the real import is its reminders re: IHSS waivers. The ACL reminds county IHSS caseworkers and Medi-Cal Waiver Program (MCWP)/Case Management Program (CMP) case managers to coordinate the needs of the recipient, ensuring that MCWP/CMP services not supplant IHSS hours and to not decrease IHSS hours solely because MCWP/CMP has increased hours. [Download]