Presto chageo, out with the old, in with the new. This notice informs counties that California got approved for a Social Security Act § 1915(j) Self-Directed Personal Assistance Services State Plan Option program, known as the IHSS Plus Option (IPO). The IPO became effective October 1, 2009. Read all about how to transition of the IHSS Plus Waiver (IPW) population to the IPO. [Download]