Before you get too excited that IHSS is going public with an offering, this letter sets out more info on the implementation of the In-Home Supportive Services Plus Option (IPO) program. Unlike the Demonstration Waiver IPW, the IPO is a State Plan Option, and therefore follows the State Plan PCSP regarding program eligibility and services. Under the IPO program, eligibility is the same as for PCSP (categorically or medically needy and has a disabling condition) . The IPO does not include teaching/demonstration, and has different program rules regarding care provided by a spouse/parent. There are also enhanced assessment processes. CDSS is in the process of developing regulations for the IPO. [Download]