This ACL provides instructions for counties to convert eligible IHSS recipients to PCSP. In converting these cases, counties need to apply the lower of the recipient’s IHSS and Medi-Cal share of cost.

Recipients with a Medi-Cal share of cost that is lower than the IHSS share of cost are "reimbursement" recipients. These recipients who paid the higher IHSS share of cost are entitled to retroactive reimbursement for the difference between the higher IHSS share of cost and the lower Medi-Cal share of cost. A lump sum "reimbursement" will be issued to those recipients. The recipient must spend this "reimbursement" or it is counted as property/resources.

These recipients will receive a notice of action advising them of the "reimbursement."

A newly eligible PCSP recipient may receive retroactive PCSP for the three months prior to the application if such recipient actually received services for the retroactive period and if the recipient can prove he/she paid for those services out-of-pocket.