Program	Description	Population	Total Budget 
(in Millions)	Caseload	
	2000–01	2005–06	2009–10	2000–01	2005–06	2009–10	
In-Home Supportive Services	Provides services to individuals to help them remain safely in their own homes as an alternative to out-of-home care. Includes domestic and personal care services.	Low-income persons who are aged, blind, or disabled.	$1,972	$3,811	$5,435	248,999	374,986	425,512	
Summary of Health / Social Services Long-Term Care Programs

SSI / SSP
Nonmedical Out of Home Care	Cash grants for residential care.	Low-income persons who are aged, blind, or disabled.	$456	    $498	$247	63,580	59,568	55,000	
SNF / ICF Fee for Service	Provides care for Medi-Cal patients in Skilled Nursing  or Intermediate Nursing Facilities. 	Low-income persons who are aged, blind, or disabled. 	$2,634	$3,001	$3,995	65,050	68,060	65,300	
Adult Day Health Care 	Licensed senior day care program providing health, therapeutic and social services.	Seniors at risk of nursing home placement.	$123	   $418	$367	18,930	40,800	32,390	
Multipurpose Senior Service Program (MSSP)	Case management to prevent premature institutional placement.
	Frail elderly clients who are certifiable for nursing home care.	$39	$45	$45	13,847	13,867	16,335	
Program of All Inclusive Care for the Elderly (PACE)	Provides managed long-term care for Medicare- and Medi-Cal-eligible enrollees. Care includes medical and social services.	Clients must be certified as eligible for SNF care, at least 55 years old, and live in the PACE service area.	$66	$83	$129	3,711	2,012	2,547	
In-Home Operations and Nursing Facility / Acute Hospital waivers 	Provides direct nursing and other services in a home or home-like setting	Medi-Cal clients who would otherwise require care in an in-patient nursing facility	N/A	$63	$64	N/A	637	2023	
Nursing Facilities / Managed care	Long-term care provided by County Organized Health Systems (COHS) in an institutional setting.	Medi-Cal clients who live in one of five COHS areas 	236	254	517	8,704	8,446	N/A	

Sources: Legislative Analyst’s Office, Analysis of the 2001–02 Budget Bill; Legislative Analyst’s Office, Analysis of the 2006–07 Budget Bill. Department of Finance Data for 2009–10 are based on the Governor’s January budget proposal for 2010–11. Data for In Home Operations and Nursing Facility / Acute Hospital waivers represents calendar year 2009. 

Program	Description	Population	Total Budget 
(in Millions)	Caseload	
	2000–01	2005–06	2009–10	2000–01	2005–06	2009–10	

Senate Office of Research / January 2010