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Over 90 percent of MSSP recipients also receive In-Home Supportive Services (IHSS). Since we are recommending reductions to the IHSS program, we think it is important to maintain the infrastructure of the MSSP program for those IHSS recipients who are also MSSP recipients. The MSSP clients have been deemed to be eligible for nursing home placement. Adopting our approach would achieve some General Fund savings while allowing MSSP case managers to assist the most vulnerable IHSS recipients.