The Optional State Supplemental Payment Program (OSSP) provides a special supplement to eligible individuals who reside in an Adult Foster Care Home, which consists of Certified Residential Facilities (CRFs) and Adult Living Facilities (ALFs). Individuals must be eligible to receive Social Security Income (SSI) payments or meet the SSI disability standard to qualify for OSSP payments. This program is managed and monitored by the Department of Health Care Finance (DHCF), Department of Behavioral Health (DBH) and the Social Security Administration (SSA) in collaboration with other public and private agencies.

 

Who is eligible?

You may be eligible for OSSP, if you:

• Are a District resident
• Reside in a District-licensed Adult Foster Care Home
• Are eligible for Supplemental Security Income (SSI) or meet SSI eligibility standards
• Meet the SSI resource eligibility requirements of $2,000 or $3,000 for couples

What services are covered?

If you are found eligible for the OSSP program, you are automatically eligible for Medicaid. You will have access to all Medicaid-approved services.

 

2026 Optional State Supplemental Payment Levels

Individual

Code	Federal	State	Combined
O/S A	$994	$681	$1675
O/S B	$994	$791	$1785
O/S G	$30	$79	$109

 

Couple

Code	Federal	State	Combined
O/S A	$1491	$1717	$3208
O/S B	$1491	$1937	$3428
O/S G	$60	$158	$218

 

O/S A – Adult Foster Care with 50 or fewer beds

O/S B – Adult Foster Care with more than 50 beds

O/S G – Medicaid Facilities

 

Note: The state contribution increase is due to the annual increase in the Personal Needs Allowance for beneficiaries. Please see Transmittal 26-02 for more information.

 

For More Information

For more information about the OSSP and how you may enroll, please contact the Department of Behavioral Health at (202) 673-7440 or email [email protected].