Health and Human Services

The 2021-22 Budget

Medi-Cal Budget Package


The Governor’s 2021-22 budget would provide $28.4 billion General Fund ($122.2 billion total funds) to Medi-Cal, a $5.9 billion General Fund increase compared to 2020-21. This package of posts will contain our analysis of technical changes to the Medi-Cal budget—including our assessment of the Governor’s significant projected caseload increases. Additionally, this package will include a series analyzing the Governor’s far-reaching California Advancing and Innovating Medi-Cal (CalAIM) proposal. Finally, this package will contain our analyses of the Governor’s behavioral health proposals that relate to Medi-Cal. Bookmark this page in your browser to easily return to it as we publish the entire package in the coming weeks.


Analysis of the Medi-Cal Budget

This post analyzes the major adjustments to the Medi-Cal budget in 2020-21 and 2021-22, with a focus on the technical adjustments such as the administration’s caseload estimates.

Medi-Cal Enterprise System Modernization Effort

This post analyzes, and provides recommendations to the Legislature on, the 2021-22 Governor’s Budget proposal for the Department of Health Care Services to continue the replacement of several Medi-Cal information technology systems and to plan the modernization of the remaining systems under a new effort called the Medi-Cal Enterprise System Modernization.

Behavioral Health: Medi-Cal Student Services Funding Proposal

This post analyzes the Governor’s proposal in the Department of Health Care Services to provide $200 million General Fund ($400 million total funds) one time to provide incentive payments to Medi-Cal managed care plans to increase the number of students receiving behavioral health services.

Behavioral Health: Continuum Infrastructure Funding Proposal

This post analyzes the Governor’s proposal in the Department of Health Care Services to provide $750 million General Fund—on a one-time basis—in competitive grants to counties to acquire or renovate facilities for community behavioral health services.

 


CalAIM


CalAIM: The Overarching Issues

The California Advancing and Innovating Medi-Cal (CalAIM) proposal is a set of reforms to expand, transform, and streamline Medi-Cal service delivery and financing. This post—the first in a series assessing different aspects of the Governor’s proposal—provides a brief overview of CalAIM, summarizes key changes from last year’s withdrawn proposal, and analyzes overarching issues related to CalAIM.

Analysis of CalAIM Financing Issues

The California Advancing and Innovating Medi-Cal (CalAIM) proposal is a set of reforms to expand, transform, and streamline Medi-Cal service delivery and financing.