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Health and Human Services Publications

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Report

The 2016-17 Budget: Analysis of the Medi-Cal Budget

February 11, 2016 - In this report, we provide an analysis of the administration’s caseload projections, as well as a discussion of the impacts of the ACA on the ability to project caseload. We also provide an assessment of several General Fund cost pressures on the horizon in Medi–Cal, including the sunset of the hospital QAF.

Handout

Effects of Cigarette Taxes on Smoking Behavior

December 17, 2015 - Presented to: Conference Committee on SBX2 2 and ABX2 1, Second Extraordinary Session

Handout

MCO Tax Overview

December 1, 2015 - Conference Committee on SB X2 2 and AB X2 1, Second Extraordinary Session

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Section 1115 Waiver Renewal: Key Medi-Cal Financing Issues Remain Outstanding

October 13, 2015 - Earlier this year, California submitted a proposal to renew its Section 1115 waiver, which is due to expire at the end of October. The state is currently negotiating with the federal government over the terms and conditions of this waiver renewal. In this post, we examine key issues and concerns related to the availability of federal funding for California’s proposal. The post provides a primer on how Section 1115 waivers are generally financed, an overview of California’s proposal, and a discussion of the challenges the proposal faces within that financing structure.

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Upcoming Changes in Medi-Cal Create Fiscal and Policy Uncertainty

October 9, 2015 - This is the first in a series of policy posts on upcoming changes in Medi-Cal and the fiscal and policy uncertainty the changes create. In this post, we briefly highlight four upcoming major changes: (1) the renewal of the state’s Section 1115 waiver, (2) proposed modifications to the federal government’s regulations for Medicaid managed care plans, (3) the phase-in of state’s share of cost for the Affordable Care Act’s optional expansion population, and (4) the need to restructure the managed care organization tax to meet federal requirements. In the coming weeks and months, we will provide more detail and updates on these changes and their potential implications for the Medi-Cal program and the state’s budget in future policy posts similar to this one and in budget analyses.

Handout

The MCO Tax: A Flat Versus Tiered Structure

August 18, 2015 - Presented to: Senate Committee on Public Health and Developmental Services.

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The MCO Tax: A Flat Versus Tiered Structure

July 20, 2015 - We compare two approaches to a restructured managed care organization (MCO) tax—the Governor’s tiered proposal versus a purely flat enrollment-based tax—in terms of their stability as a revenue source and overall financial burden placed on MCOs.

Handout

Overview of Developmental Services Issues

July 9, 2015 - Presented to Assembly Committee on Public Health and Developmental Services Second Extra ordinary Session

Handout

Medi-Cal: Overview and Payment Issues

July 9, 2015 - Presented to Assembly Committee on Public Health and Developmental Services Second Extraordinary Session

Handout

Other Possible Revenue Sources for Medi-Cal and Developmental Services

July 9, 2015 - Presented to Assembly Committee on Public Health and Developmental Services Second Extraordinary Session

Handout

Overview of Developmental Services Issues

July 2, 2015 - Presented to Senate Committee on Public Health and Developmental Services Second Extraordinary Session

Handout

Medi-Cal Payment Issues

July 2, 2015 - Presented to Senate Committee on Public Health and Developmental Services Second Extraordinary Session

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Overview of MCO Tax, Selected Other Tax Increase Options, and IHSS Issues

July 2, 2015 - Presented to Senate Committee on Public Health and Developmental Services Second Extraordinary Session

Report

The 2015-16 Budget: Major Features of the Adopted Plan (Health and Human Services)

June 19, 2015 - We have provided information on the major provisions of the budget plan passed by the Legislature on Friday, June 19. (It does not reflect potential gubernatorial vetoes.) We will provide a more comprehensive summary of the budget plan in our annual California Spending Plan later this summer.

Report

Improving Medi-Cal Managed Care Plan Quality

May 5, 2015 - Oversight of the quality of care provided by Medi-Cal Managed Care (MMC) plans is an increasingly important issue for the Legislature to examine, as MMC enrollment and the geographic reach of MMC have grown significantly over the past decade. In this report, we analyze the quality of MMC plans and current DHCS efforts to improve MMC plan quality, and consider additional steps and alternative approaches, such as P4P, the state could take to monitor plans and stimulate quality improvement in MMC.

Health and Human Services Staff

Mark Newton
(916) 319-8323
Deputy Legislative Analyst: Health, Developmental Services, and Technology
 
Jason Constantouros
(916) 319-8322
Medi-Cal/Managed Care/Family Health/Health Care Affordability and Workforce Development
 
Brian Metzker
(916) 319-8354
Privacy, Security, and Technology
 
Ryan Miller
(916) 319-8356
Medi-Cal/Behavioral Health/Covered California/CalHHS Agency Issues
 
Angela Short
(916) 319-8309
Child Welfare, Child Support, Community Services and Development, Community Care Licensing, CalSTRS
 
Karina Hendren
(916) 319-8352
Medi-Cal/Long-Term Care/Developmental Services
 
Will Owens
(916) 319-8341
Public Health/Behavioral Health/State Hospitals
 
Sonia Schrager Russo
(916) 319-8361
CalWORKs/CalFresh
 
Juwan Trotter
(916) 319-8358
In-Home Supportive Services/Aging Programs
 
Ginni Bella Navarre
(916) 319-8342
Deputy Legislative Analyst: Human Services and Governance