Fiscal Outlook: Medi-Cal [Publication Details]

Nov 15, 2017 - See a complete list of this year's fiscal outlook material on our fiscal outlook budget page . Reports by Policy Area
https://lao.ca.gov/Publications/Detail/3715

The 2017-18 Budget: Overview of the Governor's May Revision Medi-Cal Budget Proposal

May 17, 2017 - While the Governor ’s proposed uses of Proposition  56 revenues within Medi-Cal in the May Revision proposal are generally consistent with the Governor ’s January budget proposal in terms of their paying for year-over-year program growth, there are several new areas within the existing Medi-Cal program where the Governor ’s May Revision proposes to allocate Proposition  56 revenues to pay for year-over-year growth.
https://lao.ca.gov/Publications/Report/3674

The 2017-18 Budget: The Governor's May Revision In-Home Supportive Services Cost-Sharing Proposal

May 16, 2017 - That is, year-over-year increases in realignment revenue pay for prior-year increases in county costs for realignment programs. As a result, counties effectively receive “reimbursement ” for the costs they incur.
https://lao.ca.gov/Publications/Report/3671

The 2017-18 Budget: Analysis of the Medi-Cal Budget

Mar 9, 2017 - (While changes in the state ’s cost share for this population are on a calendar ‑year basis under the ACA, we have translated the costs here to a state fiscal ‑year basis.) We note that a sizable portion of these increased state costs are proposed to be paid with Proposition  56 revenues.
https://lao.ca.gov/Publications/Report/3612

The 2017-18 Budget: The Coordinated Care Initiative: A Critical Juncture

Feb 27, 2017 - Over the past 25 years, the programs covered by 1991 realignment have changed substantially. Rather than simply adjusting the IHSS cost ‑sharing ratio, the Legislature may want to consider whether 1991 realignment has reached the end of its useful life.
https://lao.ca.gov/Publications/Report/3585

The 2017-18 Budget: Analysis of the Department of Developmental Services Budget

Feb 24, 2017 - The community caseload has steadily increased year over year. The Governor ’s budget projects RC consumer caseload of slightly more than 317,000 as of January 31, 2018, an increase of 4.6  percent over the estimated caseload as of January 31, 2017.
https://lao.ca.gov/Publications/Report/3581

The 2017-18 Budget: An Overview of the Governor's Proposition 56 Proposals

Feb 22, 2017 - Taken at face value, voter approval of Proposition 56 arguably demonstrates a desire to increase funding to Medi‑Cal beyond year‑to‑year growth in the program absent policy changes. The Governor’s proposal, by contrast, uses the new revenues to pay for typical year‑to‑year cost increases in Medi‑Cal.
https://lao.ca.gov/Publications/Report/3573

The Uncertain Affordable Care Act Landscape: What It Means for California

Feb 17, 2017 - While block grant or per capita allotment programs do not always include growth factors that increase year ‑to ‑year total federal allocations, consideration is being given to using a growth factor such as the rate of inflation to increase year ‑over ‑year federal Medicaid spending if the program is converted.
https://lao.ca.gov/Publications/Report/3569

A Long-Term Outlook: Disability Among California’s Seniors

Nov 28, 2016 - Seniors turning 65 between 2015 and 2019 who have greater than a high school education spend fewer years on average with one or more ADL limitations than seniors with a high school degree or GED credential and seniors with less than a high school education (4.2 years vs. 4.8 years and 5.8  years, respectively).
https://lao.ca.gov/Publications/Report/3509

The 2016-17 Budget: Analysis of the Department of Developmental Services Budget

Mar 4, 2016 - About $1.3  billion, or about 25  percent, of the proposed POS budget is for spending related to CCFs. The CCFs are primarily funded through a rate methodology known as the Alternative Residential Model (ARM) rate —which has not been fully updated in many years.
https://lao.ca.gov/Publications/Report/3382