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

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

Feb 11, 2016 - This year –over –year increase is due to several factors, such as projected increases in caseload and the loss of General Fund savings due to the impending sunset of the MCO tax and the hospital QAF.
https://lao.ca.gov/Publications/Report/3350

Section 1115 Waiver Renewal: Key Medi-Cal Financing Issues Remain Outstanding [Publication Details]

Oct 13, 2015 - Section 1115 Waiver Renewal: Key Medi-Cal Financing Issues Remain Outstanding [Publication Details] Section 1115 Waiver Renewal: Key Medi-Cal Financing Issues Remain Outstanding Format: HTML Description: Earlier this year, California submitted a proposal to renew its Section 1115 waiver, which is due to expire at the end of October.
https://lao.ca.gov/Publications/Detail/3301

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

Oct 13, 2015 - Below, we briefly summarize the major projects proposed in the waiver, and provide the additional five-year federal funding amount  associated with each project. None of the projects would involve state spending through a General Fund match.
https://lao.ca.gov/Publications/Report/3301

Upcoming Changes in Medi-Cal Create Fiscal and Policy Uncertainty

Oct 9, 2015 - Under the current waiver, the state received a total of $10  billion in federal funding over five years to implement a number of programs in Medi-Cal, such as the Low-Income Health Program that expanded Medi-Cal coverage to low-income adults who were not previously eligible for Medi-Cal in advance of ACA ’s coverage expansion.
https://lao.ca.gov/Publications/Report/3300