The 2018-19 Budget: Governor's May Revision Medi-Cal Budget

May 14, 2018 - Most private hospitals in the state are required to pay a QAF to the state, which uses these revenues to draw down additional federal funding for payments to hospitals, as well as to offset some General Fund costs in Medi-Cal.
https://lao.ca.gov/Publications/Report/3839

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

Oct 13, 2015 - When a state ’s waiver request is approved by the federal government, the state is permitted to waive certain federal requirements on the basis that the waiver serves to further the purpose of the state ’s Medicaid program.
https://lao.ca.gov/Publications/Report/3301

The 2017-18 Budget: Analysis of the Department of Developmental Services Budget [Publication Details]

Feb 24, 2017 - Also in this report, we describe the general nature of shifts in both policy and practice in the field of developmental services, detailing the relevant state and federal policies and their implications for the future developmental services program in the state, and discussing issues for the Legislature to consider as DDS implements these changes.
https://lao.ca.gov/Publications/Detail/3581

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

May 17, 2017 - Current state law calls for the transition of Patient Protection and Affordable Care Act (ACA) optional expansion NQIs from the state-only Medi-Cal program into Covered California coverage with a Medi-Cal wraparound.
https://lao.ca.gov/Publications/Report/3674

Financing Considerations for Potential State Healthcare Policy Changes [Publication Details]

Feb 5, 2018 - Financing Considerations for Potential State Healthcare Policy Changes [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/3740

Upcoming Changes in Medi-Cal Create Fiscal and Policy Uncertainty

Oct 9, 2015 - Beginning in 2017, the state will pay 5  percent of these costs, phasing up to 10  percent in 2020 and thereafter. The administration has estimated that this could result in additional state General Fund costs of roughly $1  billion annually by 2020.
https://lao.ca.gov/Publications/Report/3300

The 2017-18 Budget: Analysis of the Medi-Cal Budget [Publication Details]

Mar 9, 2017 - Medi‑Cal is by far the largest state‑administered health services program in terms of annual caseload and expenditures. In this report, we provide an analysis of the administration’s caseload projections, including a discussion of the projected increases in ACA optional expansion caseload.
https://lao.ca.gov/Publications/Detail/3612

The MCO Tax: A Flat Versus Tiered Structure

Jul 20, 2015 - This is summarized in the following equation: Overall state funding = MCO net liability + federal reimbursement Therefore, to achieve $1.36 billion in total state funding, the Governor ’s proposal would leverage $700 million in federal funds ($1.36 billion minus $660 million in MCO liability) for the state ’s use, while a flat tax would leverage $410 million in federal funds ($1.36 billion minus $950 million in MCO liability).
https://lao.ca.gov/Publications/Report/3292

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

Mar 4, 2016 - The CMS has established an extensive process for states to evaluate the service settings in their current HCBS programs and requires that states submit to CMS for review and approval a statewide transition plan (STP).
https://lao.ca.gov/Publications/Report/3382

Improving Access to Dental Services for Individuals With Developmental Disabilities

Sep 27, 2018 - As discussed earlier, DDS consumers who still live at DCs receive their care, including treatment performed under general anesthesia, onsite from state ‑employed or state ‑contracted dental providers.
https://lao.ca.gov/Publications/Report/3884