The 2021-22 Budget: Assessment of CalHEERS Dashboard [Publication Details]

Mar 25, 2021 - Supplemental report language adopted by the Legislature in 2020-21 directed our office to provide an assessment of a new dashboard developed by the administration for Medi-Cal eligibility functionality issues in the California Healthcare Eligibility, Enrollment, and Retention System—an information technology system.
https://lao.ca.gov/Publications/Detail/4408

The 2021-22 Budget: Assessment of CalHEERS Dashboard

Mar 25, 2021 - CalHEERS refers individuals determined by the system to be likely eligible for Medi ‑Cal to county eligibility workers for final eligibility determination. County staff then use both CalHEERS and the Statewide Automated Welfare System (SAWS) to determine final program eligibility.
https://lao.ca.gov/Publications/Report/4408

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

May 16, 2017 - Figure 2 Main Features of the Proposal 2017-18 General Fund support to partially offset increased county IHSS costs $400  million Realignment revenue growth to partially offset increased county IHSS costs a All sales tax and VLF growth All sales tax and VLF growth All sales tax and VLF growth All sales
https://lao.ca.gov/Publications/Report/3671

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - For example, 22 counties have what is known as the “County Organized Health System ” (COHS) model, whereby generally only one county-formed managed care plan participates in Medi-Cal. These counties are collectively served by six public managed care plans.
https://lao.ca.gov/Publications/Report/4767

The 2019-20 Budget: California Spending Plan—Health and Human Services

Oct 17, 2019 - Because the MCO tax is a health care-related tax imposed on Medicaid services, it must be approved by the federal government. Figure 8 Comparing the Tax Rates of the Previous and Reauthorized MCO Taxes Member Months a Tax Rate Per Member Month Previous Tax: 2018 ‑19 Rates Reauthorized Tax: 2019 ‑20 Rates Medi ‑Cal Enrollees
https://lao.ca.gov/Publications/Report/4104

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - For further discussion of the MCO tax, please reference the “Medi-Cal ” Fiscal Outlook online post. Administration Scheduled to Release Report of 1991 Realignment and IHSS County Costs. In 2017 ‑18, a new IHSS county maintenance ‑of ‑effort (MOE) —referred to as the 2017 IHSS MOE —was established.
https://lao.ca.gov/Publications/Report/3899

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - County Participation Unclear. Receiving a waiver for expanded use of IMD treatment would reduce county behavioral health costs by drawing down additional federal funds. Given the requirements on counties to implement the demonstration project, however, whether there would be a net fiscal benefit is uncertain.
https://lao.ca.gov/Publications/Report/4689

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 15, 2017 - This increase in county contributions to IHSS costs effectively decreases our projected state share of cost for the IHSS program by hundreds of millions of dollars annually. Restoration of the IHSS Service Hours Previously Reduced by 7  Percent Tied to Managed Care Organization (MCO) Tax Existence.
https://lao.ca.gov/Publications/Report/3712

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

Feb 27, 2017 - We estimate that the 2018 ‑19 sales tax growth —which will be paid to counties in 2019 ‑ 20 —only will cover roughly one ‑fifth of the Social Services Subaccount cost increases borne by counties in 2017 ‑18.
https://lao.ca.gov/Publications/Report/3585

The 2020-21 Spending Plan: Health Budget and Policy

Oct 15, 2020 - Provides Funding to Backfill Declines in County Realignment Revenues, Some of Which Could Fund County Behavioral Health Services . The spending plan includes $750  million from the General Fund in 2020 ‑21 to offset counties ’ declines in realignment sales tax revenues.
https://lao.ca.gov/Publications/Report/4281