Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update

Apr 19, 2021 - (The state also operates a 100  percent state-funded Medi-Cal program for certain individuals who are not eligible for the federally funded program due to immigration status.) If a consumer is not eligible for federally matched Medi-Cal, the state funds the total cost of RC-coordinated services.
https://lao.ca.gov/Publications/Report/4415

COVID-19: American Rescue Plan’s Major Health-Related Funding Provisions [Publication Details]

May 6, 2021 - This post highlights the health-related provisions of the ARP Act that provide significant funding directly to state/local health care and public health agencies, rural hospitals, home- and community-based services programs, subsidized individual market health coverage programs, and public behavioral health services.
https://lao.ca.gov/Publications/Detail/4425

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - (While the higher HCBS matching rate can only be claimed on state HCBS spending between April 1, 2021 through March  31, 2022, states can use the additional funds generated through March  31, 2024.) The ARP Act stipulated that funding could not supplant state funding.
https://lao.ca.gov/Publications/Report/4438

Estimated Cost of Expanding Full-Scope Medi-Cal Coverage to All Otherwise-Eligible Californians Regardless of Immigration Status

May 5, 2021 - We did not take into account the fiscal impact of any change in other state and local health care programs that might occur due to this coverage expansion. For example, our caseload estimate generally assumes no major changes in the overall size of the state ’s undocumented population.
https://lao.ca.gov/Publications/Report/4423

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - Subscribe | California State Legislature | Online Voter Registration | Privacy Policy | Accessibility Legislative Analyst's Office | The California Legislature's Nonpartisan Fiscal and Policy Advisor 925 L Street, Suite 1000 Sacramento, CA 95814 | (916) 445-4656 | information [at] lao.ca.gov
https://lao.ca.gov/Publications/Report/4432/6

Update on COVID-19 Spending in California

Nov 5, 2020 - State Funding General Fund Spending. The General Fund is the state ’s main operating account and, as such, is the main state funding source for spending on disasters. In many cases, the General Fund provides cash upfront to fund emergency operations and response, but the state later receives federal reimbursements for much of the cost.
https://lao.ca.gov/Publications/Report/4292

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - What can the state do to address potential challenges? What additional requirements should the state impose on D ‑SNPs to ensure they provide an adequate level of integration between Medi ‑Cal and Medicare?
https://lao.ca.gov/Publications/Report/4404

The 2021-22 Budget: LAO Preliminary Comments on the May Revision Medi-Cal Budget

May 21, 2021 - For example, the May Revision assumes a much larger portion of the higher caseload due to COVID ‑19 will fall within the childless adult population (which is low cost from a state perspective) and a much smaller portion of higher caseload will fall within the senior and persons with disabilities population (which is high cost from a state perspective).
https://lao.ca.gov/Publications/Report/4436

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - Federal law requires the state to allow Medi ‑Cal managed care plans to choose whether —and which —ILOS benefits to offer. If managed care plans do not widely opt to provide ILOS benefits, the availability of these new services could be more limited in scope than the state ultimately desires.
https://lao.ca.gov/Publications/Report/4402

The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - Medi ‑Cal, the state ’s Medicaid program, provides health coverage to more than 13  m illion of the state ’s low ‑income residents. To operate the program, DHCS manages many IT systems enabling payment of over $ 100  b illion in expenditures annually.
https://lao.ca.gov/Publications/Report/4375