Fiscal Outlook: Medi-Cal

Nov 14, 2018 - Expiration of Managed Care Organization (MCO) Tax Current MCO Tax. Since 2016-17, the state has imposed a per-member tax on Medi-Cal and non-Medi-Cal MCOs. Revenues from the MCO tax, which leverages federal funding for Medi-Cal, provide a substantial General Fund offset in Medi-Cal.
https://lao.ca.gov/Publications/Report/3898

Managed Care Organization Tax: Background and Issues for Consideration on Administration’s Proposal [Publication Details]

May 30, 2023 - Managed Care Organization Tax: Background and Issues for Consideration on Administration’s Proposal [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/4774

Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - To the extent that both County A and County B implemented a $1.00 local wage increase sometime in 2018, the state and county share of costs would depend on the level of the state participation cap. As shown in Figure  3, due to the state participation cap, the state and county share of cost for a $1.00 wage increase is different for County A than County B.
https://lao.ca.gov/Publications/Report/3913

The 2020-21 Budget: Medi-Cal Fiscal Outlook [Publication Details]

Nov 20, 2019 - This web post provides detail on our projections and assumptions related to General Fund spending in Medi-Cal for the years 2019-20 through 2023-24. In the near term, we project Medi-Cal spending to grow to $23.5 billion in 2020-21. Over the long term, we project General Fund spending in Medi-Cal to grow to up to $27.6 billion.
https://lao.ca.gov/Publications/Detail/4116

The 2022-23 Budget: Overview of the Governor's Budget

Jan 13, 2022 - The remaining $200  million would be allocated to the state ’s 61 local health jurisdictions (LHJs) (58 counties and 3 cities), with funding allocated based in part on each LHJ ’s population share, level of poverty, and racial/ethnic make ‑up.
https://lao.ca.gov/Publications/Report/4492

The 2021-22 Spending Plan: Health

Oct 22, 2021 - Additionally, budget-related language approved alongside the spending plan ensures that the ongoing rates paid to these long-term care facilities include the supplemental payments that have been provided since 2017 with funding from the Proposition  56 (2016) tobacco tax increase.
https://lao.ca.gov/Publications/Report/4465

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - For example, CalAIM involves a broad array of new requirements on county partners (who play a key role in administering and delivering various services available through Medi ‑Cal). Specifically, CalAIM would make various changes that affect county responsibilities, such as ( 1)  t he transfer of responsibility for covering specialty mental health services in two
https://lao.ca.gov/Publications/Report/4357

The 2018-19 Budget: Analysis of the Health and Human Services Budget

Feb 16, 2018 - Until 2011 ‑ 12 t he state General Fund and counties shared significant portions of the nonfederal costs of administering CWS. In 2011, the state enacted legislation known as 2011 r ealignment, which dedicated a portion of the state ’s sales tax to counties to administer CWS.
https://lao.ca.gov/Publications/Report/3757

The 2019-20 Budget: Reorganization of the Division of Juvenile Justice

Apr 10, 2019 - The scale was designed to incentivize counties to keep low ‑level offenders at the county level by requiring counties to pay more to house less serious offenders with the state. Counties would pay a flat fee of $ 150 p er month for the most serious offenders.
https://lao.ca.gov/Publications/Report/3998

The 2020-21 Budget: Re-Envisioning Medi-Cal—The CalAIM Proposal

Feb 28, 2020 - Perhaps more significantly, the ILOS benefits available to a beneficiary could vary within a county in the majority of counties where more than one managed care plan operates. (In two counties, Sacramento and San Diego, five or more managed care plans are available.)
https://lao.ca.gov/Publications/Report/4185