The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - One possible reason for our higher estimate is that our model reflects not only disenrollment among current enrollees, but also reduced enrollment flows over time and a persistent risk of disenrollment among eligible individuals due to added administrative burden.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department stated that its budget projections for 2026 ‑27 do not incorporate any potential added costs due to the changes in H.R 1. Will the department be able to determine whether its costs increase in the future due to H.R. 1?
https://lao.ca.gov/Publications/Report/5157

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape

Oct 24, 2025 - …But Potentially With Added Complexity. Adding more flexibilities also could come with the potential downside of more complexity for beneficiaries and counties. For example, exempting high unemployment counties from work requirements could create more volatility.
https://lao.ca.gov/Publications/Report/5083

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
https://lao.ca.gov/Publications/Report/5010

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

Nov 9, 2021 - This option would require more staff at counties and/or at RCs. Based on the current cost of a county eligibility worker, adding at least one new full ‑time eligibility worker in each of the state ’s 58 c ounties (for example) to act as a dedicated liaison or to work on ‑site at RCs would cost approximately $ 10 m illion.
https://lao.ca.gov/Publications/Report/4471

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

Apr 19, 2021 - Is the Option Feasible? Would the option be easy to operationalize and implement across the 21 RCs? Does the Option Improve Equity? How would the option affect different groups of consumers —would it maintain or improve equity or could it negatively affect a particular group?
https://lao.ca.gov/Publications/Report/4415

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - One way to measure the variability in a data series is average deviation (AD). AD summarizes —for a given time period —how many percentage points the data in a series deviate from the average growth rate.
https://lao.ca.gov/Publications/Report/4780

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - Community Supports Eligibility Is More Complex and Is an Optional Benefit. Community Supports services are optional benefits that MCPs may choose to offer, and each of the 14 Community Supports (as listed in Figure  1) can have very different eligibility criteria.
https://lao.ca.gov/Publications/Report/5003

Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - Under the local wage supplement model, the cost of the first wage supplement is added to a county ’s IHSS MOE obligation, which is then adjusted annually by the MOE growth factor. However, the costs for subsequent local wage supplements are not added to a county ’s MOE obligation.
https://lao.ca.gov/Publications/Report/3913

The 2021-22 Budget: Behavioral Health: Community Care Demonstration Project

Feb 19, 2021 - Prior ‑year efforts to provide funding for county ‑based treatment have tried to provide more competency restoration treatment options for felony ISTs. In some cases, these county ‑based treatment options have been established in counties with relatively high rates of IST referrals.
https://lao.ca.gov/Publications/Report/4382