The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For the period spanning from January 1, 2025 through June  30,  2026, providers could earn the quality incentive portion of rate models by enrolling in DDS ’s Provider Directory. As a budget solution, the 2025 ‑26 Budget Act added three criteria that providers must satisfy to be eligible to earn a quality payment equal to 10   percent of the rate model beginning
https://lao.ca.gov/Publications/Report/5157

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: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Our outlook estimates Medi ‑Cal will enroll fewer people over time, with caseload falling from nearly 15  million people in 2024 ‑25 to nearly 12  million people by 2029 ‑30. Monthly per ‑enrollee General Fund spending, by contrast, rises from $298 in 2025 ‑26 to $355 in 2029 ‑30, a $57 (19  percent) increase.
https://lao.ca.gov/Publications/Report/5092

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - This funding, however, has been concentrated within 11 out of 30 small counties. The remaining 19 small counties did not receive any awards in these rounds. In addition, there has been mixed success in siting behavioral health infrastructure in counti es where it did not exist prior to BHCIP.
https://lao.ca.gov/Publications/Report/4954

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

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

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - As part of the agreement, the partner has set a target price for the new product of $30 for each vial or $55 for a pack of five prefilled insulin pens. According to HCAI, these prices are close to the cost of production.
https://lao.ca.gov/Publications/Report/4979

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

Nov 9, 2021 - Added State Costs Outside the DDS System Although DDS likely could achieve some savings by drawing down federal funding for children who are currently 100 p ercent state funded, there would be added Medi ‑Cal costs outside the DDS system for services such as IHSS and for regular Medi ‑Cal health insurance costs.
https://lao.ca.gov/Publications/Report/4471

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