The 2020-21 Spending Plan: Health Budget and Policy

Oct 15, 2020 - The downward adjustment applies to the vast majority of Medi-Cal managed care enrollees and is assumed to generate $182  million in General Fund savings ($586  million total funds) all in 2020 ‑21. Establishes a Risk Corridor.
https://lao.ca.gov/Publications/Report/4281

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

May 17, 2021 - Reflecting very strong cash collections in recent months, the May Revision adjusts 2020 ‑21 revenues (and transfers) up by $26.8  billion to $182  billion. This represents a 27  percent increase over 2019 ‑20, the largest single year increase in over four decades.
https://lao.ca.gov/Publications/Report/4432

The 2019-20 Budget: Undoing California’s Outstanding Budgetary Deferrals

Mar 26, 2019 - The state has had budgetary deferrals in Medi-Cal since 2003 ‑04 as described below: Accrual to Cash Budget. In 2003 ‑04, the Medi-Cal budget transitioned from an accrual basis, in which funds are appropriated based on when health care services are rendered, to a cash basis, in which funds are appropriated based on when the bill for such services is actually paid.
https://lao.ca.gov/Publications/Report/3988

The 2019-20 Budget: Analysis of the Medi-Cal Budget

Feb 13, 2019 - As part of the 2003 ‑ 04 b udget package, the state shifted the Medi ‑Cal budget to a “cash basis ” for budgeting, which means that spending is accounted for in the fiscal year in which it leaves the state ’s cash accounts.
https://lao.ca.gov/Publications/Report/3935

The 2019-20 Budget: Analysis of the Department of Developmental Services Budget

Feb 25, 2019 - A variety of services have had their rates frozen for many years, including day programs and in ‑home respite since 2003 ‑04 and most other services since 2008 ‑09. Whereas there was a process in the past for adjusting rates as vendors ’ costs increased, that process no longer applies.
https://lao.ca.gov/Publications/Report/3952