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

Improving Access to Dental Services for Individuals With Developmental Disabilities

Sep 27, 2018 - Prophylaxis is another word for cleaning, the common procedure that most children and adults undergo once or twice each year to remove plaque and tartar from the crowns of the teeth. Fluoride Treatments.
https://lao.ca.gov/Publications/Report/3884

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - In other words, we are not describing the budget condition as having a surplus or a deficit at this time. These concepts are inherently tools of communication, not accounting, and are ultimately somewhat subjective.
https://lao.ca.gov/Publications/Report/4951

The MCO Tax: A Flat Versus Tiered Structure

Jul 20, 2015 - In other words, the flatter the tax structure, the more the MCO industry pays in terms of net liability (with mid-size MCOs paying less and larger MCOs paying more) —and by extension, the less the federal government contributes —toward the same overall funding goal for the state.
https://lao.ca.gov/Publications/Report/3292

The 2019-20 May Revision: Update to Governor's 1991 Realignment Proposals

May 29, 2019 - In other words, even after the CMSP board ’s reserves have been reduced, we believe the Governor ’s proposal makes it unlikely the CMSP board would receive additional revenues. No Need to Determine Ongoing Parameters of CMSP Funding Now.
https://lao.ca.gov/Publications/Report/4077

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 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - In other words, counties will be paying both the full cost of services to providers as we ll as their share of cost to the state early in the claims process. This  dual payment requirement raises a cash ‑flow issue for counties that the Governor ’s proposal intends to address.
https://lao.ca.gov/Publications/Report/4689

Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - In other words, to the extent that total IHSS costs, including wage and benefit costs, increased (or decreased) as a result of changes in the number of recipients, total number of hours worked, or other key cost drivers, county costs would also increase (or decrease) proportionately.
https://lao.ca.gov/Publications/Report/3913

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

Jul 13, 2023 - In other words, counties are essentially receiving an extra year of revenue via the true ups in 2023-24. MHSA and Reserves Budget Reserves Are the Key Tool Counties Have to Manage MHSA Revenue Volatility.
https://lao.ca.gov/Publications/Report/4780

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