The 2021-22 Budget: Analysis of the Governor’s Medi-Cal Telehealth Proposal

May 13, 2021 - Below, we highlight several outstanding questions we have about the fiscal impact of telehealt h expansions. How Do Provider Expenses for Delivering Telehealth Services Differ From In ‑Person Services?
https://lao.ca.gov/Publications/Report/4430

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Residential services, which include independent and supported living services either in a consumer ’s home or in licensed facilities that provide 24 ‑hour nonmedical residential care, typically have a relatively higher cost per person due to the comprehensiveness of the service provided (including personal services, supervision, and/or assistance essential for self ‑protection or completing the activities of daily living).
https://lao.ca.gov/Publications/Report/5157

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - This  is most evident in the rate for Independent Living Services, which assumes staffing costs equivalent to Supported Living Services despite the former being a much more intensive service model. In addition, we have heard concerns about the lack of ongoing inflation adjustments.
https://lao.ca.gov/Publications/Report/4683

Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities

Apr 16, 2020 - While federal approval for some waiver requests is still pending, the state h as implemented key program flexibilities in the following HCBS programs: IHSS. While county social workers must still perform initial assessments to determine IHSS eligibility, they may do so using a telehealth option in lieu of face-to-face visits.
https://lao.ca.gov/Publications/Report/4221

The 2017-18 Budget: Analysis of the Department of Developmental Services Budget

Feb 24, 2017 - While DDS sometimes grants approval for H &S waivers to account for local minimum wages, the application process is administratively cumbersome for the vendors, RCs, and DDS. Other Labor Laws Have Also Increased Service Provider Costs.
https://lao.ca.gov/Publications/Report/3581

A Long-Term Outlook: Disability Among California’s Seniors

Nov 28, 2016 - Seniors in This Cohort With More Than a High School Education Projected to Live Fewer Years With a Disability. The average number of years lived with a disability among seniors in this cohort also varies by educational attainment.
https://lao.ca.gov/Publications/Report/3509

Improving Access to Dental Services for Individuals With Developmental Disabilities

Sep 27, 2018 - Independent Living Services (ILS) or Supported Living Services (SLS). Nearly 10  p ercent of DDS consumers live on their own, in a home or apartment they rent or own, and receive ILS or SLS. (ILS can also be provided to someone who lives in his or her family ’s home.)
https://lao.ca.gov/Publications/Report/3884

Mental Health Services Act: Proposed Bond to Fund Behavioral Health Facilities and Veterans Housing

Aug 17, 2023 - Other details that are missing from the statutory proposal include the methodology for allocating grant funds, the anticipated implementation time line, the extent to which a portion of the bond proceeds would be set aside for veterans housing, and the prioritization of bond proceeds for various types of behavioral h ealth facilities.
https://lao.ca.gov/Publications/Report/4790

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

Mar 6, 2025 - Nursing facility transition to a home Services provided to assist beneficiaries transitioning from nursing facility care to home settings in which they are responsible for living expenses. Personal care and homemaker services Services provided to assist beneficiaries with daily living activities, such as bathing, dressing, housecleaning, and grocery shopping.
https://lao.ca.gov/Publications/Report/5003

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - For example, in 2020 ‑21, all but one RC spent more (on average, 23  percent more) on white consumers living with their parents than on Latinos consumers living with their parents. Every RC spent more (on average, 61  percent more) on independent or supported living services for white consumers living on their own relative to Latino consumers in similar situations.
https://lao.ca.gov/Publications/Report/4577