The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Specifically, statute provides that the fully funded provider rate models are to be implemented using two payment components: a base rate equaling 90   percent of the rate model and a quality incentive payment equaling up to 10   percent of the rate model, the latter of which is to be implemented through the quality incentive program.
https://lao.ca.gov/Publications/Report/5157

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Figure 1 More Counties Will Have Medi ‑Cal Managed Care Model With Only One Public Health Plan Number of California Counties in Each Model Counties With … Models With One Public Health Plan COHS model Models with private plans only b 22 58 — a In January 2024, two counties will switch from other
https://lao.ca.gov/Publications/Report/4767

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 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - Rate models will be fully funded beginning July 1, 2025 as follows: A service provider ’s base rate will equal 90  percent of its rate model, while up to 10  percent of its rate model will be available as incentive payments if the provider achieves its performance and outcomes targets.
https://lao.ca.gov/Publications/Report/4837

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

Oct 24, 2025 - Given this uncertainty, we considered independent analyses that model the Medicaid disenrolling effects of the provisions in H.R.  1. For example, the Congressional Budget Office (CBO) has provided its own national disenrollment projections.
https://lao.ca.gov/Publications/Report/5083

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - Additional Questions About Underlying Rate Models. In addition to concerns about the quality incentive program being developed, we have heard several concerns about the underlying rate models. For example, we have heard that the inputs used in some rate models may be inappropriate.
https://lao.ca.gov/Publications/Report/4683

Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - How the Local Wage Supplement Model Works The local wage supplement model was initially established as a part of the 2017 ‑18 budget package. In March  2018, additional clarifying language was passed.
https://lao.ca.gov/Publications/Report/3913

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - Eliminate Assisted Living Waiver waitlist by increasing waiver slots by 7,000. 255 Services: Enhancing HCBS Capacity and Models of Care Developmental Services Rate Model Implementation. Implement rate models recommended by the 2019 Rate Study. $1,260 b Social Recreation and Camp Services for Regional Center Consumers.
https://lao.ca.gov/Publications/Report/4524

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - According to HCAI, many generic competitors have pursued more traditional high price, high rebate models, limiting their affordability to consumers. Also, HCAI states that it has heard of patients experiencing difficulty accessing price ‑capped insulin products.
https://lao.ca.gov/Publications/Report/4979

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Expands Whole Child Model to Additional Counties. The Whole Child Model, enacted in 2016, integrates the California Children ’s Services program into Medi-Cal managed care. Prior to this year ’s budget package, Whole Child Model was authorized in 21 counties —nearly all counties with only one public managed care health plan serving most Medi-Cal beneficiaries.
https://lao.ca.gov/Publications/Report/4810