Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update

Apr 19, 2021 - Of DDS consumers enrolled in Medi-Cal, a total of 71  percent were either enrolled in the waiver (about 132,000) or eligible for 1915(i) SPA reimbursement (about 48,000). Among DDS consumers who were enrolled in Medi-Cal, but not receiving waiver or 1915(i) SPA reimbursement, most did not receive a service that would make them eligible for the waiver or for 1915(i) SPA reimbursement.
https://lao.ca.gov/Publications/Report/4415

^[PDF] Potential Federal Funding Opportunities in Federal Health Reform (Preliminary)

SPA must be developed and implemented in collaboration with a Development and Implementation Council established by the state as specified. Beginning October 1, 2011 through September 30, 2015 State Balancing Incentive Payments Program A SPA or waiver to expand and diversify medical assistance for home and community-based services and make structural improvements to how the state provides such services.
https://lao.ca.gov/handouts/Health/2010/Potential_Health_Reform_4_26_10.pdf

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

Nov 9, 2021 - Findings In this section, we first provide a summary of Medi ‑Cal, waiver, and 1915(i) SPA statistics among DDS consumers. We then discuss the limits to potential Medi ‑Cal uptake (and thus waiver and 1915(i) SPA enrollment), some of the possible reasons people may choose not to enroll, and some of the challenges that exist in the enrollment  process.
https://lao.ca.gov/Publications/Report/4471

^[PDF] Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services

FINDINGS In this section, we first provide a summary of Medi-Cal, waiver, and 1915(i) SPA statistics among DDS consumers. We then discuss the limits to potential Medi-Cal uptake (and thus waiver and 1915(i) SPA enrollment), some of the possible reasons people may choose not to enroll, and some of the challenges that exist in the enrollment process.
https://lao.ca.gov/reports/2021/4471/Enhancing-Federal-Financial-Participation-Consumers-DDS-110921.pdf

LAO Publications

We recommend rejecting this proposal because it is not nee ded given that the Legislature has decided it does not want to proceed with the administration’s plan to move ABC and other departments into the proposed privately owned leased spa ce.
https://lao.ca.gov/publications?page=10&year=0&publicationType=0

LAO Publications

We recommend rejecting this proposal because it is not nee ded given that the Legislature has decided it does not want to proceed with the administration’s plan to move ABC and other departments into the proposed privately owned leased spa ce.
https://lao.ca.gov/Publications?page=10&year=0&publicationType=0

Cost containment proposals.

May 20, 2010 - All of these proposals require either federal approval of a waiver or a state plan amendment (SPA) to implement. Federal waivers generally allow a state to waive certain program requirements, in order to further the purposes of the program.
https://lao.ca.gov/Recommendations/Details/238

^[PDF] The 2011-12 Budget: Options to Achieve Saving in the Regional Center System

Figure 2 2011-12 Savings Proposals for the Department of Developmental Services (In Millions) General Fund Other Funds Alternative Funding Federal certification of Porterville Developmental Center -$10.0 $10.0 Additional federal financial participation under the 1915(i) SPA -60.0 60.0 Continuation of Proposition 10 funding -50.0 50.0 Federal Money Follows the Person Grant -5.0
https://lao.ca.gov/analysis/2011/health/regional_center_020111.pdf

The 2011-12 Budget: Options to Achieve Savings in the Regional Center System

The 2011-12 Budget: Options to Achieve Savings in the Regional Center System $50.9 SPA = State Plan Amendment. Continue Provider Payment Reductions. The administration proposes to achieve $91.5 million in General Fund savings through a one –year extension of the temporary 4.25 percent reduction to provider payments ($76 million) and RC operations ($15.5 million).
https://lao.ca.gov/analysis/2011/health/regional_center_020111.aspx

Supplemental Report 2002-03

https://lao.ca.gov/2002/supplemental_report/supp_rpt_2002_budget_act.html