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The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In response, the department released guidance on February 11, 2026 indicating that providers will have the opportunity to earn a partial year of quality payments if they come into compliance after the February 27 deadline.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - In 2025, the state also submitted a one ‑year private hospital fee, generating around $11  billion in revenue, for federal approval. The federal government has not yet approved this higher fee. Voters Have Made Largest Provider Taxes Permanent in State Law.
https://lao.ca.gov/Publications/Report/5146

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - Since the passage of the 2022-23 budget, there have been 58 graduates of this program. In the Governor ’s proposed May Revision, approximately $3.4  million for these programs is proposed for reversion.
https://lao.ca.gov/Publications/Report/5056

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - First, by requiring managed care plans to establish population health management programs and provide ECM on a statewide basis, CalAIM would expand certain service components of Whole Person Care and Health Homes to all 58 c ounties.
https://lao.ca.gov/Publications/Report/4402

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - As Figure  11 shows, however, the trend in spending has been quite volatile. Most of this trend is likely due to federally required changes to the state ’s reporting processes. These recent changes in reporting resulted in much higher estimates compared to past years.
https://lao.ca.gov/Publications/Report/5092

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 models to a Two ‑Plan model, offset by two counties switching from a Two ‑Plan to a Single ‑Plan model. b Consists of the Regional, Geographic, San Benito, and Imperial models.
https://lao.ca.gov/Publications/Report/4767

The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - Figure 2 Overall Spending Varies Year to Year HCAI Funding (In Millions) -58% HCAI = Department of Health Care Access and Information. In Current Year, Deferred One-Time Funds Drive Down General Fund Spending.
https://lao.ca.gov/Publications/Report/4860

The 2019-20 Budget: California Spending Plan—Health and Human Services

Oct 17, 2019 - A number of major HHS programs, such as CalFresh and CalWORKs, are locally administered by the state ’s 58 counties. To determine eligibility for these programs and perform other administrative functions, counties use one of three automated welfare systems.
https://lao.ca.gov/Publications/Report/4104

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

Nov 9, 2021 - For example, DDS used to set waiver enrollment targets for regional centers (RCs) and provide a payment to RCs for each new consumer enrolled in the waiver, although this incentive was eliminated in 2010 ‑11 as a cost ‑savings measure.
https://lao.ca.gov/Publications/Report/4471

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - As shown in Figure 11, this growth in first‑time‑enrolling Medi‑Cal enrollees is unique to seniors. From the third quarter of 2022 through the fourth quarter of 2024, we estimate that about 115,000 first‑time‑enrolling seniors enrolled in Medi‑Cal over the historical average new enrollment.
https://lao.ca.gov/Publications/Report/5010