The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - While states are expected to use available administrative data to determine compliance and exemptions, otherwise eligible individuals could lose coverage if they fail to document or report required information.
https://lao.ca.gov/Publications/Report/5146

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - (The figure also shows that almost all service providers required by DDS to have an assessment of their level of compliance with the federal HCBS requirements have done  so.) Although a large number of providers remain out of compliance, DDS indicates that they are providing outreach and technical assistance to these providers and are seeing compliance rates consistently improve.
https://lao.ca.gov/Publications/Report/4683

The 2016-17 Budget: Analysis of the Department of Developmental Services Budget

Mar 4, 2016 - The STP is the process through which states determine their compliance with the new rules and provide assurances to CMS on how compliance will be achieved and maintained. In August 2015, California submitted its STP, covering all HCBS programs, including those operated by DDS, to CMS for review.
https://lao.ca.gov/Publications/Report/3382

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

Oct 24, 2025 - Though federal Medicaid law will now require most nondisabled, childless adults to complete 80 hours of community engagement each month, H.R.  1 grants states certain flexibilities to track beneficiary compliance.
https://lao.ca.gov/Publications/Report/5083

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - In the second year, some of the funding would be provided to RCs to improve service coordinator caseload ratios, which are currently out of compliance (likely affecting service quality and consumer satisfaction).
https://lao.ca.gov/Publications/Report/4438

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

Feb 24, 2017 - It remains unclear how stringently CMS will enforce the deadline and compliance requirements and what the consequences will be if full compliance is not reached by March  2019. For anything less than full compliance, the state risks losing some or all of its federal HCBS waiver funding.
https://lao.ca.gov/Publications/Report/3581

The 2020-21 Budget: Analysis of the Department of Developmental Services Budget

Feb 7, 2020 - Medicaid waiver caseload ratios have been out of compliance for multiple years. Although the federal government has not taken any action against California as of yet, these out ‑of ‑compliance ratios nonetheless put federal funding at risk, particularly given the state ’s experience in the 1990s.
https://lao.ca.gov/Publications/Report/4147

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - California ’s service providers must be in compliance with the final HCBS rule for the state to draw down Medicaid funding for HCBS  services. State Funds Grants to Assist Providers in Reaching Compliance.
https://lao.ca.gov/Publications/Report/4577

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 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - The phase‑in plan also requires providers who receive a rate increase to maintain documentation demonstrating compliance with this requirement. Issues Compliance With Compensation Increases for Direct Care Staff.
https://lao.ca.gov/Publications/Report/4837