Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - The 2017 ‑18 budget package established a temporary cost ‑sharing structure for counties with total wages and benefits above the current state participation cap —$12.10 per hour. Specifically, for these counties the state will share in a portion of costs associated with locally established wage and benefit increases that, in sum, do not exceed 10  percent of a
https://lao.ca.gov/Publications/Report/3913

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan eliminates supplemental payments for specific dental services, which were originally established in the 2017-18 Budget Act as part of the Proposition  56 (2016) spending plan. Since 2017, the Legislature has continued funding these supplemental payments in subsequent budget acts.
https://lao.ca.gov/Publications/Report/5075

The 2018-19 Budget: Analysis of the Health and Human Services Budget

Feb 16, 2018 - Traditionally, each RC has required service providers in its catchment area to observe a certain number of holidays each year, meaning service providers cannot bill for services on those days (in practice, most do not provide services on those days, and if they do, they go uncompensated).
https://lao.ca.gov/Publications/Report/3757

The 2017-18 Budget: An Overview of the Governor's Proposition 56 Proposals

Feb 22, 2017 - While the administration does not reduce overall state funding for Medi ‑Cal as a result of the Proposition  56 revenues, the administration ’s proposals do not include any new policy changes to provider rates or fee ‑for ‑service payments.
https://lao.ca.gov/Publications/Report/3573

The 2017-18 Budget: The Governor's May Revision In-Home Supportive Services Cost-Sharing Proposal

May 16, 2017 - The new MOE would include both services and administration using 2017-18 costs. The new MOE would significantly increase costs to counties in 2017-18 relative to 2016-17. Figure 1 walks through how the new MOE would be calculated.
https://lao.ca.gov/Publications/Report/3671

Fiscal Outlook: Medi-Cal

Nov 15, 2017 - Our $1.5  billion estimate is about $200  million higher than was assumed in the 2017 ‑18 Budget Act . This upward revision, which we do not expect to carry forward into subsequent fiscal years, is the result of higher than previously anticipated Proposition  56 revenue collected to date.
https://lao.ca.gov/Publications/Report/3715

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

Feb 24, 2017 - Nearly 60  percent of consumers do not receive HCBS waiver funding, yet all service providers must be in compliance with the final rule because they may serve someone who does receive waiver HCBS funding.
https://lao.ca.gov/Publications/Report/3581

The 2017-18 Budget: Analysis of the Medi-Cal Budget

Mar 9, 2017 - Imperial and San Benito Counties have managed care plans that are not run by the county, and that do not fit into one of these four models. In Imperial County, there are two commercial health plans available to beneficiaries and in San Benito, there is one commercial health plan available to beneficiaries.
https://lao.ca.gov/Publications/Report/3612

The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - Many of the Medi ‑Cal program ’s IT systems do not meet the updated guidelines and standards in the federal government ’s recommended framework for state Medicaid IT systems, known as the Medicaid Information Technology Architecture (MITA).
https://lao.ca.gov/Publications/Report/4375

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department has stated that its goal is to have as many providers as possible earn the quality payments, but it has not yet discussed how it might approach circumstances in which providers do not achieve them.
https://lao.ca.gov/Publications/Report/5157