Section 1115 Waiver Renewal: Key Medi-Cal Financing Issues Remain Outstanding

Oct 13, 2015 - For the last set of projects, the state has asked CMS to waive the nonfederal matching requirement altogether. (We return to this point when we discuss the state’s proposed waiver financing in the next section.)
https://lao.ca.gov/Publications/Report/3301

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

Mar 4, 2016 - Given CMS ’ response to California ’s STP and significant work still ahead, what are the administration ’s immediate next steps towards achieving compliance? Specifically, what conversations has DDS had with CMS and when does the department expect to have a DDS –specific transition plan for stakeholder review and submission to CMS?
https://lao.ca.gov/Publications/Report/3382

Upcoming Changes in Medi-Cal Create Fiscal and Policy Uncertainty

Oct 9, 2015 - If the regulations were adopted by CMS in their current form, there would be a number of fiscal and policy implications for the Medi-Cal program, which is predominantly delivered through managed care.
https://lao.ca.gov/Publications/Report/3300

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - Statewide Demonstration Components Required to Receive CMS Approval . The Governor ’s budget proposes the following state activities to meet the requirements to receive CMS approval of the demonstration waiver.
https://lao.ca.gov/Publications/Report/4689

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

Feb 24, 2017 - According to the STP the state submitted to CMS this past September (which CMS has not yet approved), there will be a three ‑part process to assess whether service providers comply with the final rule.
https://lao.ca.gov/Publications/Report/3581

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

May 24, 2021 - Guidance was issued by the Centers for Medicare and Medicaid Services (CMS) on May 13 and directed states to submit their spending plans to CMS by June 12. The Legislature might consider whether this new source of federal funding could be used to support one-time efforts to plan the performance incentives program and to overhaul DDS ’ data system.
https://lao.ca.gov/Publications/Report/4438

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - According to the Centers for Medicare & Medicaid Services (CMS), the final rule is intended to increase transparency and accountability, standardize data and monitoring, and create opportunities for states to promote active beneficiary engagement.
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - The Centers for Medicare & Medicaid Services (CMS) previously adopted two rules intended to streamline eligibility and enrollment processes, such as by verifying income and assets using electronic data.
https://lao.ca.gov/Publications/Report/5083

Federal COVID-19 Response Actions Affecting Older Adults and Persons with Disabilities

Apr 16, 2020 - On March  13, 2020, the federal Centers for Medicare and Medicaid Services (CMS) put in place several measures to protect nursing home residents from COVID-19. Specifically, CMS directed to (1) restrict all visitors to nursing facilities except instances of compassionate care such as end-of-life situations, (2) restrict all volunteers and nonessential health care
https://lao.ca.gov/Publications/Report/4221

A Long-Term Outlook: Disability Among California’s Seniors

Nov 28, 2016 - Medicare is the federal health insurance program for qualifying persons over age 65 and certain people with disabilities, and is overseen by the federal Centers for Medicare and Medicaid Services (CMS).
https://lao.ca.gov/Publications/Report/3509