The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The APD process allows the state to request a 90  percent match in federal funding (rather than California ’s standard 50  percent match) to design, develop, and install IT systems that enable the state to more efficiently administer Medicaid benefits.
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - The first rule (finalized in 2023) applied to people dually enrolled in Medicare and Medicaid, while the second rule (finalized in 2024) applied to the rest of the Medicaid population. H.R.  1 prohibits federal administrators from enforcing the elements of these rules that have not yet gone into effect, giving states greater flexibility to decide whether to implement the streamlined processes.
https://lao.ca.gov/Publications/Report/5083

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

Oct 13, 2015 - Nonfederal Matching Requirement Generally, Section 1115 waivers permit states to receive federal matching funds for expenditures that are not otherwise allowable under the Medicaid statute. Standard Medicaid funding rules —which require states to pay the nonfederal share of costs at applicable matching rates, using appropriate state and local funding sources —usually apply to waiver expenditures.
https://lao.ca.gov/Publications/Report/3301

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - Per federal guidance, the state must spend all of these funds by March 31, 2024. b Final HCBS spending plan shifted $295 million from Community Care Expansion to the Developmental Services Rate Model Implementation initiative.
https://lao.ca.gov/Publications/Report/4524

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

Nov 28, 2016 - Seniors turning 65 between 2015 and 2019 who have greater than a high school education spend fewer years on average with one or more ADL limitations than seniors with a high school degree or GED credential and seniors with less than a high school education (4.2 years vs. 4.8 years and 5.8  years, respectively).
https://lao.ca.gov/Publications/Report/3509

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

May 24, 2021 - Finally, we noted that the DDS system had three fundamental challenges that could make a performance incentives program difficult: outdated service provider rates and rate structure, service coordinator-to-consumer caseload ratios that were out of compliance, and lack of data and good data systems.
https://lao.ca.gov/Publications/Report/4438

The 2020-21 Budget: Medi-Cal Fiscal Outlook

Nov 20, 2019 - However, if the MCO tax is not approved prior to the finalization of the draft regulations, it likely would not be able to be implemented for any of its duration. We would expect finalization of the draft regulations to occur at some point in 2020.
https://lao.ca.gov/Publications/Report/4116

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - H.R.1 places a ten ‑year enforcement moratorium on two recently finalized federal rules aimed at streamlining Medicaid eligibility practices and policies. This moratorium comprises a substantial portion of the estimated federal savings in Congressional fiscal scoring sheets.
https://lao.ca.gov/Publications/Report/5092

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - We will make our final assessment and recommendations based on the administration ’s revised estimates at that time.
https://lao.ca.gov/Publications/Report/4675

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

Apr 19, 2021 - In our final report, we will provide an estimate of the fiscal implications to the state budget of increasing the Medi-Cal uptake of DDS consumers that accounts for these added costs outside of the DDS system.
https://lao.ca.gov/Publications/Report/4415