The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Were this flexibility granted, California could have until January 2029, rather than January 2027 (as assumed i n our outlook), to fully implement the requirement. Were California to qualify, the two ‑year extension could shift the associated savings from disenrollments over a longer period of time.
https://lao.ca.gov/Publications/Report/5092

An Update on the Public Health Laboratory System After the Pandemic

Jun 12, 2025 - The state is currently working on a new disease surveillance system that would mitigate the problems that arose during the pandemic i ncluding improving its capacity to process large amounts of data; reducing the amount of manual data entry; and allowing public health officials to access real-time, consolidated disease outbreak information.
https://lao.ca.gov/Publications/Report/5056

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - This initial gap is somewhat expected as the previous WPC and HHP pilot demonstrations provided services most similar to those i n ECM, so plans were better able to transition to providing the ECM benefit.
https://lao.ca.gov/Publications/Report/5003

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

Nov 9, 2021 - Findings In this section, we first provide a summary of Medi ‑Cal, waiver, and 1915(i) SPA statistics among DDS consumers. We then discuss the limits to potential Medi ‑Cal uptake (and thus waiver and 1915(i) SPA enrollment), some of the possible reasons people may choose not to enroll, and some of the challenges that exist in the enrollment  process.
https://lao.ca.gov/Publications/Report/4471

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - We use the same classification system as the RAND Corporation, due to our reliance on their work in estimating regional shortfalls i n inpatient mental health facility capacity. Acute care facilities provide relatively short ‑term care to those with the highest needs.
https://lao.ca.gov/Publications/Report/4954

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

Apr 19, 2021 - Of DDS consumers enrolled in Medi-Cal, a total of 71  percent were either enrolled in the waiver (about 132,000) or eligible for 1915(i) SPA reimbursement (about 48,000). Among DDS consumers who were enrolled in Medi-Cal, but not receiving waiver or 1915(i) SPA reimbursement, most did not receive a service that would make them eligible for the waiver or for 1915(i) SPA reimbursement.
https://lao.ca.gov/Publications/Report/4415

The 2021-22 Budget: Behavioral Health: Community Care Demonstration Project

Feb 19, 2021 - There are two ways in which participating counties could have funds left over after treating their felony ISTs: ( 1)  i f the actual number of felony ISTs in participating counties is below what DSH estimated or ( 2)  i f participating counties are able to reduce the rate —through their own actions —at which individuals are found to be IST in felony cases.
https://lao.ca.gov/Publications/Report/4382

The 2020-21 Budget: Analysis of the Department of State Hospitals Budget

Feb 11, 2020 - The 2019 ‑ 20 b udget included resources to provide in ‑patient mental health services to about 6, 200 i ndividuals in state hospitals and roughly 400 i ndividuals in contracted programs. The budget also included resources to provide out ‑patient services to around 700 i ndividuals.
https://lao.ca.gov/Publications/Report/4154

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

Feb 7, 2020 - Currently, required average caseload ratios at each RC for consumers ages  3 and older are 1: 62 i f they are enrolled in the Medicaid waiver or 1: 66 i f they are not enrolled in the Medicaid waiver.
https://lao.ca.gov/Publications/Report/4147

The 2019-20 Budget: Analysis of the Department of Developmental Services Budget

Feb 25, 2019 - DDS projects an increase of 16, 512 c onsumers in its community programs, growing 5  p ercent from an estimated 333, 094 i n 2018 ‑ 19 t o a projected 349, 606 i n 2019 ‑20. DDS also expects the population at DCs to decline to 323 c onsumers by July 1, 2019.
https://lao.ca.gov/Publications/Report/3952