The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Figure 1 More Counties Will Have Medi ‑Cal Managed Care Model With Only One Public Health Plan Number of California Counties in Each Model Counties With … Models With One Public Health Plan COHS model Models with private plans only b 22 58 — a In January 2024, two counties will switch from other
https://lao.ca.gov/Publications/Report/4767

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Specifically, statute provides that the fully funded provider rate models are to be implemented using two payment components: a base rate equaling 90   percent of the rate model and a quality incentive payment equaling up to 10   percent of the rate model, the latter of which is to be implemented through the quality incentive program.
https://lao.ca.gov/Publications/Report/5157

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - Rate models will be fully funded beginning July 1, 2025 as follows: A service provider ’s base rate will equal 90  percent of its rate model, while up to 10  percent of its rate model will be available as incentive payments if the provider achieves its performance and outcomes targets.
https://lao.ca.gov/Publications/Report/4837

Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - How the Local Wage Supplement Model Works The local wage supplement model was initially established as a part of the 2017 ‑18 budget package. In March  2018, additional clarifying language was passed.
https://lao.ca.gov/Publications/Report/3913

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - The proposed financing reforms also could give county mental health plans more flexibility to pursue payment models that incentivize the quality of care provided and reduce the administrative burden associated with tying reimbursement to cost.
https://lao.ca.gov/Publications/Report/4357

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - Additional Questions About Underlying Rate Models. In addition to concerns about the quality incentive program being developed, we have heard several concerns about the underlying rate models. For example, we have heard that the inputs used in some rate models may be inappropriate.
https://lao.ca.gov/Publications/Report/4683

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

Feb 10, 2022 - Eliminate Assisted Living Waiver waitlist by increasing waiver slots by 7,000. 255 Services: Enhancing HCBS Capacity and Models of Care Developmental Services Rate Model Implementation. Implement rate models recommended by the 2019 Rate Study. $1,260 b Social Recreation and Camp Services for Regional Center Consumers.
https://lao.ca.gov/Publications/Report/4524

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

Feb 11, 2020 - There are a number of existing funding streams at the county level that fund communit y mental health programs for individuals with severe mental illness. These funding streams include Medi ‑Cal, county realignment funds, and MHSA funding.
https://lao.ca.gov/Publications/Report/4154

The 2019-20 Budget: The Governor's Individual Health Insurance Market Affordability Proposals

Feb 7, 2019 - Create State Individual Mandate With Penalty State Mandate Would Be Modeled on Federal Mandate, Before Penalty Elimination. Similar to an option presented in Covered California ’s report, the Governor proposes to model a state individual mandate on the federal individual mandate, before the federal penalty was set to zero.
https://lao.ca.gov/Publications/Report/3927

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Expands Whole Child Model to Additional Counties. The Whole Child Model, enacted in 2016, integrates the California Children ’s Services program into Medi-Cal managed care. Prior to this year ’s budget package, Whole Child Model was authorized in 21 counties —nearly all counties with only one public managed care health plan serving most Medi-Cal beneficiaries.
https://lao.ca.gov/Publications/Report/4810