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

May 16, 2017 - MOE Would Increase Starting in 2018-19. As shown in Figure 2, under the proposal, the MOE would increase by 5 percent in 2018-19. Starting in 2019-20, the MOE would grow based on tiered adjustment factors.
https://lao.ca.gov/Publications/Report/3671

The 2019-20 May Revision: Update to Governor's 1991 Realignment Proposals

May 29, 2019 - Lower the annual adjustment factor for IHSS county MOE beginning in 2020 ‑21. Remains the same. Continue to increase IHSS county MOE by locally established IHSS wage and health benefit increases (in addition to annual adjustment factor).
https://lao.ca.gov/Publications/Report/4077

Recent Changes to State and County IHSS Wage and Benefit Costs

Dec 14, 2018 - In 2017 ‑18, that IHSS MOE was eliminated and replaced with a new MOE financing structure —referred to as the 2017 IHSS MOE. Under the 2017 IHSS MOE, county costs for 2017 ‑18 were rebased to roughly reflect the historical county share-of-cost of IHSS as estimated in 2017 ‑18 (35  percent of the nonfederal share of IHSS service costs and 30  percent of the nonfederal share of IHSS administrative costs).
https://lao.ca.gov/Publications/Report/3913

The 2017-18 Budget: The Coordinated Care Initiative: A Critical Juncture

Feb 27, 2017 - Ending CCI Terminates IHSS MOE. As described earlier, the 2012 ‑13 budget package established the CCI and IHSS MOE. When the IHSS MOE was established, the enacting legislation maintained the counties ’ share of IHSS cost under 1991 realignment, but established the MOE in lieu of that share during the demonstration project.
https://lao.ca.gov/Publications/Report/3585

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 14, 2018 - Moreover, relative to the prior county MOE, the 2017 IHSS MOE is expected to grow at a faster rate year to year. (We anticipate that the 2017 IHSS MOE will grow by 7  percent annually beginning in 2019 ‑20 through at least 2022 ‑23.)
https://lao.ca.gov/Publications/Report/3899

Fiscal Outlook: In-Home Supportive Services (IHSS)

Nov 15, 2017 - Specifically, the MOE will increase by 5  percent in 2018 ‑19. For all following years, the MOE adjustment factor will depend on the growth in realignment revenues. For example, in years that realignment growth revenues increase by more than 2  percent, the IHSS county MOE will increase by 7  percent.
https://lao.ca.gov/Publications/Report/3712

The 2019-20 Budget: California Spending Plan—Health and Human Services

Oct 17, 2019 - Moreover, in January 2019, DOF released a report finding that 1991 realignment could no longer support counties ’ IHSS MOE costs over time. To address this problem, the 2019 ‑20 budget includes a number of modifications to the IHSS county MOE, including rebasing the IHSS county MOE costs to a lower amount in 2019 ‑20 and lowering the annual adjustment factor.
https://lao.ca.gov/Publications/Report/4104

Fiscal Outlook: Medi-Cal

Nov 15, 2017 - Under the ACA MOE requirement, which under current federal law continues until September 30, 2019, California would likely have to maintain its CHIP eligibility levels and receive its traditional Medicaid FMAP of 50  percent to cover these children.
https://lao.ca.gov/Publications/Report/3715