The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - The administration decided last year to consolidate the previous Medi ‑Cal IT system modernization initiatives and associated projects into a single MES Modernization effort. While DHCS expects MES Modernization to include the previous Medi ‑Cal IT system modernization initiatives, the new effort also will include other projects and substantially broadens the scope of Medi ‑Cal IT system modernization.
https://lao.ca.gov/Publications/Report/4375

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - In the years following initial implementation of CCI, many dually eligible beneficiaries living in participating CCI counties chose not to participate in Cal MediConnect, leaving enrollment below initial expectations.
https://lao.ca.gov/Publications/Report/4404

Analysis of California’s Physician-Supervision Requirement for Certified Nurse Midwives

Mar 11, 2020 - As shown in Figure  1, to practice, a nurse midwife typically must attend six  years of post ‑secondary education and training. OB ‑GYNs, on the other hand, must attend 12  years of post ‑secondary education and training, including residency.
https://lao.ca.gov/Publications/Report/4197

The 2020-21 Budget: Overview of the Governor's Budget [Publication Details]

Jan 13, 2020 - The Governor allocates most of the surplus toward one-time purposes, including maintaining a positive year-end balance in the state’s discretionary reserve. Under the administration’s estimates, total reserves would reach $20.5 billion at the end of 2020-21—this represents a $1.7 billion increase from the 2019-20 enacted level.
https://lao.ca.gov/Publications/Detail/4135

The 2019-20 Budget: Analysis of the Governor’s Mental Health Workforce Proposal

May 9, 2019 - As previously noted, earlier this year, OSHPD released a five ‑year plan outlining the state ’s vision and strategies for improving the state ’s mental health workforce. Unlike previous plans, the five ‑year plan did not specifically come with any attached funding.
https://lao.ca.gov/Publications/Report/4031

Major Potential State Fiscal Risk Averted Following Withdrawal of Proposed Federal Medicaid Financing Regulation

Sep 21, 2020 - Rather than materializing immediately, the fiscal impact of MFAR on Medi-Cal likely would have fully materialized over the course of several years since the regulation gave states time to come into compliance with the rule changes.
https://lao.ca.gov/Publications/Report/4269

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

Feb 7, 2019 - The federal APTC —specifically the portion that is advanced —is adjusted throughout the year to reflect changes in household circumstances, with a final reconciliation at the end of the year as households file their taxes.
https://lao.ca.gov/Publications/Report/3927

The 2019-20 Budget: Undoing California’s Outstanding Budgetary Deferrals [Publication Details]

Mar 26, 2019 - The 2019-20 Budget: Undoing California’s Outstanding Budgetary Deferrals [Publication Details] The 2019-20 Budget: Undoing California’s Outstanding Budgetary Deferrals Format: HTML Description: When facing budget problems in the past, the state has “deferred” payments from one fiscal year into the next, providing significant one-time budgetary savings.
https://lao.ca.gov/Publications/Detail/3988

The 2019-20 Budget: Governor's Proposals for Infants and Toddlers With Special Needs

Feb 28, 2019 - Citing concerns about the number of children eligible for Early Start services failing to receive these services within federally ‑mandated time lines, the Governor proposes adding four full ‑time positions at DDS (at a cost of $446,000 General Fund) to increase monitoring of regional center Early Start programs from once every three years to once every two years.
https://lao.ca.gov/Publications/Report/3954

The 2020-21 May Revision: Recommend Reduction to Medi-Cal Caseload Costs

May 22, 2020 - This is because qualifying for Medi-Cal through the disabled caseload category —rather than the childless adult caseload category —comes with additional administrative burdens and can typically take over a year.
https://lao.ca.gov/Publications/Report/4245