The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - As a result, we would expect SPDs to comprise about 5  p ercent of COVID ‑19 ‑related caseload growth going forward, rather than the 9  p ercent assumed by the administration. We also would assume optional expansion enrollees continue to comprise around 45  p ercent of additional enrollment, rather than nearly 40  p ercent as assumed by the administration.
https://lao.ca.gov/Publications/Report/4373

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

Nov 9, 2021 - In 2010, 74 p ercent of consumers were enrolled in Medi ‑Cal, whereas today, 79 p ercent are enrolled. Among children, enrollment has increased by more than 10 p ercentage points since 2010, from 59 p ercent to 71 p ercent.
https://lao.ca.gov/Publications/Report/4471

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

Feb 17, 2021 - States that redesign their IT systems to align with MITA generally are eligible for enhanced federal financial participation at 90  p ercent of total costs for planning, development, and implementation of a new system, and 75  p ercent of total costs for maintenance and operations of the system (once certified as aligned with MITA).
https://lao.ca.gov/Publications/Report/4375

The 2021-22 Budget: Analysis of the Governor’s Medi-Cal Telehealth Proposal

May 13, 2021 - For example, in response to the onset of the COVID ‑ 19 p andemic, the federal government waived certain Medicaid requirements to allow states to adopt temporary health care flexibilities in their Medicaid programs.
https://lao.ca.gov/Publications/Report/4430

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Notably, funding that counties receive from the MHSF is required to be sp ent according to certain parameters, including ( 1)  d irect services and ( 2)  p revention and early intervention activities.
https://lao.ca.gov/Publications/Report/4379

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

Feb 19, 2021 - The average number of felony ISTs referred per month increased by roughly 20  p ercent between 2015 ‑16 and 2018 ‑19. However, in response to the COVID ‑ 19 p andemic, DSH imposed a suspension of all admissions into state hospitals in the initial months of the pandemic.
https://lao.ca.gov/Publications/Report/4382

The 2021-22 Budget: Behavioral Health: Medi-Cal Student Services Funding Proposal

Feb 17, 2021 - Over 80  p ercent of Medi ‑Cal enrollees (including children) are enrolled in the managed care delivery system. In managed care, DHCS contracts with health insurance plans —known as managed care plans —to provide health care coverage for Medi ‑Cal beneficiaries.
https://lao.ca.gov/Publications/Report/4377

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - At the same time as CalAIM is scheduled to be implemented, capacity among the key administrators and service providers is likely to continue to be strained by COVID ‑ 19 p andemic response and recovery activities.
https://lao.ca.gov/Publications/Report/4357

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Capitated rates are set at different levels for different Medi ‑Cal enrollee populations —for example, a managed care plan might receive around $ 100 p er child member per month and closer to $1, 000 p er senior member per month.
https://lao.ca.gov/Publications/Report/4374

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - Although the administration says it intends for ECM to be targeted at the top 1  p ercent of Medi ‑Cal utilizers, the proposed criteria for ECM eligibility may apply to a much larger share of the overall Medi ‑Cal population.
https://lao.ca.gov/Publications/Report/4402