The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For example, the spending share of residential services has decreased from 46  percent to 38  percent, while the spending share of support and training services has increased from 8  percent to 15  percent.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - Figure  8 shows caseload in the three senior aid categories from April 2021 through December 2024. Senior caseload grew by about 320,000 individuals over the period, with growth occurring almost exclusively in the Medically Needy category.
https://lao.ca.gov/Publications/Report/5010

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - One possible reason for our higher estimate is that our model reflects not only disenrollment among current enrollees, but also reduced enrollment flows over time and a persistent risk of disenrollment among eligible individuals due to added administrative burden.
https://lao.ca.gov/Publications/Report/5146

Considering Medi-Cal in the Midst of a Changing Fiscal and Policy Landscape

Oct 24, 2025 - …But Potentially With Added Complexity. Adding more flexibilities also could come with the potential downside of more complexity for beneficiaries and counties. For example, exempting high unemployment counties from work requirements could create more volatility.
https://lao.ca.gov/Publications/Report/5083

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - One way to measure the variability in a data series is average deviation (AD). AD summarizes —for a given time period —how many percentage points the data in a series deviate from the average growth rate.
https://lao.ca.gov/Publications/Report/4780

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - For existing payments, H.R. 1 allows states to gradually ramp down to the new limit beginning in January 202 8. Much of the hospital fee program supports additional managed care payments to private hospitals, and some of these payments were anticipated to exceed the Medicare limit in the 2025 fee program.
https://lao.ca.gov/Publications/Report/5092

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

Feb 5, 2025 - Strategies to do so have included expanding the behavioral health workforce; adding benefits and increasing rates in Medi ‑Cal; and increasing capacity through managed care plans, schools, and in other  settings.
https://lao.ca.gov/Publications/Report/4954

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

Mar 6, 2025 - As shown in Figure  8 , the utilization rates of both ECM and Community Supports are low in most counties, with the majority of counties having an ECM utilization rate below 0.6  percent of MCP members and a Community Supports utilization rate below 0.4  percent.
https://lao.ca.gov/Publications/Report/5003

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

Feb 19, 2021 - Counties would need to weigh this potential benefit against ( 1)  t he added responsibility of treating all felony ISTs and ( 2)  t he premium they would have to pay to send select felony ISTs to DSH.
https://lao.ca.gov/Publications/Report/4382

The 2024-25 California Spending Plan: Health

Sep 17, 2024 - Under the spending plan, General Fund spending for the Department of State Hospitals (DSH) is $3.3  billion in 2024-25, a decrease of $276  million, or about 8  percent, from the revised 2023-24 expenditure estimate.
https://lao.ca.gov/Publications/Report/4930