The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - As a result of this diversity, state directed payments in the managed care system can be difficult to implement. For example, the plans with managed care arrangements with their provi ders faced particular difficulty implementing the 2024 managed care organization (MCO) tax-funded rate increases.
https://lao.ca.gov/Publications/Report/4992

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - The 2024-25 Budget: The MCO Tax Package at May Revision The MCO Tax Package at May Revision Summary This post provides our initial assessment of the Governor ’s proposed managed care organization (MCO) tax package in the May Revision.
https://lao.ca.gov/Publications/Report/4905

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update [Publication Details]

Mar 6, 2025 - The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update [Publication Details] Translate Our Website This Google ™ translation feature provided on the Legislative Analyst's Office (LAO) website is for informational purposes only.
https://lao.ca.gov/Publications/Detail/5003

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

Mar 6, 2025 - The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update Housing ‑Related Services ( “Housing Trio ”) Housing transition navigation services Assistance with obtaining housing.
https://lao.ca.gov/Publications/Report/5003

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - As with last year ’s proposal, the Governor ’s budget provides upfront funding for enhanced care management (ECM), ILOS, and infrastructure managed care plans need to be able to deliver those benefits.
https://lao.ca.gov/Publications/Report/4357

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - As Figure  6 shows, the largest activity supported by the Proposition  35 spending plan is underlying growth in managed care costs. According to DHCS, managed care plans have increased rates for certain services (such as primary care) in the last few years.
https://lao.ca.gov/Publications/Report/5075

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In this way, RCs act as utilization managers through the application of purchase ‑of ‑service policies. After the initial IPP meeting, RCs are required to meet with each consumer to review their IPP at least once per year.
https://lao.ca.gov/Publications/Report/5157

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Medi-Cal Managed Care Medi-Cal Delivers Most Services Through Managed Care Plans. The state contracts with health insurance plans, also known as “managed care plans, ” to deliver most benefits in Medi-Cal.
https://lao.ca.gov/Publications/Report/4767

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - H.R. 1 also reduces an existing limit on payments directed to certain providers through Medicaid managed care plans. These payments will now be set at the comparable rate paid by Medicare, rather than the average rate paid by private health plans.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Prior to H.R. 1, federal rules limited managed care payments to hospitals at the average rate paid in the commercial market. H.R. 1 reduces this limit down to the rates paid in the federal Medicare program.
https://lao.ca.gov/Publications/Report/5092