The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For the period spanning from January 1, 2025 through June  30,  2026, providers could earn the quality incentive portion of rate models by enrolling in DDS ’s Provider Directory. As a budget solution, the 2025 ‑26 Budget Act added three criteria that providers must satisfy to be eligible to earn a quality payment equal to 10   percent of the rate
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Department of Developmental Services [Publication Details]

Mar 13, 2026 - Analyzes the Governor’s budget for the Department of Developmental Services (DDS), with a focus on a budget proposal to continue planning the proposed Life Outcomes Improvement System (LOIS) information technology project, implementation of new H.R.
https://lao.ca.gov/Publications/Detail/5157

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

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - Under this plan, the final rate adjustment would occur in 2025 ‑26. The  original time line included the following steps: Year 1 (2021 ‑22). Service provider rates increase beginning April 1, 2022. Rate increases equal one ‑quarter of the difference between a provider ’s current rate and what the fully funded rate model (as of 2021 ‑22) would be according to the rate study.
https://lao.ca.gov/Publications/Report/4837

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 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - Additional Questions About Underlying Rate Models. In addition to concerns about the quality incentive program being developed, we have heard several concerns about the underlying rate models. For example, we have heard that the inputs used in some rate models may be inappropriate.
https://lao.ca.gov/Publications/Report/4683

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Proposition  35 (2024) Limits Tax Rates, Necessitating a Proportionate Tax to Be Smaller. In concept, the state could adjust to H.R. 1 ’s new rule by decreasing the Medi ‑Cal rate, increasing the commercial rate, or a combination of the two actions.
https://lao.ca.gov/Publications/Report/5092

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

Mar 6, 2025 - The difficulty MCPs have in adding ECM and Community Supports providers may be keeping utilization rates lower than expected. Systemic Constraints Limit Utilization. Lower ‑than ‑expected utilization of certain benefits may be driven more by systemic constraints across different regions of the state rather than a low demand for those benefits.
https://lao.ca.gov/Publications/Report/5003

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - According to DHCS, managed care plans have increased rates for certain services (such as primary care) in the last few years. These rate increases reflect higher costs in the Medi-Cal program. Accordingly, the administration ’s Proposition  35 spending plan treats this cost growth as an augmentation in 2025 and 2026.
https://lao.ca.gov/Publications/Report/5075