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 - Long ‑Term Care Quality Assurance Fees Long ‑term care facilities $650 million to $700 million Portion of state cost of long ‑term care facility reimbursement rates. Ground Emergency Medical Transport (GEMT) Quality Assurance Fee Private GEMT providers $55 million Increased Medi ‑Cal payments to private ground emergency transport providers and General Fund
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 2025-26 California Spending Plan: Health

Oct 16, 2025 - The spending plan eliminates the Skilled Nursing Facility Workforce and Quality Incentive Program (SNF WQIP) as of December 31, 2025. The SNF WQIP provides performance-based directed payments to facilities that satisfied metrics in quality of care, equity in healthcare outcomes, and workforce investments.
https://lao.ca.gov/Publications/Report/5075

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - DDS convened a Quality Incentive Program Stakeholder Workgroup to help develop the methodology fo r quality incentive payments. (We provided additional background on and assessment of the status of the development of the quality incentive program in a previous analysis .)
https://lao.ca.gov/Publications/Report/4837

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The second key factor is a reduction to another sizable state provider tax —a fee on private hospitals (known as the Hospital Quality Assurance Fee). Similar to the health plan tax, we assume H.R. 1 ’s relevant policies also begin to affect this fee in January  2027.
https://lao.ca.gov/Publications/Report/5092

The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Absent this proposal, these plans would administer the Whole Child Model in some of their counties and not in others, potentially adding to the complexity of administering services to their beneficiaries.
https://lao.ca.gov/Publications/Report/4767

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - Costs for cities and counties might include adding drainage to roads to manage more intense rain events, or modifying water treatment plants located along the coast to accommodate higher sea levels. …And Private Residents and Businesses.
https://lao.ca.gov/Publications/Report/4575

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

Mar 6, 2025 - In the paragraphs that follow, we provide our analysis that results in ou r estimate of at least 165,000 seniors being added due to eligibility expansions since 2020. (As a consequence of this estimate, it follows naturally that we estimate up to 60,000  seniors being added due to the effects of continuous coverage, the unwinding, and unwinding flexibilities, for a total increase of 225,000 seniors due to policy changes.)
https://lao.ca.gov/Publications/Report/5010