The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Accordingly, data are not readily available to be able to know how many consumers are using a particular service and at what intensity the service is being used. The following analyses largely rely upon publicly available data, with some additional data provided by the department upon request.
https://lao.ca.gov/Publications/Report/5157

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

Nov 9, 2021 - Chapter 37 o f 2011 (A B 104 , Committee on Budget) added a new requirement that upon intake and assessment for RC services, the consumer must provide a copy of their health benefit card, in part to allow RCs to maximize federal waiver and 1915(i) SPA reimbursements among those enrolled in Medi ‑Cal.
https://lao.ca.gov/Publications/Report/4471

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

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update

Apr 19, 2021 - All of the General Fund costs associated with these Medi-Cal benefits would be an added cost to the state since these consumers would be new to the Medi-Cal program. In our final report, we will provide an estimate of the fiscal implications to the state budget of increasing the Medi-Cal uptake of DDS consumers that accounts for these added costs outside of the DDS system.
https://lao.ca.gov/Publications/Report/4415

The 2021-22 Budget: Assessment of CalHEERS Dashboard

Mar 25, 2021 - Frequent collaboration to review and update the dashboard appears to clarify for both the administration and stakeholders what issues need to be resolved and on what time line. As  defect fixes and new functionalities are deployed as part of CalHEERS releases, continued engagement will be necessary to determine whether issues are being resolved fully.
https://lao.ca.gov/Publications/Report/4408

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: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - What county-by-county variation is expected? The administration has pointed to the CYBHI as one new funding source for children and youth. While CYBHI added significant ongoing resources, most of the package was one time or temporary in nature, whereas MHSA provides ongoing funds to counties.
https://lao.ca.gov/Publications/Report/4786

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

Feb 16, 2021 - Overall Assessment Our office modeled Medi ‑Cal caseload to compare the administration ’s caseload projections with what we would expect. Like the administration, we assumed a set number of enrollees will be added to the Medi ‑Cal caseload each month in calendar year 2021 as a result of the COVID ‑ 19 p ublic health emergency, and that caseload will begin to decline in substantial numbers after the assumed end of the public health emergency in December 2021.
https://lao.ca.gov/Publications/Report/4373

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

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Were this flexibility granted, California could have until January 2029, rather than January 2027 (as assumed i n our outlook), to fully implement the requirement. Were California to qualify, the two ‑year extension could shift the associated savings from disenrollments over a longer period of time.
https://lao.ca.gov/Publications/Report/5092