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

Nov 9, 2021 - Introduction The Department of Developmental Services (DDS) currently serves a relatively small share of consumers who are eligible for, but not enrolled in, Medi ‑Cal, the state ’s Medicaid program, and Medicaid home ‑ and community ‑based services (HCBS) programs (which fund an array of services and supports that allow people to live in community ‑based settings, rather than in institutional settings).
https://lao.ca.gov/Publications/Report/4471

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

Apr 19, 2021 - The consumer, parent, guardian, or legal representative must complete a form indicating that they have chosen a community-based residence for the consumer, rather than an ICF. 1915(i) SPA Eligibility : Consumers must be a legal resident, enrolled in Medi-Cal, and live in a community-based residence.
https://lao.ca.gov/Publications/Report/4415

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Proposed Funding to Implement Recent Federal Rule The Governor ’s budget proposes $2.1  million General Fund ongoing to implement the federal Home ‑ and Community ‑Based Services Access Rule, which was finalized in 2024.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Under the new plan in the 2026 ‑27 budget, much of the funds would instead be spent on certain previously approved Medi ‑Cal initiatives, such as transitional rent supports and community ‑based mobile crisis services.
https://lao.ca.gov/Publications/Report/5146

The 2026-27 Budget: Medi-Cal Analysis [Publication Details]

Mar 2, 2026 - In this report, we analyze the Governor’s budget for Medi-Cal, with a focus on base spending trends, changes to provider taxes, implementation of new H.R. 1 rules, oversight over enacted budget solutions, and considerations for identifying additional savings in Medi-Cal.
https://lao.ca.gov/Publications/Detail/5146

The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan

Feb 10, 2022 - The 2022-23 Budget: Update on Home- and Community- Based Services Spending Plan The 2022-23 Budget Update on Home- and Community-Based Services Spending Plan Summary. As a part of the 2021 ‑22 budget, the state was required to submit a package of home ‑ and community ‑based services (HCBS) enhancements —known as the HCBS spending plan —to the
https://lao.ca.gov/Publications/Report/4524

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - Major Federal Rule Change Affecting Home ‑ and Community ‑Based Services (HCBS) Taking Effect in 2023 Nearly All Types of RC ‑Coordinated HCBS Services Are Eligible for Federal Funding. HCBS  services are considered services and supports that allow an individual to live in community ‑based settings, rather than in institutional settings.
https://lao.ca.gov/Publications/Report/4577

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - The reductions to ongoing IST waitlist solutions funding include savings in early access and stabilization services, community-based restoration and diversion, and the county collaborative workgroup grant.
https://lao.ca.gov/Publications/Report/5075

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

Oct 24, 2025 - Using an income ‑based approach could result in fewer disenrollments relative to an hours ‑based approach. Primarily, this is because DHCS might be able to gather income data through existing sources, reducing needed documentation from members and administrative workload for counties.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Effects of State Budget Solutions Most Savings Come From Solutions Based on Immigration Status … The net multiyear savings from state budget solutions ($9.3  billion) reflect the combined effect of ongoing and one ‑time actions.
https://lao.ca.gov/Publications/Report/5092