The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - While states are expected to use available administrative data to determine compliance and exemptions, otherwise eligible individuals could lose coverage if they fail to document or report required information.
https://lao.ca.gov/Publications/Report/5146

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - (The figure also shows that almost all service providers required by DDS to have an assessment of their level of compliance with the federal HCBS requirements have done  so.) Although a large number of providers remain out of compliance, DDS indicates that they are providing outreach and technical assistance to these providers and are seeing compliance rates consistently improve.
https://lao.ca.gov/Publications/Report/4683

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

Oct 24, 2025 - Though federal Medicaid law will now require most nondisabled, childless adults to complete 80 hours of community engagement each month, H.R.  1 grants states certain flexibilities to track beneficiary compliance.
https://lao.ca.gov/Publications/Report/5083

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - In the second year, some of the funding would be provided to RCs to improve service coordinator caseload ratios, which are currently out of compliance (likely affecting service quality and consumer satisfaction).
https://lao.ca.gov/Publications/Report/4438

The 2022-23 Budget: Department of Developmental Services

Mar 29, 2022 - California ’s service providers must be in compliance with the final HCBS rule for the state to draw down Medicaid funding for HCBS  services. State Funds Grants to Assist Providers in Reaching Compliance.
https://lao.ca.gov/Publications/Report/4577

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - In response, the department released guidance on February 11, 2026 indicating that providers will have the opportunity to earn a partial year of quality payments if they come into compliance after the February 27 deadline.
https://lao.ca.gov/Publications/Report/5157

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - The phase‑in plan also requires providers who receive a rate increase to maintain documentation demonstrating compliance with this requirement. Issues Compliance With Compensation Increases for Direct Care Staff.
https://lao.ca.gov/Publications/Report/4837

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The administrative requirements of demonstrating compliance with the new limit also could discourage participation among those who would otherwise still qua lify. As such, our outlook attempts to capture a mix of disenrollments from both asset values and administrative requirements.
https://lao.ca.gov/Publications/Report/5092

The 2022-23 California Spending Plan: Health

Oct 24, 2022 - The spending plan includes $1.6  million General Fund ($4.3  million total funds) to expand coverage of clinical trials to come into compliance with the federal definition of clinical trials, which is broader than the definition previously used by Medi-Cal.
https://lao.ca.gov/Publications/Report/4642

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

Feb 10, 2022 - In compliance with the provisional budget bill language, through a midyear budget request, the administration notified the Legislature of its intent to (1)  draw down the estimated $3  billion of increased FMAP funds, (2)  allocate the increased FMAP funds to implement federally approved HCBS enhancements, and (3)  draw down additional federal funds for HCBS enhancements that are eligible for the standard Medicaid federal match.
https://lao.ca.gov/Publications/Report/4524