The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - Some of the IT projects within DHCS’s Medi‑Cal IT system modernization initiatives completed the PAL process and started development and implementation, including the Federal Draw and Reporting IT project within CA‑MMIS Modernization.
https://lao.ca.gov/Publications/Report/4375

The 2021-22 Budget: Analysis of the Governor’s Medi-Cal Telehealth Proposal

May 13, 2021 - Live Video. Services delivered through live video are provided by a health care provider to a patient in real ‑time through a video system. Services delivered through live video can include both ( 1)  s ervices intended to replace an in ‑person health care visit and ( 2)  s ervices that are not intended to replace an in ‑person
https://lao.ca.gov/Publications/Report/4430

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

Oct 24, 2025 - While considerably lower than in the existing disproportionate tax, this matching rate is far higher than what the state accomplishes with most other taxes, which do not generally directly draw down more federal funds.
https://lao.ca.gov/Publications/Report/5083

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - The two provider taxes are not permanent in federal law, however—periodic federal approval is still required to draw down federal funds. The two measures also include rules around how to structure the taxes and spend their associated revenues.
https://lao.ca.gov/Publications/Report/5146

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

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - DDS can draw down federal Medicaid funding to support home ‑ and community ‑based services provided to consumers enrolled in Medi ‑Cal. This federal HCBS funding has historically supported about 35  percent to 45  percent of total costs in DDS.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - The policy likely bars Planned Parenthood from drawing down federal funds. Other providers could be affected too. This policy has already placed some budget pressure on the state to help backfill the lost federal funding.
https://lao.ca.gov/Publications/Report/5092

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

Nov 9, 2021 - We find that the potential to draw down additional federal funding in DDS rests largely with children who would qualify for Medi‑Cal through an eligibility pathway referred to as “institutional deeming.”
https://lao.ca.gov/Publications/Report/4471

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - This, in turn, presents the state with an opportunity to draw on this data to better track Medi ‑Cal beneficiary outcomes and needs, as well as CalAIM ’s overall performance in improving health outcomes and equity.
https://lao.ca.gov/Publications/Report/4402

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - Under the new intergovernmental transfer (IGT) process, counties will transfer funds covering their nonfederal share of cost into a state account, which will be used to draw down the associated federal funds.
https://lao.ca.gov/Publications/Report/4689