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

May 24, 2021 - DDS System Still Faces Challenges Today That Could Affect the Success of a Performance Incentives Program. While the pandemic demonstrated that the DDS system could be somewhat nimble in responding to consumers ’ needs, some of the same challenges facing the department in 2020 exist today.
https://lao.ca.gov/Publications/Report/4438

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - Administration ’s Master Plan for Aging Has Components Related to CalAIM. The administration released its Master Plan for Aging in January 2021. The Master Plan for Aging identifies five goals and 23 strategies to help build what it describes as a “California for All Ages ” by 2030.
https://lao.ca.gov/Publications/Report/4404

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - The Master Planning Process Has Potential Value. While the Master Plan for Aging is still in the early stages of implementation and evaluation, it nonetheless sheds light on the possibilities for developing a master plan.
https://lao.ca.gov/Publications/Report/4837

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - The underlying budget dynamics today are particularly challenging for three reasons. First, revenues have not caught up with expenditures. Second, under our estimates, expenditure growth exceeds estimated revenue growth.
https://lao.ca.gov/Publications/Report/4951

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

Feb 10, 2022 - A number of the approved HCBS enhancements support the implementation of various state plans, including the Master Pla n for Aging and Department of Development Services ’ (DDS) rate model implementation.
https://lao.ca.gov/Publications/Report/4524

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - Any improved health outcomes that result from CalAIM could improve health equity insofar as the improved outcomes are concentrated among groups that disproportionately suffer poor health outcomes today.
https://lao.ca.gov/Publications/Report/4402

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - Today, such services generally are accessible through other systems of care, but in many cases outside of Medi ‑Cal. Moreover, under CalAIM, additional Medi ‑Cal services would become accessible primarily through managed care.
https://lao.ca.gov/Publications/Report/4357

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Today, managed care plans may offer such services but would not be reimbursed for the associated costs. As one final example, CalAIM would require that all counties implement pre ‑release Medi ‑Cal application processes for inmates.
https://lao.ca.gov/Publications/Report/4374

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - To achieve this, statute specifies that provider payments should be linked to consumer outcomes. Specifically, statute provides that the fully funded provider rate models are to be implemented using two payment components: a base rate equaling 90   percent of the rate model and a quality incentive payment equaling up to 10   percent of the rate model, the latter of which is to be implemented through the quality incentive program.
https://lao.ca.gov/Publications/Report/5157

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - For example, were the MCO tax to generate about as much net revenue in 2027 as it does today, we estimate only around one-third of the net revenue (rather than more than half under the Governor ’s budget) would be available for the General Fund offset.
https://lao.ca.gov/Publications/Report/4992