The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - Delay of Funding for Elimination of End ‑of ‑Year Provider Payment Processing Hold. As a budget solution in 2006 ‑07, the state implemented a hold in processing fee ‑for ‑service provider payments for the last two weeks of the fiscal year —a practice which remains in effect today.
https://lao.ca.gov/Publications/Report/4675

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Delays Elimination of End-of-Year Provider Payment Processing Hold. As a budget solution in 2006-07, the state implemented a hold in processing fee-for-service provider payments for the last two weeks of the fiscal year —a practice that remains in effect today.
https://lao.ca.gov/Publications/Report/4810

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

May 24, 2021 - The administration proposed a similar program in 2020, but chose to withdraw the proposal as the pandemic took hold. At the time the proposal was made, our office noted that the DDS system lacked some of the optimal conditions for a successful performance incentive program, including clear, observable measures and few competing interests (due to RC staff having many different demands on their time, particularly given their individual caseloads).
https://lao.ca.gov/Publications/Report/4438

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Historically, the state has sought to maintain payment adequacy in the managed care system by setting actuarially sound rates to plans and by holding plans accountable to access and quality standards.
https://lao.ca.gov/Publications/Report/4838

The 2022-23 Budget: Public Health Foundational Support

Feb 16, 2022 - Annual updates about the $300  million spending plan (which could be presented at budget hearings), including discussion of progress toward full implementation of the core spending areas; updates on various initiatives in the plan, such as development and implementation of statewide performance targets; updates on strategic IT planning and projects; how it is holding LHJs
https://lao.ca.gov/Publications/Report/4544

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - That said, the need to hold significant reserves changes the timing of when revenues are allocated to programmatic purposes. Moreover, if allowable reserve levels are inadequate, counties may need to rely on othe r budgeting strategies to manage the volatility of the MHSA tax, which can raise questions regarding the efficient allocation of resources.
https://lao.ca.gov/Publications/Report/4780

The 2021-22 Budget: Behavioral Health: Medi-Cal Student Services Funding Proposal

Feb 17, 2021 - Without authorizing legislation, the Legislature ’s ability to effectively oversee the program and hold managed care plans accountable would be significantly constrained. Increasing Managed Care Presence in Schools May Have Merit … Managed care plans can provide a broader array behavioral health services to students through Medi ‑Cal than schools who bill Medi ‑Cal directly, since the set of services eligible for reimbursement through the LEA ‑BOP is more limited.
https://lao.ca.gov/Publications/Report/4377

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - While CalAIM holds promise in improving health equity, its success is not certain. This makes monitoring the performance of CalAIM critical. To do so, we recommend that the Legislature formulate a set of metrics related to the health equity goals of CalAIM and require the administration to report on these metrics periodically.
https://lao.ca.gov/Publications/Report/4402

The 2021-22 Budget: Behavioral Health: Continuum Infrastructure Funding Proposal

Feb 17, 2021 - Without authorizing legislation, the Legislature ’s ability to effectively oversee the program and hold local governments accountable would be significantly constrained. Available Data Indicate Expanding Capacity for Behavioral Health Services Likely Has Merit.
https://lao.ca.gov/Publications/Report/4379

The 2022-23 Budget: Health Care Access and Affordability

Feb 23, 2022 - While we acknowledge that a partnership to produce and distribute insulin has the potential to be an appropriate partnership under S B  852 , we recommend that the Legislature hold off on approving the proposal until information is provided to ensure that the proposed partnership meets the criteria included in the legislation.
https://lao.ca.gov/Publications/Report/4560