The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The department has stated that its goal is to have as many providers as possible earn the quality payments, but it has not yet discussed how it might approach circumstances in which providers do not achieve them.
https://lao.ca.gov/Publications/Report/5157

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

Nov 9, 2021 - These are the services that can draw down federal Medicaid funds in the DDS system. Background How Medicaid Works in the DDS System Nearly All of DDS ’ Service Categories Are Eligible for Federal Medicaid HCBS Reimbursement.
https://lao.ca.gov/Publications/Report/4471

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - The federal government must approve the MCO tax before it can go into effect. Federal approval is conditioned on a number of rules. For example, one rule limits the total amount of revenue the MCO tax can generate to 6  percent of the total revenue earned by MCOs.
https://lao.ca.gov/Publications/Report/4905

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

Oct 24, 2025 - Most notably, states can determine compliance via employment using an income ‑based approach, rather than a work ‑hour approach. Under the income ‑based approach, enrollees will be required to earn at least $580 each month —the federal minimum wage ($7.25 per hour) multiplied by 80 hours.
https://lao.ca.gov/Publications/Report/5083

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - How Can These Monies Be Used? In a normal budget year, General Fund surplus monies are available to use for any public purposes. This is not necessarily the case in this May Revision. That is because the SAL, which limits how the state can use revenues that exceed a specified threshold, is salient to the state budget process this year.
https://lao.ca.gov/Publications/Report/4432

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - How Will the Department Structure the Augmentations? Proposition  35 defers many key questions around the structure of the augmentations to DHCS. The structure of Medi-Cal rates can impact provider incentives, in turn affecting access and quality for beneficiaries.
https://lao.ca.gov/Publications/Report/4992

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

Feb 17, 2021 - Subscribe | California State Legislature | Online Voter Registration | Privacy Policy | Accessibility Legislative Analyst's Office | The California Legislature's Nonpartisan Fiscal and Policy Advisor 925 L Street, Suite 1000 Sacramento, CA 95814 | (916) 445-4656
https://lao.ca.gov/Publications/Report/4377

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

Apr 19, 2021 - Given that some families may be unaware of Medi-Cal benefits, or unaware of how Medi-Cal enrollment can fiscally benefit the DDS system, added education could assuage some concerns or hesitancy about applying for Medi-Cal.
https://lao.ca.gov/Publications/Report/4415

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

Jan 13, 2025 - The reason for the reduction is the recent voter approval of Proposition  35 (2024), which requires the state to spend less MCO tax money on offsetting General Fund spending and more money on provider rate increases.
https://lao.ca.gov/Publications/Report/4951

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - In addition to affecting how states can finance Medicaid through provider taxes, H.R. 1 introduces several changes to Medi ‑Cal eligibility and enrollment rules that will affect caseload and administrative workload beginning in 2026 ‑27.
https://lao.ca.gov/Publications/Report/5146