The 2024-25 Budget: Department of Health Care Access and Information

Feb 27, 2024 - It also included funds for an initiative called “Workforce for a Healthy California for All, ” which supports activities to expand the statewide supply of community health workers, nurses, and social workers.
https://lao.ca.gov/Publications/Report/4860

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - DDS indicated that it has already been working with DHCS to match information across each department ’s records with the goal of automatically exempting all 15,000 adult DDS consumers in the income eligibility pathway from the new requirements.
https://lao.ca.gov/Publications/Report/5157

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

Oct 24, 2025 - All else equal, an increase in caseload results in higher Medi ‑Cal spending. Certain populations are also costlier to serve than others, owing to their higher utilization of relatively expensive services and differences in federal fund  matches.
https://lao.ca.gov/Publications/Report/5083

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

Feb 17, 2021 - Counties Would Be Required to Provide Matching Funds. Under this proposal, counties would be required to provide matching funds —in the amount of 25  p ercent of grant funds —in order to receive grant funding.
https://lao.ca.gov/Publications/Report/4379

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Under H.R. 1, the federal match for these services will decrease from 90  percent to 50  percent for certain undocumented adults, requiring a backfill from the General Fund to maintain existing services.
https://lao.ca.gov/Publications/Report/5092

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

Feb 10, 2022 - On January 4, 2022, the federal government notified the state that it conditionally approved all of the state ’s proposed HCBS enhancements, which are summarized in Figure  1 . The total cost of the HCBS enhancements is estimated to be $4.6  billion ($3  billion increased FMAP funds and $1.6  billion additional federal funds for enhancements that are also eligible to draw down the standard federal Medicaid match).
https://lao.ca.gov/Publications/Report/4524

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - The state received approval under the waiver to provide $1.85  billion in total funds (incorporating the federal match) for the PATH initiative. PATH consists of multiple initiatives intended to build up the capacity and infrastructure of CalAIM providers.
https://lao.ca.gov/Publications/Report/5003

The 2022-23 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Mar 3, 2022 - We describe all the components of the proposed IST  solutions package (with all funding to be provided to DSH) below in Figure  3 . Figure 3 Proposed IST Workgroup Solutions Package General Fund (In Millions)
https://lao.ca.gov/Publications/Report/4569

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

Feb 10, 2023 - Federal Match for Designated State Health Programs. In late January 2023, the Department of Health Care Services received federal waiver approval allowing the state to claim federal matching funds for certain existing programs that would otherwise be funded solely with state funds.
https://lao.ca.gov/Publications/Report/4675

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

Nov 9, 2021 - Background How Medicaid Works in the DDS System Nearly All of DDS ’ Service Categories Are Eligible for Federal Medicaid HCBS Reimbursement. Nearly all of the types of home ‑ and community ‑based services coordinated by RCs for DDS consumers are eligible to receive federal Medicaid HCBS matching funds.
https://lao.ca.gov/Publications/Report/4471