The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - The APD process allows the state to request a 90  percent match in federal funding (rather than California ’s standard 50  percent match) to design, develop, and install IT systems that enable the state to more efficiently administer Medicaid benefits.
https://lao.ca.gov/Publications/Report/5157

The 2026-27 Budget: Medi-Cal Fiscal Outlook

Nov 19, 2025 - Beyond baseline spending trends, Medi ‑Cal is facing a series of upcoming policy changes. The state enacted many of these changes in the 2025 ‑26 Budget Act in June 2025 as budget solutions intended to slow growth in Medi ‑Cal spending.
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - As Figure  8 shows, however, states have the option under federal law to serve more populations and receive federal matching funds for services provided to them. Some of these populations, such as childless adults and children from higher ‑income households, come with larger federal matches to encourage state coverage.
https://lao.ca.gov/Publications/Report/5083

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

Feb 16, 2023 - We therefore recommend that the Legislature use upcoming budget hearings as an opportunity to request more information from the administration on the demonstration waiver proposal. The Legislature might want to seek clarity on the administration ’s multiyear spending plan as well as the likely net fiscal impact to the state and counties if this proposal is approved.
https://lao.ca.gov/Publications/Report/4689

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

Feb 10, 2022 - 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: Medi-Cal Fiscal Outlook

Nov 20, 2024 - Below, we highlight three key issue areas in our Medi-Cal outlook as the Legislature prepares for, and considers, the upcoming Governor ’s budget. MCO Tax Federal Approval of Recent MCO Tax Increases Is Pending.
https://lao.ca.gov/Publications/Report/4941

The 2021-22 Budget: Analysis of the Medi-Cal Budget

Feb 16, 2021 - We will analyze this proposal in a separate upcoming post, The 2021 ‑22 Budget: Behavioral Health: Medi ‑Cal Student Services Funding Proposal . Benefit Expansions. The Governor ’s budget proposes net spending of $ 30  m illion General Fund ($ 85  m illion total funds) on three Medi ‑Cal benefit expansions.
https://lao.ca.gov/Publications/Report/4373

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

May 24, 2021 - The recently passed ARP Act provided one-time Medicaid funding to “enhance, expand, or strengthen ” home- and community-based services (HCBS) by increasing the federal matching rate by 10  percentage points for a one-year period.
https://lao.ca.gov/Publications/Report/4438

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

Mar 3, 2022 - Local Match Requirement. The amounts that local entities will be required to provide as the match for BH ‑CIP funding vary by applicant type. Specifically, (1)  tribal entities will be required to provide a 5  percent match; (2)  counties, cities, and nonprofits will be required to provide a 10  percent match; and (3)  for
https://lao.ca.gov/Publications/Report/4569