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

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

Oct 24, 2025 - For example, DHCS will need to translate federal changes into practical guidance for health plans and counties, as well as provide technical assistance to affected entities. In some cases, the federal changes may require updates to information technology (IT) systems to implement them.
https://lao.ca.gov/Publications/Report/5083

The 2022-23 Budget: Analysis of the Medi-Cal Budget

Feb 9, 2022 - Equity and Practice Transformation Payments Background Medi ‑Cal ’s Performance on Certain Health Care Quality and Equity Measures Has Been Poor. DHCS tracks Medi ‑Cal ’s performance on many different health quality and equity measures across the various Medi ‑Cal delivery systems, including within managed care.
https://lao.ca.gov/Publications/Report/4522

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 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

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

Feb 10, 2022 - Support ADRC program operations, including data collection and sharing practices. 5 HCBS Transitions Housing and Homelessness Incentive Program. Provide incentive funds to Medi ‑Cal managed care plans to address homelessness and keep beneficiaries housed. $1,300 Community Care Expansion Program.
https://lao.ca.gov/Publications/Report/4524

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 2023-24 California Spending Plan: Health

Oct 23, 2023 - The waiver —which is contingent on federal approval —is for a five-year demonstration that will, if approved, allow the state to receive federal matching funds for short-term stays in institutions for mental disease.
https://lao.ca.gov/Publications/Report/4810

Building California’s Behavioral Health Infrastructure: Progress Update and Opportunities for the Proposition 1 Bond

Feb 5, 2025 - These conditions include providing matching funds or real property, supplementing and not supplanting existing funds for facility expansion, certain reporting requirements, and a commitment to operate services in the financed facility for the intend ed purpose for at least 30 years.
https://lao.ca.gov/Publications/Report/4954

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Extending H.R. 1 Requirements to UIS Adults Could Have Different Practical Effects. The administration’s proposal seems intended to apply a consistent set of requirements across nonelderly adults, regardless of immigration status.
https://lao.ca.gov/Publications/Report/5146