The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - For example, the ILOS benefits available to a beneficiary would vary depending on where they live in the state and what managed care plan they are enrolled in. Additionally, the CalAIM proposal represents a significant increase in the role of managed care plans to provide nonmedical supportive services to individuals with complex needs, including individuals experiencing homelessness.
https://lao.ca.gov/Publications/Report/4357

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Residential services, which include independent and supported living services either in a consumer ’s home or in licensed facilities that provide 24 ‑hour nonmedical residential care, typically have a relatively higher cost per person due to the comprehensiveness of the service provided (including personal services, supervision, and/or assistance essential for self ‑protection or completing the activities of daily living).
https://lao.ca.gov/Publications/Report/5157

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - Any improved health outcomes that result from CalAIM could improve health equity insofar as the improved outcomes are concentrated among groups that disproportionately suffer poor health outcomes today.
https://lao.ca.gov/Publications/Report/4402

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Today, managed care plans may offer such services but would not be reimbursed for the associated costs. As one final example, CalAIM would require that all counties implement pre ‑release Medi ‑Cal application processes for inmates.
https://lao.ca.gov/Publications/Report/4374

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

May 24, 2021 - DDS System Still Faces Challenges Today That Could Affect the Success of a Performance Incentives Program. While the pandemic demonstrated that the DDS system could be somewhat nimble in responding to consumers ’ needs, some of the same challenges facing the department in 2020 exist today.
https://lao.ca.gov/Publications/Report/4438

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - The proposal to require all Medi ‑Cal managed care plans to offer a D ‑SNP for their Medi ‑Cal beneficiaries would expand opportunities for at least some level of integration and coordination between Medi ‑Cal and Medicare more widely than it is available today.
https://lao.ca.gov/Publications/Report/4404

Climate Change Impacts Across California - Crosscutting Issues

Apr 5, 2022 - Moreover, many existing structures were built to different standards than are commonplace today, making them less resilient to the effects of climate change. For instance, many older homes were built with features —such as wood shake roofs, cedar siding, or single ‑paned windows —that make them more vulnerable to igniting during wildfires.
https://lao.ca.gov/Publications/Report/4575

The 2021-22 Budget: Analysis of the Governor’s Medi-Cal Telehealth Proposal

May 13, 2021 - Live Video. Services delivered through live video are provided by a health care provider to a patient in real ‑time through a video system. Services delivered through live video can include both ( 1)  s ervices intended to replace an in ‑person health care visit and ( 2)  s ervices that are not intended to replace an in ‑person health care visit (such as a brief check ‑in with a health care provider that lasts for a short period of time).
https://lao.ca.gov/Publications/Report/4430

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - This  is most evident in the rate for Independent Living Services, which assumes staffing costs equivalent to Supported Living Services despite the former being a much more intensive service model. In addition, we have heard concerns about the lack of ongoing inflation adjustments.
https://lao.ca.gov/Publications/Report/4683

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

Nov 9, 2021 - In 2010, 74 p ercent of consumers were enrolled in Medi ‑Cal, whereas today, 79 p ercent are enrolled. Among children, enrollment has increased by more than 10 p ercentage points since 2010, from 59 p ercent to 71 p ercent.
https://lao.ca.gov/Publications/Report/4471