The 2023-24 Budget: Whole Child Model Expansion

May 5, 2023 - Figure 1 More Counties Will Have Medi ‑Cal Managed Care Model With Only One Public Health Plan Number of California Counties in Each Model Counties With … Models With One Public Health Plan COHS model Models with private plans only b 22 58 — a In January 2024, two counties will switch from other
https://lao.ca.gov/Publications/Report/4767

The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - Specifically, statute provides that the fully funded provider rate models are to be implemented using two payment components: a base rate equaling 90   percent of the rate model and a quality incentive payment equaling up to 10   percent of the rate model, the latter of which is to be implemented through the quality incentive program.
https://lao.ca.gov/Publications/Report/5157

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - Rate models will be fully funded beginning July 1, 2025 as follows: A service provider ’s base rate will equal 90  percent of its rate model, while up to 10  percent of its rate model will be available as incentive payments if the provider achieves its performance and outcomes targets.
https://lao.ca.gov/Publications/Report/4837

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - The proposed financing reforms also could give county mental health plans more flexibility to pursue payment models that incentivize the quality of care provided and reduce the administrative burden associated with tying reimbursement to cost.
https://lao.ca.gov/Publications/Report/4357

The 2023-24 Budget: Department of Developmental Services

Feb 15, 2023 - Additional Questions About Underlying Rate Models. In addition to concerns about the quality incentive program being developed, we have heard several concerns about the underlying rate models. For example, we have heard that the inputs used in some rate models may be inappropriate.
https://lao.ca.gov/Publications/Report/4683

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

Feb 10, 2022 - Eliminate Assisted Living Waiver waitlist by increasing waiver slots by 7,000. 255 Services: Enhancing HCBS Capacity and Models of Care Developmental Services Rate Model Implementation. Implement rate models recommended by the 2019 Rate Study. $1,260 b Social Recreation and Camp Services for Regional Center Consumers.
https://lao.ca.gov/Publications/Report/4524

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Expands Whole Child Model to Additional Counties. The Whole Child Model, enacted in 2016, integrates the California Children ’s Services program into Medi-Cal managed care. Prior to this year ’s budget package, Whole Child Model was authorized in 21 counties —nearly all counties with only one public managed care health plan serving most Medi-Cal beneficiaries.
https://lao.ca.gov/Publications/Report/4810

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - One possible reason for our higher estimate is that our model reflects not only disenrollment among current enrollees, but also reduced enrollment flows over time and a persistent risk of disenrollment among eligible individuals due to added administrative burden.
https://lao.ca.gov/Publications/Report/5146

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

Mar 15, 2021 - Determining the appropriate minimum standard would require further analysis, as there may be some trade ‑offs between the level of integration a D ‑SNP model offers and the feasibility of implementing that model statewide.
https://lao.ca.gov/Publications/Report/4404

Mental Health Services Act: Impact of Governor's Proposal on Funding for Children and Youth

Aug 10, 2023 - Dyadic services are a model of care that integrate physical and behavioral health care for both children under 21 years of age and their parents/caregivers. (A “dyad ” refers to a family unit of a child and their parent/caregiver.).
https://lao.ca.gov/Publications/Report/4786