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

Feb 10, 2022 - Create Adult Family Homes pilot that places older adults with a family. 9 Alzheimer ’s Day Care and Resource Center. Provide dementia ‑capable services at licensed Adult Day and Adult Day Health centers. 5 Conditionally Approved HCBS Spending Plan Initiatives Total Funds a HCBS Infrastructure and Support Access to Technology for Seniors and Persons With Disabilities.
https://lao.ca.gov/Publications/Report/4524

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

Mar 3, 2022 - DSH is now required to provide competency restoration treatment for felony ISTs according to a phased ‑in schedule of (1)  within 60 days by August 2022, (2)  within 45 days by February 2023, (3)  within 33 days by August 2023, and (4)  within 28 days by February 2024.
https://lao.ca.gov/Publications/Report/4569

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

Mar 6, 2025 - Services to Enable Members to Remain in a Home ‑Like Setting Day habilitation programs Programs provided to assist beneficiaries with developing skills necessary to reside in home ‑like settings, often provided by peer mentor ‑type caregivers.
https://lao.ca.gov/Publications/Report/5003

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 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

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

Nov 9, 2021 - Among the types of services that are not eligible to receive federal HCBS matching funds are funeral services, tutor services, day care provided by a family member, and temporary motel rooms used in emergency situations.
https://lao.ca.gov/Publications/Report/4471

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

Feb 5, 2025 - (Behavioral health infrastructure includes inpatient and outpatient facilities at which individuals receive treatment for mental illness and/or substance use disorders [SUD], typically for a period of up to one day to several months.)
https://lao.ca.gov/Publications/Report/4954

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 2025-26 California Spending Plan: Health

Oct 16, 2025 - In accordance with a court ruling in 2021, DSH was required to provide substantive treatment services to restore competency to an IST individual within 28 days from the transfer of responsibility to DSH by March  2025.
https://lao.ca.gov/Publications/Report/5075