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 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 - This moratorium comprises a substantial portion of the estimated federal savings in Congressional fiscal scoring sheets. These savings occur because not implementing the new rules limits Medicaid caseload growth.
https://lao.ca.gov/Publications/Report/5092

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

Oct 24, 2025 - Though current law generally will require this new tax to be much smaller, there is a way the state could maintain a similar level of revenue as today (before the required reduction in the revenue limit under federal law).
https://lao.ca.gov/Publications/Report/5083

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

Feb 10, 2022 - Provide medical and supportive services to individuals residing in permanent supportive housing and congregate care settings. 298 Eliminating Assisted Living Waiver Waitlist. 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.
https://lao.ca.gov/Publications/Report/4524

The 2025-26 Budget: Overview of the Governor's Budget

Jan 13, 2025 - The underlying budget dynamics today are particularly challenging for three reasons. First, revenues have not caught up with expenditures. Second, under our estimates, expenditure growth exceeds estimated revenue growth.
https://lao.ca.gov/Publications/Report/4951

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

Nov 9, 2021 - Nearly all of the types of home ‑ and community ‑based services coordinated by RCs for DDS consumers are eligible to receive federal Medicaid HCBS matching funds. Such services include residential services, independent and supported living services, day programs, transportation, supported employment, and respite services.
https://lao.ca.gov/Publications/Report/4471

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

Mar 6, 2025 - Nursing facility transition to a home Services provided to assist beneficiaries transitioning from nursing facility care to home settings in which they are responsible for living expenses. Personal care and homemaker services Services provided to assist beneficiaries with daily living activities, such as bathing, dressing, housecleaning, and grocery shopping.
https://lao.ca.gov/Publications/Report/5003

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