The 2026-27 Budget: Department of Developmental Services

Mar 13, 2026 - For the period spanning from January 1, 2025 through June  30,  2026, providers could earn the quality incentive portion of rate models by enrolling in DDS ’s Provider Directory. As a budget solution, the 2025 ‑26 Budget Act added three criteria that providers must satisfy to be eligible to earn a quality payment equal to 10   percent of the rate model beginning
https://lao.ca.gov/Publications/Report/5157

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - (Prior to the full implementation of the quality incentive payment as 10   percent of the total rate, the state began providing some smaller quality incentive payments on top of providers ’ baseline rates in 2022 ‑23.)
https://lao.ca.gov/Publications/Report/4837

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

Oct 24, 2025 - The new requirement will only apply to childless adults earning more than 100  percent of the federal poverty limit. Certain services, such as primary care and behavioral health care, are excluded from the  requirement.
https://lao.ca.gov/Publications/Report/5083

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

Mar 6, 2025 - Figure 10 Top Reasons Providers Did Not Participate in ECM or Community Supports Reasons Given By Providers
https://lao.ca.gov/Publications/Report/5003

The 2024-25 Budget: The MCO Tax Package at May Revision

May 22, 2024 - This is because DHCS did not include revenue MCOs earn from the federal Medicare program in its calculation of the limit. DHCS says it recently learned in discussions with federal administrators that including Medicare revenue in the calculation is allowable.
https://lao.ca.gov/Publications/Report/4905

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

Feb 5, 2025 - The $4.4  billion comes on top of $1.8  billion in state and federal funds that have already been dedicated to this purpose in a multiyear spending initiative begun in 2021 ‑ 22 —the Behavioral Health Continuum Infrastructure Program (BHCIP).
https://lao.ca.gov/Publications/Report/4954

The 2026-27 Budget: Medi-Cal Analysis

Mar 2, 2026 - Individuals must generally work, study, or volunteer at least 80  hours per month, or meet an earnings threshold (about $580 per month, equivalent to 80 hours at the federal minimum wage) unless they qualify for certain exemptions (such as having young children or being medically frail).
https://lao.ca.gov/Publications/Report/5146

The 2025-26 California Spending Plan: Health

Oct 16, 2025 - As of March  2025, the department submitted evidence that 100  percent of IST individuals referred to DSH received substantive treatment services within the 28-day deadline. As of the Governor ’s May Revision, the IST waitlist was 278 individuals, which is less than the average monthly referrals (469 individuals) in 2024-25.
https://lao.ca.gov/Publications/Report/5075

The 2021-22 Budget: Behavioral Health: Medi-Cal Student Services Funding Proposal

Feb 17, 2021 - (If a managed care plan determines that a child should receive SMHS, it is responsible for referring that child to counties for treatment.) EPSDT Service Gaps May Exist Given the Design of Behavioral Health Services .
https://lao.ca.gov/Publications/Report/4377

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - As Figure  4 shows, the top 30 drugs in terms of spending (out of about 950 drug categories) represented less than 20  percent of all prescriptions (left column) but more than 50  percent of gross spending (right column).
https://lao.ca.gov/Publications/Report/5026