Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services [Publication Details]

Nov 9, 2021 - Examines Medi-Cal enrollment of Department of Developmental Services (DDS) consumers and the fiscal effect that additional Medi-Cal enrollment would have on the DDS budget and on state costs overall. Correction 11/19/21: Corrected average annual per person fee-for-service cost in Medi-Cal.
https://lao.ca.gov/Publications/Detail/4471

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

Nov 9, 2021 - Concerns among families that the DDS choice form (which asks about institutional settings) and/or that the phrase “institutional deeming ” might mean they are agreeing to place their consumer family member in an institution.
https://lao.ca.gov/Publications/Report/4471

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update [Publication Details]

Apr 19, 2021 - The Supplemental Report of the 2020-21 Budget Act requires our office to evaluate options for enhancing federal financial participation through Medi-Cal for consumers served by the Department of Developmental Services. This post provides an interim update of our initial findings and preliminary assessment. A final report will be delivered to the Legislature in the late summer.
https://lao.ca.gov/Publications/Detail/4415

Enhancing Federal Financial Participation for Consumers Served by the Department of Developmental Services—An Interim Update

Apr 19, 2021 - If an individual, such as a child deemed eligible through institutional deeming, already has private health insurance coverage, Medi-Cal can act as a secondary payer for primary insurance co-pays or uncovered costs.
https://lao.ca.gov/Publications/Report/4415

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

Jan 13, 2025 - The Governor ’s budget proposes to change the rules about how taxable profits are determined for financial institutions. The administration estimates this change would increase revenues on an ongoing basis by around $300  million per year.
https://lao.ca.gov/Publications/Report/4951

The 2024-25 Budget: Department of Developmental Services

Feb 13, 2024 - The HCBS waiver provides Medicaid funding for eligible individuals to receive services and supports in their home and community ‑based settings, rather than in institutions. State Recently Began Implementing a Major Overhaul of Service Provider Rates.
https://lao.ca.gov/Publications/Report/4837

The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - For example, institutional long ‑term care (LTC), such as nursing facility stays, would become a statewide managed care benefit. (Currently, institutional LTC is only carved into managed care in certain counties.)
https://lao.ca.gov/Publications/Report/4357

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - The waiver —which is contingent on federal approval —is for a five-year demonstration that will, if approved, allow the state to receive federal matching funds for short-term stays in institutions for mental disease.
https://lao.ca.gov/Publications/Report/4810

The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - To qualify for reimbursement, the state —along with counties that opt into the demonstration —must establish a robust continuum of community ‑based services that reduces the need for institutional care.
https://lao.ca.gov/Publications/Report/4675

The 2023-24 Budget: Analysis of the Governor’s Major Behavioral Health Proposals

Feb 16, 2023 - Opportunity to Receive Federal Match for Short ‑Term Stays in Institutions for Mental Disease (IMDs). In 2018, the Centers for Medicare & Medicaid Services (CMS) released guidance that allowed states to request a waiver to receive federal reimbursement (a federal share of cost) for services provided during short ‑term stays at residential treatment facilities that are considered IMDs.
https://lao.ca.gov/Publications/Report/4689