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Health and Human Services
Department of Health Care Services
The Budget includes total Medi-Cal expenditures of $37 billion ($14.3 billion General Fund), an increase of $1.6 billion ($642.2 million General Fund) over the revised 2006 Budget Act. The average monthly Medi-Cal caseload is expected to be 6,586,211 beneficiaries in 2007-08. This represents an increase of 0.8 percent above the revised 2006 Budget Act level.
NEW RATE METHODOLOGY FOR MEDI-CAL MANAGED HEALTH CARE PLANS
The Budget includes $108 million ($54 million General Fund) to provide rate adjustments to the Medi-Cal managed health care plans as determined by a new rate methodology, which will be implemented at the beginning of each plan's new rate year. These plans play a crucial role in ensuring adequate access to health care for vulnerable Californians, serving approximately 3.2 million Medi-Cal beneficiaries each year.
INCREASE RATE REIMBURSEMENTS FOR LONG-TERM CARE FACILITIES
The Budget includes $146.3 million ($73.1 million General Fund) for a 5.5-percent rate increase to freestanding level B nursing homes and adult sub-acute care facilities that provide long-term care to Medi-Cal beneficiaries.
IMPLEMENTATION OF FEDERAL DEFICIT REDUCTION ACT CITIZENSHIP REQUIREMENTS
The Budget includes $50.8 million ($25.4 million General Fund) and 3.8 positions to focus on implementing new federal requirements under the Deficit Reduction Act of 2005. Of this amount, $50.4 million ($25.2 million General Fund) is for county administrative activities.
HUMAN PAPILLOMAVIRUS VACCINATIONS (HPV)
The Budget includes $11.1 million ($5.6 million General Fund) in 2007-08 to provide HPV to approximately 52,000 Medi-Cal-eligible women ages 19 through 26. The United States Food and Drug Administration recently approved this new vaccine, which has been shown to reduce the risk of contracting cervical cancer by up to 70 percent.
NURSING FACILITY A/B WAIVER CAP INCREASE
The Budget includes $6.1 million ($3 million General Fund) to increase the waiver cap for the Nursing Facility A/B waiver. This is a federal home- and community-based services waiver that provides services and support to Medi-Cal beneficiaries to allow them to remain safely in their homes and avoid institutional placements. These services are a critical component of the state's efforts to implement the Olmstead court decision.
ADULT DAY HEALTH CARE REFORM
The Budget includes $2.6 million ($1.2 million General Fund) and 36 positions to phase in program reforms and develop a new rate methodology to increase California's ability to retain federal funding and help ensure services remain available for qualified beneficiaries, as required by Chapter 691, Statutes of 2006 (SB 1755).
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