Medi-Cal: Home and Community-Based Alternatives Waiver.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Passed
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill modifies the Medi-Cal Home and Community-Based Alternatives (HCBA) Waiver program. It aims to increase the number of available waiver slots, requiring the Department of Health Care Services to expand the waiver by at least 10,000 slots annually starting in 2027. The bill also directs the department to create an annual report detailing waiver slot numbers, waiting lists, and demographic information, and removes a requirement for federal cost neutrality in administering the waiver.
Key provisions
- Increases HCBA Waiver slots by at least 10,000 annually starting in 2027.
- Requires the Department of Health Care Services to prepare and submit an annual report on waiver program statistics.
- Removes the federal cost neutrality requirement for administering the HCBA Waiver.
- Directs the department to seek amendments to the HCBA Waiver to address waiting lists.
- Establishes a process for expedited contracting for contracts related to the waiver.
- Allows the department to implement the waiver without formal regulatory action through letters and instructions.
- Requires the department to monitor waiver capacity and expand it to prevent waiting lists.
Who is affected
- Low-income individuals
- Medi-Cal recipients
- Healthcare providers
- Care management contractors
- Individuals with disabilities
Notable changes
Bill text
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