Plan de Gastos de Servicios Basados en el Hogar y la Comunidad
California’s HCBS Spending Plan provides $3 billion in enhanced federal funding to support initiatives that enhance, expand, and strengthen Medi-Cal’s HCBS services. The CMS approval of the state’s proposal will support services provided by six state departments. On March 11, 2021, President Biden signed the American Rescue Plan Act (ARPA). Section 9817 of ARPA provides qualifying states with a temporary 10 percentage point increase to the federal medical assistance percentage (FMAP) for certain Medicaid expenditures for HCBS from April 1, 2021 through March 31, 2022.
Los estados deben usar los fondos federales atribuibles al aumento del FMAP para complementar, no suplantar, los fondos estatales existentes gastados para Medicaid HCBS en vigor a partir del 1de abril de 2021. Además, los estados deben usar fondos estatales equivalentes a la cantidad de fondos federales atribuibles al aumento del FMAP para implementar o complementar la implementación de una o más actividades para mejorar, expandir o fortalecer HCBS bajo el programa Medicaid para el 31de marzo de 2024.
As submitted to the Centers for Medicare & Medicaid Services (CMS) on July 12, 2021, and updated on October 27, 2021, California’s initial HCBS Spending Plan and initial HCBS Spending Plan Narrative involve several the state departments, and total approximately $3B in enhanced federal funding for the following categories of services:
- Fuerza laboral: Retener y construir una red de trabajadores de atención directa de HCBS
- Navegación HCBS
- Transiciones de HCBS
- Servicios: Mejora de la capacidad y los modelos de atención de HCBS
- Infraestructura y soporte de HCBS
The following departments are assigned as leads for the initiatives identified in California’s initial HCBS Spending Plan and initial Spending Narrative:
- Departamento de la Tercera Edad (CDA)
- Departamento de Servicios Sociales (CDSS)
- Departamento de Servicios de Desarrollo (DDS)
- Departamento de Servicios de Atención Médica (DHCS, por sus siglas en inglés)
- Departamento de Rehabilitación (DOR, por sus siglas en inglés)
- Departamento de Acceso e Información a la Atención Médica (HCAI, anteriormente OSHPD)
Recursos suplementarios por año fiscal:
Año Fiscal Federal (FFY) 2021-2022
- Initial HCBS Spending Plan Package – July 12, 2021
- CMS HCBS Partial Approval Letter – September 3, 2021
- Updated HCBS Spending Plan Package – October 27, 2021
- Final HCBS Spending Plan Package – October 29, 2021
- CMS HCBS Conditional Approval Letter – January 4, 2022
- HCBS Spending Plan Quarterly Report for Quarter 3 – February 1, 2022
- HCBS Spending Plan Quarterly Narrative Report for Quarter 4 – April 17, 2022
- HCBS Spending Plan Quarterly Spending Plan for Quarter 4 – April 17, 2022
Año Fiscal Federal (FFY) 2022-2023
- HCBS Spending Plan Quarterly Report for Quarter 1 – Originally Submitted: July 8, 2022 and Updated: September 21, 2022
- HCBS Spending Plan Narrative Report for Quarter 1 – Originally Submitted: July 8, 2022 and Updated: November 3, 2022
- HCBS Spending Plan Quarterly Spending Plan for Quarter 2 – October 18, 2022
- HCBS Spending Plan Narrative Report for Quarter 3 – January 17, 2023
- HCBS Spending Plan Quarterly Spending Plan for Quarter 3 – February 2, 2023
- HCBS Spending Plan Quarterly Spending Plan for Quarter 4 – April 17, 2023
Año Fiscal Federal 2023-2024 (FFY)
- CMS HCBS Approval Letter – October 26, 2023
- HCBS Spending Plan Narrative Report for Quarter 1 – October 26, 2023
- HCBS Spending Plan Quarterly Report for Quarter 1 – October 26, 2023
- HCBS Spending Plan Quarterly Report for Quarter 2 – December 7, 2023
- HCBS Spending Plan Narrative Report for Quarter 3 – January 17, 2024
- HCBS Spending Plan Quarterly Reporting for Quarter 3 – February 2, 2024
- CMS HCBS Approval Letter – March 1, 2024
- HCBS Spending Plan Quarterly Spending Plan for Quarter 4 – April 17, 2024
Año Fiscal Federal 2024-2025 (FFY)
- CMS HCBS Approval Letter – August 29, 2024
- HCBS Spending Plan Narrative Report for Quarter 1 – August 29, 2024
- HCBS Spending Plan Quarterly Report for Quarter 1 – August 29, 2024
- HCBS Spending Plan Quarterly Report for Quarter 2 – November 22, 2024
- HCBS Spending Plan Narrative Report for Quarter 3 – January 15, 2025
- HCBS Spending Plan Quarterly Report for Quarter 3 – January 15, 2025
- State Attestation Letter – April 16, 2025
- HCBS Spending Plan Narrative Final Report – April 16, 2025
- HCBS Final Spending Plan Report – April 16, 2025
- HCBS Spending Plan (CA 9817) CMS Approved Closeout Letter – August 27, 2025