План расходов на домашние и общественные услуги
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.
Штаты должны использовать федеральные средства, выделяемые на увеличение FMAP, для дополнения, а не замены существующих государственных средств, расходуемых на Medicaid HCBS, действующих с апреля 1, 2021. Кроме того, штаты должны использовать государственные средства, эквивалентные сумме федеральных средств, причитающихся за счет увеличенного FMAP, для реализации или дополнения реализации одного или нескольких мероприятий по улучшению, расширению или укреплению HCBS в рамках программы Medicaid к марту 31, 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:
- Рабочая сила: сохранение и создание сети работников прямой помощи HCBS
- Навигация HCBS
- Переходы HCBS
- Услуги: Расширение возможностей HCBS и моделей оказания помощи
- Инфраструктура и поддержка HCBS
The following departments are assigned as leads for the initiatives identified in California’s initial HCBS Spending Plan and initial Spending Narrative:
- Департамент старения (CDA)
- Департамент социальных служб (CDSS)
- Департамент услуг по развитию (DDS)
- Департамент здравоохранения (DHCS)
- Отделение реабилитации (ДОР)
- Департамент доступа к медицинской помощи и информации (HCAI, ранее OSHPD)
Дополнительные ресурсы по финансовому году:
2021–2022 федеральный финансовый год (FFY)
- 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
2022–2023 федеральный финансовый год (FFY)
- 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
2023–2024 федеральный финансовый год (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
2024–2025 федеральный финансовый год (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