Tahanan Mga Tagapagbigay ng Serbisyo at Kasosyo Plano sa Paggastos para sa mga Serbisyong Nakabatay sa Tahanan at Komunidad​​ 

Plano sa Paggastos ng Mga Serbisyong Nakabatay sa Tahanan at Komunidad​​ 

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.​​  

Dapat gamitin ng mga estado ang mga pederal na pondo na maiuugnay sa tumaas na FMAP upang dagdagan, hindi palitan, ang mga kasalukuyang pondo ng estado na ginasta para sa Medicaid HCBS na may bisa noong Abril 1, 2021. Bilang karagdagan, ang mga estado ay dapat gumamit ng mga pondo ng estado na katumbas ng halaga ng mga pederal na pondo na maiuugnay sa tumaas na FMAP upang ipatupad o dagdagan ang pagpapatupad ng isa o higit pang mga aktibidad upang pahusayin, palawakin, o palakasin ang HCBS sa ilalim ng programang Medicaid sa Marso 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:​​  

  • Workforce: Pagpapanatili at Pagbuo ng Network ng HCBS Direct Care Workers​​ 
  • HCBS Navigation​​ 
  • Mga Transisyon ng HCBS​​ 
  • Mga Serbisyo: Pagpapahusay ng Kapasidad ng HCBS at Mga Modelo ng Pangangalaga​​ 
  • Imprastraktura at Suporta ng HCBS​​ 

The following departments are assigned as leads for the initiatives identified in California’s initial HCBS Spending Plan and initial Spending Narrative:​​ 

  • Department of Aging (CDA)​​ 
  • Department of Social Services (CDSS)​​ 
  • Department of Developmental Services (DDS)​​ 
  • Department of Health Care Services (DHCS)​​ 
  • Department of Rehabilitation (DOR)​​ 
  • Department of Health Care Access and Information (HCAI, dating OSHPD)​​ 

Mga Karagdagang Mapagkukunan ayon sa taon ng pananalapi:​​ 

2021-2022 Federal Fiscal Year (FFY)​​ 

2022-2023 Federal Fiscal Year (FFY)​​ 

2023-2024 Federal Fiscal Year (FFY)​​ 

2024-2025 Federal Fiscal Year (FFY)​​