主页提供商& 合作伙伴家庭和社区服务支出计划​​ 

家庭和社区服务支出计划​​ 

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.​​  

各州必须使用增加的 FMAP 所产生的联邦资金来补充（而不是取代）自1年 4 月2021起生效的用于 Medicaid HCBS 的现有州资金。 此外，各州必须在 3 月31 、 2024之前使用与增加的 FMAP 相关的联邦资金等值的州资金来实施或补充实施一项或多项活动，以加强、扩大或强化医疗补助计划下的 HCBS。​​  

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:​​  

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

  • 老龄化部门（CDA）​​ 
  • 社会服务部（CDSS）​​ 
  • 发展服务部（DDS）​​ 
  • 卫生保健服务部（DHCS）​​ 
  • 康复部（DOR）​​ 
  • 医疗保健获取和信息部（HCAI，原 OSHPD）​​ 

按财政年度划分的补充资源：​​ 

2021-2022 联邦财政年度 (FFY)​​ 

2022-2023 联邦财政年度 (FFY)​​ 

2023-2024 联邦财政年度 (FFY)​​ 

2024-2025 联邦财政年度 (FFY)​​