首頁提供者& 合作夥伴居家和社區服務支出計劃​​ 

家居及社區服務支出計劃​​ 

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.​​  

各州必須使用由增加的 FMAP 歸屬的聯邦資金來補充，而不是替代為 Medicaid HCBS 支出的現有州資金，從 2021 4 月起生效。1 此外，各州必須在 31 月 2024 之前使用相等於增加 FMAP 歸屬於聯邦資金的州資金，以實施或補充實施一個或多項活動，以增強，擴展或加強醫療補助計劃下的 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:​​  

  • 勞動力：保留和建立 HCBS 直接護理工作者網絡​​ 
  • 中醫藥管理系統導航​​ 
  • 中醫藥轉型​​ 
  • 服務：提升醫療衞生服務能力及護理模式​​ 
  • HCBS 基礎設施與支援​​ 

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

  • 老齡學系 (CDA)​​ 
  • 社會服務部 (CDSS)​​ 
  • 發展服務學系​​ 
  • 衛生護理服務部（DHCS）​​ 
  • 康復學系​​ 
  • 衞生護理取得及資訊處（HCAI，前身為職安健康護理署）​​ 

按財政年度劃分的補充資源：​​ 

2021-2022 年聯邦會計年度​​ 

2022-2023 聯邦財政年度 (FFY)​​ 

二零二三至 2024 年聯邦財政年度​​ 

二零二四至 2025 年聯邦財政年度​​