Federal Government Set to Reopen with Temporary Funding Bill through Feb. 8

This morning, the U.S. Senate passed a temporary funding bill to pave the way for keeping the federal government open through February 8, 2018. The bill still needs to pass the U.S. House, and is expected to do so easily. A permanent funding bill would need to be passed prior to February 8 to avoid another shutdown. As previously reported, we do not anticipate any impact to school-Medicaid...

Will a government shutdown impact school-Medicaid payments?

As the deadline looms for the federal government to approve funding for the fiscal year and avoid a shutdown, school-Medicaid stakeholders may be wondering what impact a shutdown would have on their programs. It doesn't appear that Medicaid payments will be affected by a temporary shutdown.  Several Federal congressional legislators have already identified on their websites that Medicare,...

OT/PT Service Billing Impacted by Change to California Children’s Services Program

California's 2017-18 state budget, which went into effect on July 1, 2017, included $1.6 million for nonmedically necessary OT and PT services to the California Children's Services (CCS) Medical Therapy program. While CCS was previously required to provide OT and PT services that the agency determined were medically necessary for CCS-eligible children, these sometimes only included a fraction...

CA Budget Deal Includes Historic Kids Expansion; But No Other Medi-Cal Restorations

Today in a joint press conference with California Assembly Speaker Toni Atkins and Senate President Pro Tempore Kevin de León, Governor Brown announced a budget deal that includes $40 million for a Medi-Cal expansion for low-income children regardless of immigration status. The expansion would be effective May 1, 2016 (four month later than the Legislature’s proposed start date). The...

Early Analysis of Governor Brown’s 2015-16 Budget Proposal

On Friday, January 9, 2015, California Governor Jerry Brown released his proposed budget for the upcoming 2015-16 fiscal year. This is the start of a long process which will include revisions and necessary approvals by both the Assembly and Senate, with the final budget due by June 15th. Governor Brown's proposal includes $142 billion for services and programs under the Department of Health and...

School-Based Medicaid Perspective on California’s FY 2014/15 Budget

California’s 2014-15 budget bill and related legislation was signed into law by Governor Jerry Brown on June 20, 2014. The spending plan maintains a $1.6 billion reserve while detailing $108 billion in General Fund expenditures and total state spending of $156.4 billion. For the second year in a row, the state budget did not include any provisions that directly impact California’s school...

Bill Sidesteps Governor, Accepts Grant

If you can't beat 'em, legislate 'em. Bucking one provision from the governor in the recently adopted budget, a new bill co-authored by Sen. Ed Hernandez (D-West Covina) and Sen. Mark Leno (D-San Francisco) will be presented in the Assembly Committee on Health today. SB 18 would accept a $6 million grant from the California Endowment with the intention of drawing down an additional $6 million...

California Legislature Passes Budget

On Sunday, the California Legislature approved a $156.4 billion spending plan for 2015-16. Pending the Governor’s signature, the budget will take effect on July 1st. Once the final budget has been approved, Paradigm will publish our annual review of key provisions for the school Medicaid program stakeholders. Read a health-focused analysis of the budget from California Healthline… Read...

Governor’s May Revise Spotlights Medi-Cal Enrollment, But Includes No New HHS Restorations

Yesterday, Governor Jerry Brown unveiled his May Revision of the State Budget for 2014-15, his spending plan for July 1 2014 through June 30, 2015, by trumpeting the strong and successful effort to cover more Californians in Medi-Cal coverage. “This is good news for California,” he started, referring to a $2.4 billion more in revenues since the January budget, before indicating how the money...

Community Schools Gaining Traction Under State’s New Funding Formula

Efforts to create full-service community schools that focus on serving the “whole child” with a wide array of services are gaining traction under the state’s new funding formula for schools. The convergence of more money for low-income students and a new mandate to work with families under the Local Control Funding Formula has created “a unique point of time” for community schools to...