California To Spend Up To $4.6 Billion Over Three Years On Enhanced Medicaid HCBS

On September 3, 2021, the Centers for Medicare & Medicaid Services (CMS) partially approved California’s Department of Health Care Services’ (DCHS’) $4.649 billion proposed home- and community-based services (HCBS) spending plan for the American Rescue Plan Act of 2021 (ARPA) 10 percentage point increase to the federal medical assistance percentage (FMAP) for HCBS. The state had proposed 28 initiatives. CMS fully approved 13, partially approved 14, and denied one.

The 28 initiatives proposed in the “California Revised Home-& Community-Based Services Spending Plan” focused on building workforce capacity, improving service navigation for consumers, enhancing transitions to . . .