Summary
Published Date: January 31, 2025
As California transitions to an integrated, managed long-term services and supports (MLTSS) system, this report identifies current and future gaps in the state’s Medi-Cal home and community-based services (HCBS) and long-term services and supports (LTSS) programs and service delivery systems that hinder Medi-Cal members’ access to HCBS.
- Findings:
California's population is aging rapidly, particularly in rural areas where current access to HCBS programs is already limited. - To meet the needs of a growing population of Medi-Cal members in need of HCBS, the number of HCBS providers participating in Medi-Cal must increase.
- A fragmented system of HCBS programs with differing eligibility requirements and enrollment procedures makes it difficult for Medi-Cal members to access the care they need in a timely manner.
- California's highly decentralized HCBS program design makes it difficult for DHCS to effectively monitor access, unmet need, and the quality of care delivered to Medi-Cal members.
This study references a related UCLA Center for Health Policy Research fact sheet.
