Gap Analysis and Multi-Year Roadmap of Medi-Cal Home and Community-Based Services and Managed Long-Term Services and Supports Programs
To support California's transition to a statewide, fully integrated long-term services and supports (LTSS) system, the Department of Health Care Services (DHCS) commissioned a gap analysis and multi-year roadmap of Medi-Cal home and community-based services (HCBS) and managed LTSS programs. The project objectives are to:
- Reduce inequities in access and services;
- Meet client needs
- Increase program integration and coordination;
- Improve care quality; and
- Streamline access to services.
To better meet these objectives, DHCS is asking for feedback from consumers, families, providers, health plans, and other key stakeholders. This project is supported by the Centers for Medicare & Medicaid Services (CMS) through supplemental funding from the
Money Follows the Person (MFP) Demonstration. DHCS released a Request for Information (RFI) in March 2022 to identify potential consultants to conduct the gap analysis and multi-year roadmap. Mathematica and the Center for Health Care Strategies were selected as the consultants through a competitive bid process.
Stakeholder Engagement
To promote transparency and provide opportunities for input at every project stage, DHCS and its consultants will engage a wide range of stakeholders in both the gap analysis and the development of the multi-year roadmap. Engagement activities will include public meetings, listening sessions, and website and email updates. These engagement activities will give stakeholders opportunities to provide input on the project design or comment on project findings or recommendations.
Public Meetings
Upcoming Webinars
DHCS, in partnership with the California Department of Aging (CDA), will host twice-yearly informational webinars on the HCBS gap analysis and multiyear roadmap project. In the meetings, DHCS will update stakeholders on its Medi-Cal Gap Analysis and CDA will provide updates on its parallel Non-Medi-Cal Gap Analysis, which expands on DHCS' HCBS Gap Analysis to include an accompanying program inventory, and an analysis of utilization and demand for non-Medi-Cal HCBS programs and services.
To be included on the invitation list for upcoming webinars, please send an email to
HCBSGapAnalysis@dhcs.ca.gov. The next meeting will be:
July 14, 2023, 1:00p.m.-3:00p.m.
Details Forthcoming
For individuals with disabilities, DHCS will provide free assistive devices, including language and sign-language interpretation, real-time captioning, note takers, reading or writing assistance, and conversion of training or meeting materials into braille, large print, audio, or electronic format. To request alternative format or language services, please call or write:
Department of Health Care Services
Home and Community-Based Services Policy Section
P.O. Box 997437, MS 4502
Sacramento, CA 95899-7437
Program Email:
HCBSGapAnalysis@dhcs.ca.govPlease Note: The range of assistive services available may be limited if requests are received less than ten working days prior to the meeting or event.
Previous Webinars
January 20, 2023
February 17, 2021
December 4, 2020
Key Documents
- CMS-Approved Application1
[1] This project is supported by the Centers for Medicare & Medicaid Services of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $5M with 100 percent funded by CMS/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.
Related Work: California LTSS Data Dashboard
The LTSS Data Dashboard, an initiative of the
Home and Community-Based Services Spending Plan, tracks demographic, utilization, quality, and cost data related to LTSS in California. This dashboard links statewide long-term care and HCBS data with the goal of increased transparency to make it possible for regulators, policymakers, and the public to be informed while the state continues to expand, enhance and improve the quality of LTSS in all home, community, and congregate settings.
View the
LTSS Data Dashboard
Questions
To submit questions about the HCBS gap analysis and multi-year roadmap, send by email to:
HCBSGapAnalysis@dhcs.ca.gov, or by mail to the following address:
Department of Health Care Services
Integrated Systems of Care Division
P.O. Box 997437, MS 4502
Sacramento, CA 95899-7437
Attn: HCBS Section
Return to the
MFP-CCT landing page.
