This week the Legislative Analyst’s Office (LAO) released a report on the Governor’s proposed 2017-18 Budget item eliminating the Coordinated Care Initiative (CCI).  As part of this change, the In Home Support Services (IHSS) Maintenance of Effort (MOE) is also eliminated, thereby shifting increased costs, estimated to be an additional $623 million in FY 2017-18, to counties.  

The LAO’s 36 page report outlines challenges of the CCI and IHSS programs, and the methodology used by the Department of Finance in determining that the CCI program was no longer viable and therefore should be eliminated.  The LAO also makes recommendations to the Legislature on possible options for addressing the failing CCI program and mitigating the increased costs incurred by counties in the IHSS cost-sharing shift.  The full report can be accessed here.