Department of Health Services (DHS) Fiscal Outlook

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Description:
This memorandum provides a Summary of Changes in the DHS Fiscal Outlook (Attachment I) since the last Budget Committee of the Whole report to the Board of Supervisors on September 15, 2009. As indicated in the Summary of Changes, the current estimated shortfalls are $(213.1)million for Fiscal Year (FY) 2009-2010 and $(576.7) million for FY 2010-2011. The developments contributing to these changes are summarized in the attached Summary of Changes. This memorandum provides specific details regarding the managed care rate supplement, the impact of additional state budget cuts, the hospital provider fee, the FMAP extension and the 1115 Waiver.