The landmark Olmstead decision by the Supreme Court in 1999 affirmed the right of individuals with disabilities to live independently in their communities, and required every state to ensure that the independent living needs of people with disabilities residing in the state are being met. The California State Independent Living Council (SILC) and its partner agency, the California Department of Rehabilitation (DOR), engaged BPA and Managed Care Consulting, Inc., dba Community Health Partnerships (MCC/CHP), to review the State Plan for California's Medicaid program (Medi-Cal) in order to assess whether the Plan adequately and appropriately meets the medical and healthcare needs of people with disabilities and whether it satisfactorily addresses the requirements of Olmstead. BPA and MCC/CHP examined, among other issues, whether optional healthcare services that may have helped avoid institutional care should be added to Medi-Cal, and whether changes should be made to the Medicaid waiver programs that provide specialized services to eligible individuals. The research team also conducted focus groups, consumer surveys, and community forums in order to obtain stakeholder input on possible Medi-Cal services that would enable people with disabilities to live independently in the community. Based on the stakeholder input, key informant interviews, literature reviews, and a review of the State Plan itself, BPA and MCC/CHP developed recommendations for the SILC and DOR to provide to the California Department of Health Services regarding Medi-Cal services that support independent living.