CHA News

Medi-Cal Older Adult Expansion Takes Effect on May 1

For CFOs, patient financial services staff, admissions staff, case managers

Beginning May 1, California will provide full-scope Medi-Cal benefits to individuals who are age 50 or older, regardless of citizenship or immigration status, who meet all other Medi-Cal full-scope eligibility criteria.  

This coverage expansion will impact future eligibility determinations of individuals over 50 without satisfactory immigration status and provide full-scope coverage for approximately 185,000 individuals age 50 or older who are already enrolled in restricted scope Medi-Cal, which currently provides for only emergency and pregnancy-related care.   

Under this coverage expansion, eligible individuals will be able to access the full range of benefits available to Medi-Cal beneficiaries who have full-scope coverage. This includes preventative health, behavioral health, substance use disorder services, long-term care, and dental services.  Most of the individuals transitioning from restricted-scope to full-scope Medi-Cal and most of those determined eligible under this expansion will be enrolled and receive their care through a Medi-Cal managed care plan.   

For more information, please visit the Department of Health Care Services website