CHA News

Medi-Cal Older Adult Expansion Takes Effect on May 1

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

This post has been archived and contains information that may be out of date.

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