News

23-536m Expect More Patients From Medi-Cal Expansion for Ages 26 Through 49

Date: 06/27/23

New patients may arrive beginning January 2024 

Beginning January 1, 2024, a new law in California will allow adults ages 26 through 49 to qualify for full scope Medi-Cal, regardless of immigration status. All other Medi-Cal eligibility rules, including income limits, will still apply.

This initiative is called the “Ages 26 Through 49 Adult Expansion.” It is modeled after the Young Adult Expansion, which provided full scope Medi-Cal to young adults 19 through 25, and the Older Adult Expansion, which provided full scope Medi-Cal to adults 50 years of age or older. This latest expansion of full scope Medi-Cal brings California closer to a Healthy California for All.

How does this affect providers?

On or after January 1, 2024, providers may see an increase in the number of Health Net* Medi-Cal patients they serve.

For more information visit the Department of Health Care Services (DHCS) Ages 26 Through 49 Adult Full Scope Medi-Cal Expansion.

Additional information

Providers are encouraged to access CHWP’s provider portal for real-time information, including eligibility verification, claims status, prior authorization status, plan summaries, and more.

If you have questions regarding the information contained in this update, contact CHWP at 877-658-0305.