Understanding Changes
Learn about upcoming Medi-Cal changes and what they may mean for individuals and families.
Beginning in 2027, several changes are expected to affect how some people qualify for and maintain Medi-Cal coverage. Understanding what’s ahead can help you prepare and know when you may need to take action. Not every change will affect every person in the same way. As additional guidance becomes available, Coverage Is Care will continue updating this information.
What's changing?
Upcoming changes may affect eligibility, renewals and other parts of Medi-Cal coverage. Here are four of the key changes to know about.
Changes to Work Requirements
Some adults may need to meet new work or community engagement requirements to maintain Medi-Cal coverage.
Not everyone will be affected, and some people may qualify for exemptions based on their circumstances.
More Frequent Eligibility Reviews
Some Medi-Cal members may need to renew or verify their eligibility more often than they do today.
That makes it especially important to watch for notices, keep your contact information current and respond by the deadline.
Eligibility for Some Non-Citizens
Changes to Medi-Cal eligibility may affect some non-citizens beginning in the coming years.
How the changes apply will depend on individual circumstances, including immigration status and other eligibility requirements.
Shorter Retroactive Coverage
The amount of retroactive Medi-Cal coverage available to some applicants will become shorter.
This may affect how far back eligible medical expenses can be covered before the month someone applies for Medi-Cal.
Why do these changes matter?
Health coverage helps people stay connected to preventive care, medications, behavioral health services, maternity care, children’s healthcare and ongoing treatment. When coverage is interrupted because of missed paperwork, outdated contact information or confusion about the renewal process, people may delay care or lose access to services they rely on.
That’s why learning about the changes early and knowing what actions you may need to take can make a difference.
Many people lose health coverage each year because of missed renewal notices, incomplete paperwork or outdated contact information—not because they are no longer eligible.
Taking a few steps now can help reduce the risk of unnecessary coverage interruptions.
Resources and tools
Find trusted information, helpful tools and materials from county, state and community partners to help you stay informed and prepare for upcoming Medi-Cal changes.
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Questions and support
Have questions about the changes or aren’t sure what they may mean for you? Find answers to common questions and additional support to help you know where to turn next.
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