new medi cal adult expansion for individuals age
Updates

New Medi-Cal Adult Expansion for Individuals Aged 26-49

January 6, 2024
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Overview of the Medi-Cal Adult Expansion 2024

Starting January 1, 2024, the Medi-Cal Adult Expansion will offer full-scope benefits to Californians ages 26-49, regardless of immigration status. This initiative aligns with the Young Adult (Jan. 2020) and Older Adult Expansions (May 2022), contributing to a healthier California for all.

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Who is impacted by this expansion?

1. New Enrollee Population

The new enrollee population consists of individuals who are:

  • 26 through 49 years of age in January 2024,
  • Are NOT currently enrolled in Medi-Cal, who apply for Medi-Cal starting January 1, 2024,
  • Must meet all eligibility criteria for full-scope Medi-Cal, except for SIS.
  • The new enrollee population can be eligible under any eligibility group, including Modified Adjusted Gross Income (MAGI) and Non-MAGI.

2. Transition Population

The transition population consists of individuals who are:

  • 26 through 49 years of age,
  • ARE currently enrolled in restricted scope Medi-Cal because
  • they do not have an SIS or are unable to establish SIS for full-scope Medi-Cal.
  • The transition population can be eligible under any eligibility group, including MAGI and Non-MAGI, before January 1, 2024.

Impact on Immigration Status

Utilizing Medi-Cal benefits under this expansion does not affect an individual’s immigration status, in accordance with DHS and USCIS guidelines. The Federal Government has issued a final public charge rule, which limits its application and removes barriers to accessing public benefits for most immigrants. See the CalHHS Public Charge Guide.

Eligibility and Enrollment

Clinica Sierra Vista will play a pivotal role in informing and assisting our community with this expansion. Our Health Insurance Assistance Program (HIAP) team is ready to guide community members through the application process and address any concerns. For support and more information, please contact the HIAP Team.

HIAP Contact Information:

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Program Objectives

  • At least 80% of interns complete program/degree requirements within 13.5 months (150% of planned program length).
  • Of graduates who seek employment, at least 100% are employed in nutrition and dietetics or related fields within 12 months of graduation.
  • At least 80% of program graduates take the CDR credentialing exam for dietitian nutritionists within 12 months of program completion.
  • The program’s one-year pass rate (graduates who pass the registration exam within one year of first attempt) on the CDR credentialing exam for dietitian nutritionists is at least 80%.
  • 80% of employers, who return surveys, rate graduates as “satisfactory” or “excellent” for ability to work effectively with multicultural populations from diverse backgrounds.
  • 90% of program graduates work as entry-level Registered Dietitian Nutritionists in community nutrition.
  • 90% of graduates work in Central Valley community programs for at least two years after graduation.

Do I Qualify for WIC?

WIC is a program that helps families with food and nutrition. Call us at (661) 862-5422 or send a message, and we’ll help you see if you qualify.

Here are some ways you might qualify:

  • You are pregnant
  • You are breastfeeding a baby who is less than one year old
  • You had a baby in the last six months
  • You have a child who is under the age of five
  • You experienced a loss of pregnancy or had a termination

You also need to think about your family’s income. Here are the monthly income limits for family sizes:

  • 1 Person: $2,413
  • 2 Persons: $3,261
  • 3 Persons: $4,109
  • 4 Persons: $4,957
  • 5 Persons: $5,805
  • More than 5 Persons: Add $848 for each additional member

This income limit is based on 185% of the Federal Poverty Level, and these amounts will be effective from April 1, 2025, to June 30, 2026.

Also, if you’re pregnant, the baby counts as part of your family size when figuring out if you qualify.

Get Care Right Away

Need care right away? Our health centers offer same-day appointments, and our walk-in clinics also offer extended hours. Whether you schedule ahead or stop by, we’re here to deliver fast, high-quality care when and where you need it.

Visit Your Preferred Location

We make it easy to choose the clinic that works best for you. Keep in mind that your preferred location may mean seeing a different provider. Either way, you’ll receive compassionate, expert care from our trusted team, no matter which clinic you visit.

See Your Preferred Provider

Our providers work across multiple clinics to make care accessible, so their location may vary based on availability. No matter where you’re seen, you can trust our dedicated team to deliver the high-quality care you deserve.