Helping Hands: CalOptima's Big Move to Keep Medi-Cal Coverage

Starting in 2026, significant changes to Medi-Cal will impact nearly 1 million people in Orange County.

Key Changes to Medi-Cal

• More Frequent Renewals: Some enrollees will need to prove eligibility every six months instead of annually.
• New Work Rules: Starting in 2027, working-age adults must show they worked at least 80 hours a month.
• Coverage Cuts: New adult undocumented immigrants won't be able to enroll starting in 2026. Those already enrolled will face a $30 monthly fee starting in 2027.

CalOptima's Plan to Help

CalOptima Health is investing $19.8 million to ensure enrollees understand and navigate these changes. Their plan includes:

1. Outreach Campaign

• Utilizing local media, social media, newsletters, and community groups to spread awareness.
• Addressing challenges like language barriers, lack of technology access, and economic struggles.

2. Partnership with Orange County Social Services Agency

• $2 million investment over three years to provide in-person assistance at community events.
• Helping people enroll and renew Medi-Cal, CalFresh, and other assistance programs.

3. Grants to Community Organizations

• $5 million in grants to support Medi-Cal enrollment and renewal efforts.
• Grants can be renewed for another two years.

Why This Matters

Michael Hunn, CEO of CalOptima, emphasized the importance of clear communication to help people understand their benefits and what they need to do to keep them. Losing health care coverage is a significant concern for many low-income residents, and CalOptima aims to provide the necessary support.