Older Adult Expansion into Full Scope Medi-Cal

March 28, 2022

Beginning May 1, 2022, a new law in California will provide adults 50 years of age or older access to full scope Medi-Cal services and immigration status does not matter.  All other Medi-Cal eligibility rules, including income limits, will still apply. This initiative, called the Older Adult Expansion, is modeled after Senate Bill 75 and the Young Adult Expansion, which provided full scope Medi-Cal to all eligible children and young adults under the age of 26 regardless of immigration status.

To support the implementation of this initiative, DHCS has created a dedicated Older Adult Expansion web page. The web page currently hosts the following type of information, but the resources on this page will continue to grow as the Older Adult Expansion evolves:

  • A PowerPoint presentation sharing the roadmap to the Older Adult Expansion to Medi-Cal stakeholders,

  • Frequently Asked Questions (FAQ), and

  • First notice, General Information Notice, to Beneficiaries regarding their expansion of benefits.

Providers finding themselves working with beneficiaries who ask about the Older Adult Expansion may leverage these resources for educational purposes.

County offices or other Medi-Cal stakeholders seeking specific policy guidance regarding the Older Adult Expansion may find more information posted in ACWDL 21-13, located on the DHCS website in the All County Welfare Directors’ Letters (ACWDL) page.

Additionally, county offices seeking global outreach language to promote this expansion, may find preliminary messaging in MEDIL 22-02, on the Medi-Cal Eligibility Division Information Letter (MEDIL) web page. The global outreach language currently available includes messaging that can be used in various forms of outreach including social media posts, call scripts, and county website content.

For all other questions related to the Older Adult Expansion, please feel free to contact DHCS at OlderAdultExpansion@dhcs.ca.gov.