MedicaidCoverageMedium impact
23-534m Expect More Patients From Medi-Cal Expansion for Ages 26 Through 49
Health Net·CA·Prior Authorization
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Starting January 1, 2024, California expanded full-scope Medi-Cal eligibility to adults ages 26-49 regardless of immigration status. Healthcare providers should expect an increase in Health Net Medi-Cal patients and should use the provider portal for eligibility verification.
Action Required
Immediately: Front desk staff should verify patient eligibility through the Health Net provider portal at provider.healthnetcalifornia.com for all patients ages 26-49 who may now qualify for Medi-Cal. Billing team should prepare for increased Medi-Cal volume and ensure staff know to contact CalViva Health at 888-893-1569 for questions.