MedicaidCoverageMedium impact
22-216m Expect More Patients from Medi-Cals Older Adult Expansion
Health Net·CA·Prior Authorization
Effective date
May 1, 2022
We identified it
Jun 20, 2026
Summary
California's Older Adult Expansion provides full-scope Medi-Cal coverage to adults ages 50+ regardless of immigration status, effective May 1, 2022. Healthcare practices in 9 California counties should expect an influx of new Medi-Cal patients from this population starting May 2022.
Action Required
Immediately: Billing team should verify Medi-Cal eligibility for all patients 50+ in real-time using the provider portal, especially in Kern, Los Angeles, Riverside, Sacramento, San Bernardino, San Diego, San Joaquin, Stanislaus, and Tulare counties. Update front desk procedures to identify and enroll eligible older adult patients. Monitor DHCS provider bulletins for implementation updates.