MedicaidCoverageMedium impact
21-263 Updates to COVID-19 Vaccine Eligibility Requirements
Health Net·CA · Family Medicine, Internal Medicine, General Practice +1 more·Provider News
Effective date
Apr 1, 2021
We identified it
Jun 20, 2026
Summary
Updates COVID-19 vaccine eligibility requirements for California Medi-Cal members, expanding eligibility to include persons 65+, specific high-risk medical conditions, and phased expansion to all residents 50+ by April 1st and 16+ by April 15th. Self-attestation is allowed without documentation requirements.
Action Required
By April 1, 2021: Billing team must update patient eligibility verification processes for COVID-19 vaccination appointments to include expanded age groups (65+, 50+) and high-risk conditions listed in policy. Front desk staff should accept patient self-attestation for high-risk conditions without requiring documentation. By April 15, 2021: Remove all age restrictions for California Medi-Cal members 16 and older seeking COVID-19 vaccination.