Medi-CalMedium ImpactAdministrative
Presumptive Eligibility Provider Update: 2026 FPL Programming Complete
Published May 3, 2026Effective March 24, 2026
AI Summary
Medi-Cal has updated their Presumptive Eligibility systems with 2026 Federal Poverty Levels as of March 24, 2026. Providers can now request manual review of income-based denials that occurred between January 1-March 24, 2026, as these used outdated 2025 poverty levels.
Action Required
Immediately: Review any Presumptive Eligibility income-based denials from January 1-March 24, 2026. For questionable denials, email the appropriate DHCS inbox (DHCSHospital@dhcs.ca.gov for HPE, ChildrenPE@dhcs.ca.gov for CPE, or PE@dhcs.ca.gov for PE4PP) with completed Application Summary and denial response message. DHCS will manually review using 2026 poverty levels and may activate eligibility retroactively.
Plan Types
Medicaid
States
CA
Specialties
all-specialties