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Qualified Non-Citizens

Important Medi-Cal Changes for Some Qualified Non-Citizens

Changes to Medi-Cal eligibility for certain Qualified Non-Citizens will take effect on October 1, 2026.  Learn more about these changes, how they may affect coverage, and what individuals should know.

What is Changing?

Effective October 1, 2026, House Resolution 1 (H.R. 1) will change which Qualified Non-Citizens will remain eligible for federally funded full-scope Medi-Cal.

Who is Affected?

The following Qualified Non-Citizen groups will no longer be eligible for federally funded full-scope Medi-Cal, effective October 1, 2026:
 

  • Refugees
  • Asylees
  • Humanitarian Parolees
  • Conditional Entrants
  • Lawful Permanent Residents with under 5 years of residency without an exemption
  • Non-Citizen Survivors of Domestic Violence or Trafficking Victims
     

However, California residents affected by the change in federal funding will continue to receive state funded full-scope Medi-Cal benefits.

Additional Changes

Starting January 1, 2027, the way affected Qualified Non-Citizens receive Medi-Cal services will change.  Affected Qualified Non-Citizens will receive their Medi-Cal health care services through Medi-Cal Fee-For-Service instead of a Medi-Cal Managed Care Plan.

Action Required

  • Read and respond to all mail received from DPSS and the California Department of Health Care Services.
  • Submit requested information and complete renewals on time to maintain coverage.

DPSS is Here to Help

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Additional Resources

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