The start of 2026 brought important changes to California’s Medi-Cal program. If your family depends on Medi-Cal for healthcare coverage, it is important to understand how these updates may affect your access to care. Staying informed can help you avoid unexpected disruptions in your coverage.
Updated eligibility requirements
The federal government updates the Federal Poverty Level income guidelines each year. California updates its Medi-Cal income limits to match those new federal dollar amounts. These income thresholds affect different family sizes in different ways. The new calculations mean some families may now qualify for Medi-Cal while others may no longer meet the requirements.
Review your household income to check your status. Even small changes in your pay could affect your benefits. The state may ask for more records to check your eligibility. Keep your pay stubs, tax returns and other money records ready.
Reinstated asset limits
California has brought back asset limits for older adults aged 65 and older and people living with disabilities. For the last two years, the state did not count your assets when deciding eligibility. Now, certain programs may look at what you own, setting a cap of $130,000 for a single person and $195,000 for married couples.
Assets include savings accounts, checking accounts and property you own. The state will review these when reviewing your eligibility for specific long-term care programs. Different programs have different asset limits. Regular low-income families and children are completely exempt from this asset test. However, it may help to check if the asset limits apply to your situation.
New renewal process
Medi-Cal has also started a new annual renewal system. You may get notices about your renewal deadline. Missing this deadline could mean your family loses coverage.
The renewal process now works mostly online. However, you can still send paper forms if you need to. Make sure the county has your current address and phone number. This can help you get important notices about your coverage.
Coverage freeze for new adult enrollments
California stopped enrollments in full-scope Medi-Cal for new undocumented adults aged 19 and older in 2026. Only undocumented adults who were already successfully enrolled before January 1, 2026, are completely grandfathered in and will keep their full-scope coverage if they complete their renewals on time. Income-eligible children under the age of 19 face no freeze and can still newly enroll in full-scope coverage at any time.
Pregnant people still get full prenatal and postpartum care. The state provides postpartum coverage for 12 months after delivery. Your children can continue to get preventive care, dental services and vision benefits.
Protecting your family’s health access
Medi-Cal’s 2026 updates have created new challenges for families in Concord. Knowing these new rules can help you keep healthcare coverage for your loved ones. If you have questions about your eligibility, it may be helpful to review your options.