Medi-Cal: Changes & Resources

We are preparing for changes to Medi-Cal, including new eligibility rules and benefit adjustments, that could significantly impact some of our most vulnerable residents. Below are links to California state and local resources outlining changes and what providers and clients can do to prepare for the changes rolling out in early 2026.

Stay informed and let’s work together now to ensure our community members & clients can seek and maintain coverage and secure the care they need for stability.

Upcoming changes

The San Francisco Human Services Agency (HSA) is the primary agency for public assistance, including food, cash, employment, and healthcare support for the City and County.

The California Department of Health Care Services (DHCS) is the single state agency responsible for financing and administering CA’s Medicaid program, Medi-Cal, which provides health care services to low-income persons and families who meet defined eligibility requirements.

Health Consumer Alliance Medi-Cal Changes and What You Need to Know.

Immigration & Eligibility

Starting January 1, 2026, undocumented Californians age 19 and above who don’t currently receive Medi-Cal benefits will no longer be eligible for full healthcare coverage through Medi-Cal. The San Francisco Human Services Agency strongly encourages undocumented community members age 19 and up to apply for Medi-Cal before January 1, 2026. La Agencia de Servicios Humanos de San Francisco recomienda encarecidamente a personas en la comunidad que son indocumentados de 19 años en adelante que soliciten Medi-Cal antes del 1 de enero de 2026.

If you have coverage, you remain eligible as long as you stay enrolled – regardless of immigration status. Make sure to follow recertification instructions to keep your benefits.

Location: Gubbio Project

Webinars & Educational Opportunities

DHCS Ambassadors Program