To meet the work requirement to maintain Medi-Cal eligibility, you need to earn at least $580 a month. You are exempt if you are volunteering 80 hours per month or attending school half-time.
I have seen where the information all looks correct, but Medi-Cal never resubmitted the application. Medi-Cal changes their database and that of Covered California. However, if those changes are not properly processed through CalHEERS, your results may not be correct.
Covered California has revised their income table to reflect the higher federal poverty levels. The higher dollar amount numbers are effective March 2026. The revision only applies to Medi-Cal programs. When reviewing any income table update, make sure the date in the lower right-hand corner is 3/2026. That is the revised table from the 10/2025 […]
There are many different rules to determine if assets and personal property are exempt or counted. It quickly gets complicated if the applicant is married, but their spouse is not applying for the Medi-Cal extra help.
If an individual is terminated from Medi-Cal because they failed to verify the work requirement, they are ineligible for the Advance Premium Tax Credit (APTC). The APTC is the subsidy through Covered California that reduces the monthly premiums of a private health plan.
For decades, Medi-Cal has verified the income for applicants and renewing beneficiaries using federal and state databases. The process known as the Income and Eligibility Verification System (IEVS). The California Department of Health Care Services has provided county Medi-Cal offices with a reminder of the IEVS process in an All County Welfare Directors Letter, 25-16. […]
The 2026 asset test will be $130,000 and $65,000 for each additional household member. In other words, a single adult with assets over $130,000 will not qualify for Non-MAGI Medi-Cal. A married couple with assets over $195,000 will be ineligible for Non-MAGI Medi-Cal for either individual.
Upon learning that CMS or the federal Department of Health and Human Services (HHS) may have shared personally identifying information with the Department of Homeland Security, the California Department of Health Care Services asked CMS if any individual Medi-Cal member information has been shared. As of June 13, 2025, there has been no response to the inquiry.
For a married couple, they can earn up to $2,433 per month and still qualify for MAGI Medi-Cal. This represents a 3.44 percent increase from 2024. MAGI Medi-Cal is the expanded Medi-Cal for low-income adults between the ages of 19 and 64 years of age.