California Benefit

Medi-Cal

Also known as: California Medicaid

Medi-Cal is California's Medicaid program, providing free or low-cost health coverage to eligible California residents with limited income.

At a Glance

  • Adults 19-64 with income up to 138% FPL qualify.Higher limits apply to children and pregnant women.
  • Children under 19 qualify up to 266% FPL.
  • Pregnant women qualify up to 213% FPL.
  • Must be a California resident.
  • + 2 more requirements below

Eligibility Requirements

Income Limit (Adults)

Required

Adults 19-64 with income up to 138% FPL qualify.Higher limits apply to children and pregnant women.

household_income_fpl 138 percent

Income Limit (Children)

Required

Children under 19 qualify up to 266% FPL.

household_income_fpl 266 percent

All of:

  • AND age < 19

Income Limit (Pregnant)

Required

Pregnant women qualify up to 213% FPL.

household_income_fpl 213 percent

All of:

  • AND is_pregnant = true

California Residency

Required

Must be a California resident.

state_residency = CA

Citizenship/Immigration

Required

California provides full-scope Medi-Cal to undocumentedresidents under 26 or 50+ years old, regardless ofimmigration status.

citizenship_status in [us_citizen, permanent_resident, refugee, asylee, prucol, undocumented_under_26, undocumented_50_plus]

No Other Coverage

Required

Generally cannot have other qualifying health coverage(some exceptions for Medicare dual eligibles).

has_other_qualifying_coverage = false

Ruleset effective: 2024-01-01

Quick Info

Agency
DHCS
Category
Healthcare
Last Verified
2026-01-13

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