What is changing with Medi-Cal in 2026?


Editorial team Published on

You can review the official updates and guidelines on the Medi-Cal Changes - DHCS portal.

California has introduced major rule changes for Medi-Cal starting in 2026. Here are the key updates:

Asset Limits Reinstated (January 1, 2026)

  • Who it affects: Adults aged 65 and older, people with disabilities, and nursing home residents.
  • The rule: The state brought back asset limits after a temporary pause.
  • The limits: Countable assets cannot exceed $130,000 for a single person and $195,000 for a married couple.

Enrollment Freeze for Certain Adults (January 1, 2026)

  • Who it affects: Undocumented adults ages 19 and older who want to apply for full-scope Medi-Cal.
  • The rule: New full-scope enrollments are frozen for this group.
  • Current members: If you already have full-scope Medi-Cal, you keep your coverage as long as you complete your renewals on time.

Upcoming Rules in 2027

  • Work requirements: Starting January 1, 2027, some adults aged 19 to 64 without young children must work, volunteer, or go to school to keep benefits.
  • Dental cuts: Starting July 1, 2027, regular dental coverage stops for certain adult immigrant groups, leaving only emergency dental care.