Helping Hands: CalOptima's Big Move to Keep Medi-Cal Coverage

CalOptima Health, a program that helps low-income people in Orange County get health insurance, is putting $19. 8 million into a plan to help people keep their Medi-Cal coverage. Starting in 2026, there are going to be big changes to Medi-Cal, like more frequent renewals, new work rules, and cuts for people who aren't permanent residents. CalOptima wants to make sure the nearly 1 million people they serve know about these changes and how to deal with them. The plan includes a big outreach campaign. They will use local media, social media, newsletters, and community groups to spread the word. Michael Hunn, the CEO of CalOptima, talked about the challenges many of their clients face. He mentioned language barriers, lack of access to technology, and economic struggles. The goal is to be proactive and help people understand what's coming and what they need to do. Recent changes in laws and budgets have led to cuts in Medi-Cal. Starting in 2026, new adult undocumented immigrants won't be able to enroll in Medi-Cal. Those already enrolled can keep their coverage but will have to pay $30 a month starting in 2027. Children under 18 and pregnant people can still enroll no matter their immigration status. Another big change is that some Medi-Cal enrollees will need to prove they are still eligible every six months instead of once a year. Starting in 2027, working-age adults will need to show they worked at least 80 hours a month. CalOptima is worried about people losing their coverage because of these new rules. They have seen a drop in automatic renewals since the pandemic, from 54% to 39%. To help with this, CalOptima is investing $2 million over three years in a program with the Orange County Social Services Agency. They will have staff at community events to help people enroll and renew their Medi-Cal, CalFresh, and other assistance programs. The Board of Supervisors is expected to vote on this collaboration soon. Additionally, $5 million will be given out in grants to community organizations, health care providers, and food banks to help with Medi-Cal enrollment and renewal. These grants can be renewed for another two years. Michael Hunn emphasized the importance of clear communication. He wants to help people understand their benefits and what they need to do to keep them. Losing health care coverage is a scary thought for many low-income residents, and CalOptima wants to make sure they have the support they need.