Implementation Plan for New Eligibility and Enrollment Changes Under H.R. 1

TIME: 1:00 p.m. to 2:00 p.m. (Pacific)

Recent federal policy changes will require states to implement new Medicaid eligibility and enrollment requirements, including more frequent eligibility renewals and work and community engagement requirements for certain adults. In California, these changes will affect Medi-Cal eligibility processes beginning in 2027 and will require updates to enrollment systems, verification processes, and member communications.

The California Department of Health Care Services (DHCS) is developing an implementation plan to comply with these federal requirements while minimizing disruption and supporting continuity of coverage for Medi-Cal members. Counties, managed care plans, providers, and community-based organizations will play an important role in supporting members through these changes, including assisting with eligibility processes, helping members understand new requirements, and connecting individuals to available exemptions and reporting pathways.

This webinar will provide an overview of the federal requirements, DHCS’s approach to implementing them in Medi-Cal, and anticipated operational impacts for counties, managed care plans, providers, and community partners. The session will also highlight timelines, affected populations, and opportunities for stakeholder engagement as the state prepares for implementation.

LEARNING OBJECTIVES

• Describe the new federal Medicaid eligibility and enrollment requirements that affect Medi-Cal, including six-month renewals and work/community engagement requirements.
• Identify which Medi-Cal populations will be affected by the new requirements and the key exemptions that may apply.
• Understand DHCS’s implementation approach and timeline for complying with federal eligibility changes.
• Recognize operational and administrative implications for counties, health plans, providers, and community-based organizations supporting Medi-Cal members.
• Identify strategies and resources stakeholders can use to support Medi-Cal members in maintaining coverage during the transition to the new eligibility requirements.

PRESENTER

• Michael Freeman, Assistant Deputy Director, Contract & Enrollment, CA Department of Health Care Services

FEES:

CPCA Members & Health Centers: Free thanks to generous grant support from Community Partners, we are able to provide this webinar free of charge.
Non-member, Non-health center: $125.

(If you are a CPCA Member or California health center and the system is charging a fee, please contact training@cpca.org)

How to Register

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Email Communications

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• A receipt email from training@cpca.org.
• A Zoom link email from no-reply@zoom.us with a calendar add option.

Tip: Add the Zoom link to your calendar immediately for easy access on the day of the event.

Need help? Watch our registration tutorial video or contact training@cpca.org.

Important Notes

Cancellation Policy

• No refunds for cancellations within 10 business days of the event
• Cancellations before that deadline may receive a 50% refund if submitted in writing to training@cpca.org
• Substitutions within the same organization are encouraged in place of cancellation

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