Medi-Cal Enrollees Prepare for New Community Engagement Requirements; Health Net Launches "Get Informed, Stay Covered" to Educate Members
Health Net commits
A 2025 federal law requires certain adults eligible for Medi-Cal to meet new work or community engagement standards. These requirements are expected to take effect
"Keeping up with Medi-Cal work requirements and new rules could feel confusing or overwhelming to some," said
Under the new federal law, many Medi-Cal enrollees will need to complete 80 hours per month of approved activities — such as work, job training, volunteering, or school — to maintain coverage. Some people may qualify for an exemption to the rules to receive coverage. Exemptions include:
- Parents of young children;
- Individuals with disabilities;
- Pregnant people;
- Others with special circumstances.
The state will check eligibility when members apply for Medi-Cal coverage and every six months after that, giving members 30 days to provide documentation if needed.
Get Informed, Stay Covered campaign
Health Net has committed
The Get Informed, Stay Covered campaign is a multipronged effort to support its members and providers in navigating this policy change. This campaign will include:
- Multilingual outreach to members, using a variety of communication types;
- Targeted outreach to vulnerable members — supported by real-time assistance from community representatives, including clinics and county offices;
- Proactive, sustained face-to-face engagement with providers, community-based organizations, and local partners to deliver hands-on education, toolkits and other support.
"As Medi-Cal work and community engagement requirements move toward implementation, it's critical that Californians have clear, accurate information well in advance," said Assemblymember
As a highly experienced managed care plan, Health Net is working closely with policymakers to implement these changes in the least disruptive manner possible. Working hand-in-hand with state and county partners, Health Net will provide clear, timely guidance to its members and providers as this new policy takes shape. While these requirements will not be enforced until 2027, Health Net urges members to:
- Watch for updates from the California Department of Health Care Services (DHCS) and Health Net as the new rules take effect.
- Learn about exemptions and reporting options.
- Reach out to California DHCS early with any questions.
Medi-Cal currently provides coverage to approximately 14.9 million Californians across the state.
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