Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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State Policy·CA·June 29, 2026

California Report Examines Undocumented Residents' Medi-Cal Access Under Enforcement Climate

A California Health Care Foundation report based on interviews with 39 undocumented Californians analyzes how recent Medi-Cal eligibility expansions interact with heightened immigration enforcement concerns. The qualitative research explores coverage enrollment decisions, trust barriers, and healthcare access patterns among undocumented individuals now eligible for Medi-Cal under California's eligibility expansions. The report documents how immigration policy uncertainty affects enrollment behavior and continuity of coverage even when individuals are legally eligible for benefits. Findings inform outreach strategies and enrollment retention efforts for managed care plans serving this population in California.

Why it matters for managed care

California Medicaid managed care organizations enrolling undocumented members under state eligibility expansions face distinct retention and engagement challenges driven by immigration enforcement fears that affect enrollment decisions and care utilization patterns.

Managed Care

Read the full article at chcf.org

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