County eligibility workers are responsible for processing, verifying, and redetermining eligibility for applicants and Medi-Cal enrollees in California.
The county eligibility workforce helped enroll millions of low-income
adults who became newly eligible for Medi-Cal under the Affordable
Care Act (ACA) beginning in 2014, contributing to near universal
health care coverage in 2022 and 2023 when the statewide uninsured
rate dropped to a historic low of 6.2%.

As the State prepares for implementation of H.R. 1, adequate funding for the county eligibility workforce must be prioritized to:
• Mitigate massive Medi-Cal disenrollment.
• Reduce downstream uncompensated care costs to public
hospitals, clinics, and indigent care programs.
• Fully draw down the existing 75% Federal Financial Participation
(FFP) rate available for administrative-related Medi-Cal costs.
• Ensure continuous, low cost coverage for millions of low income
Californians and an enhanced federal match of 90%.

Learn more by clicking on our full fact sheet.