Mandatory Enrollment for Foster Children and Youth in Single Plan Counties 2025
Beginning January 1, 2025, DHCS will mandatorily enroll current and former Foster Care children and youth in Single Plan Counties (Alameda, Contra Costa, and Imperial) who are currently in Fee-For-Service (FFS) Medi-Cal (Regular Medi-Cal) into a Medi-Cal health plan. FFS Medi-Cal will not be available in Single Plan Counties starting January 1, 2025. This will align policies in all Medi-Cal Managed Care Plan models where there is a Single Plan operating in the county, per Assembly Bill (AB) 118.
Key Information and updates on the transition can be found below.
Key Documents
Information for Members
DHCS will mail member notices to current and former foster youth Medi-Cal members in Single Plan Counties 60 days and 30 days before January 1, 2025. The member notices are listed below.
60/30-day Notices (FFS)
For current and former foster children and youth Medi-Cal FFS members who will be enrolled in an MCP on January 1, 2025.
60/30-day Notices (MCP)
For current and former foster children and youth Medi-Cal members who are already enrolled in an MCP.
Notice of Additional Information (NOAI)
The Mandatory Enrollment for Foster youth in Single Plan Counties 2025 Notice of Additional Informtion (NOAI) is also below. The NOAI has more information about the change to Medi-Cal Managed Care and what it means for current and former foster children and youth in Single Plan Counties.
- Mandatory Enrollment for Foster Youth in Single Plan Counties 2025
- English, Arabic, Armenian, Cambodian, Simplified Chinese, Traditional Chinese, Farsi, Hindi, Hmong, Japanese, Korean, Laotian, Mien, Punjabi, Russian, Spanish, Tagalog, Thai, Ukrainian, Vietnamese
Medi-Cal Health Plan Options
Current and former Foster Care children and youth Medi-Cal members in Single Plan Counties can choose to enroll in either the Single Plan or Kaiser Permanente. For more information on the available Medi-Cal health plan options in your county, visit the Medi-Cal Managed Care Health Plan Directory webpage. To enroll in a Medi-Cal health plan, members can call Medi-Cal Health Care Options at (800) 430-4263 (TTY: (800) 430-7077), Monday through Friday, from 8 a.m. to 6 p.m., or enroll online at www.healthcareoptions.dhcs.ca.gov.
Where Members Can Go for Information and Help
Members can contact any of the following groups with any questions about the transition. All calls are free.
To Learn More about Health Plan and Provider Choices:
Health Care Options
- Call (800) 430-4263 (TTY: (800) 430-7077), Monday to Friday, 8 a.m. to 6 p.m.
- Or go to the Health Care Options website at www.healthcareoptions.dhcs.ca.gov
- Health Care Options helps people with plan choices and doctor or clinic choices.
To Update Your Personal Information:
For Questions about Why your Medi-Cal Service are Changing:
DHCS Ombudsman Office
- Call (888) 452-8609 (TTY: California State Relay at 711) (toll free), Monday to Friday, 8 a.m. to 5 p.m. PT.
- Or email them at MMCDOmbudsmanOffice@dhcs.ca.gov
- The Ombudsman Office helps people with Medi-Cal use their benefits and understand their rights and responsibilities.
For Questions about Medi-Cal
DHCS Medi-Cal Helpline
- Call (800) 541-5555 (toll free), Monday to Friday, 8 a.m. to 5 p.m. PT.
Stakeholder Meetings
To support planning and implementation, DHCS is hosting bi-monthly Mandatory Enrollment for Foster Children and Youth stakeholder meetings from May through November 2024.
Upcoming Meetings
- July 31, 2024 (2:00-2:50 p.m.)
- September 25, 2024 (2:00-2:50 p.m.)
- November 13, 2024 (1:00-1:50 p.m.)
Questions and Comments
Contact DHCS with any questions or comments about the Mandatory Enrollment for Foster Children and Youth in Single Plan Counties 2025 transition at PCUresearch@dhcs.ca.gov.
