California’s Journey with Medi-Cal Redeterminations
Through its work with USDS, California identified key strategies and quick implementation steps to automate federal unwinding waivers that would net the largest impact for Medi-Cal redeterminations.
California’s Medi-Cal program, in collaboration with the United States Digital Service, implemented federal waivers and digital solutions to streamline the redetermination process during the post-pandemic unwinding period.
Key outcomes included automating income-based waivers, increasing ex parte renewal rates from 34% to 66%, and reducing disenrollments from 19-21% to 9% by December 2023, with a focus on operational planning, targeted outreach, and data-driven oversight to maintain coverage for vulnerable populations.
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