The Arc of California Supports Increased Medi-Cal Rates for In-Home Private Duty Nurses

Families in California have long struggled to get nursing care at home for medically fragile children. Even after doctors have deemed home care necessary to keep their kids healthy and safe, many Californians have been unable to secure enough nurses to fill their allocated hours.

The goal of the Medi-Cal Home and Community Based Services program, especially Private Duty Nursing (PDN) services, is to keep medically fragile Californians, particularly our children, in their homes — the setting that promotes their highest quality of life, allowing them the opportunity to be with their families and engage in their communities — and out of more expensive institutional settings.

The Arc of California is proud to join a broad coalition that is pushing this year for a 40% Medi-Cal rate increase to help attract and retain nurses who provide home healthcare to pediatric patients.

Take Action to Keep Your Medi-Cal Coverage

Do you or a family member currently have health coverage or regional center services funded through Medi-Cal? If so, here’s what you need to know so you can keep your Medi-Cal.

Annual Medi-Cal eligibility renewals have been paused for the last three years due to the pandemic. Starting April 1st, redeterminations will resume. Be on the lookout for a Medi-Cal renewal letter in the mail from your local county office. Make sure your name, address, email address, and phone number are up to date with your local county office. You can give your local county your information by mail, phone, in person, or online.

If you have Medi-Cal, your local county office will try and renew your Medi-Cal. They will use the information they have. The local county office will only ask you for more information if they need it to renew your Medi-Cal. If you receive a renewal packet or a letter asking for more information, you may submit the information by mail, phone, in person, or online.

If your contact information has changed, you can update it online at, or by calling your local county office.

If you get SSI, Social Security will process your Medi-Cal renewal. If you need to report any address or contact information changes to social security you can do so by calling (800) 772-1213, or by contacting your local Social Security Office.

We have learned that the longest-enrolled individuals will be reviewed first. The first group of people who are deemed ineligible is set to be disenrolled from Medi-Cal health coverage and services starting in July. The state has 14 months, beginning in April, to complete the eligibility renewal process for all current Medi-Cal beneficiaries.

If you no longer qualify for Medi-Cal, you may be able to get health coverage through Covered California. Losing Medi-Cal allows you to enroll in a Covered California plan outside of the open enrollment period. Your local county office will send you information about how to sign up.

We will share more information about redeterminations, denials, and the appeals process in the near future. Remember: update your address if it has changed. We don’t want you to miss your renewal letter and risk losing your Medi-Cal benefits.

Help People With Disabilities Keep Their Medi-Cal Coverage!

The Medi-Cal continuous coverage mandate will end on March 31, 2023. On April 1, county offices throughout California will restart eligibility renewals to determine if current recipients still qualify for free or low-cost Medi-Cal.

Individuals with disabilities are at an increased risk of losing or experiencing a gap in coverage due to upcoming changes in completing the renewal process.

The California Department of Health Care Services has created valuable resources that you can share with your stakeholders, community partners, family, and friends to help ensure that people with disabilities have access and the information needed to keep their Medi-Cal coverage.

Click HERE to view resource toolkit.

Medi-Cal Renewals Start April 1, 2023. Update Your Contact Info Now!

During the COVID-19 public health emergency (PHE), Medi-Cal beneficiaries have remained enrolled in the program without needing to complete renewals.

Starting April 1st, everyone currently enrolled with Medi-Cal will be contacted by their Medi-Cal county eligibility worker. Renewals will be completed over the course of the next twelve months. It is critical that your contact information is updated, otherwise you could lose your eligibility. If your contact information or household circumstances have changed since the beginning of the public health emergency, please update your information today by contacting your local county office, calling the Medi-Cal Member Helpline at (800) 541-5555, or by creating an online MyBenefits CalWIN account to complete your annual renewal and report any changes.

If you receive regional center and/or In-Home Supportive Services, you should also ensure that your contact information is up-to-date to maintain your eligibility for these Medicaid waiver-funded services.

Update your contact information now!


State Auditor Report on Children in Medi-Cal

The California State Auditor released a report requested by the Joint Legislative Audit Committee regarding the Department of Health Care Services’ oversight of the delivery of preventive services to children in Medi-Cal. Nearly half of all children in California receive medical services and care through the Medi-Cal program. However, findings in the audit led to the conclusion that California’s utilization rate for childhood preventive services remains below 50%. Unfortunately, that means an average of 2.4 million California children being served by Medi-Cal have not received required preventive services in the last 5 years. While there were several reasons given for the lagging service delivery the one that is perhaps the most concerning is the lack of access to care as a result of a limited number of health care providers that are willing to accept children on Medi-Cal. This has significant implications for children in the state and even more so for children with complex special health care needs who are in the Medi-Cal program. The final report details several key recommendations to improve the health of children in Medi-Cal. To view the report in its entirety visit: