CHA News Article

Report Highlights Variation in Medi-Cal Enrollment by County

The Department of Health Care Services has released the attached report on the significant variability in Medi-Cal enrollment among California’s 58 counties. While much discussion has centered on one-third of the state’s population being enrolled in Medi-Cal, in some counties Medi‐Cal plays an even greater role in providing health care coverage to the population. According to the report, Medi‐Cal provides coverage to roughly 50 percent of the population in counties such as Tulare and Merced. In other counties — such as Placer, Marin, San Mateo and El Dorado — roughly 20 percent of residents are enrolled in Medi‐Cal. Within Los Angeles County, where more than one‐quarter of the state population resides, close to 40 percent of the population is enrolled in Medi‐Cal.

Additional report findings reveal:

  • In 17 counties, at least four of 10 residents receive health care coverage through Medi‐Cal. Medi‐Cal provides health care coverage for at least one‐third of the population in 28 of California’s 58 counties.
  • Medi‐Cal is the primary health care system for more than half of the state’s population between the ages of 0 and 18, but provides coverage to only 21 percent of California residents 65 or older.
  • Medi‐Cal provided coverage to nearly 60 percent of California children between the ages of 0 and 5. In seven counties, Medi‐Cal provided coverage to 80 percent or more of children ages 0 to 5. Over 57 percent of children ages 0 to 5 residing in Los Angeles County have health care coverage through Medi‐Cal.

The full report is attached.