Change in Circumstance and Transitions

When an individual transitions from a coverage group that is not subject to WCER into the MAGI new adult group, WCER should not be assessed outside of the Medi-Cal renewal period. Transitioning individuals are only subject to WCER at renewal. 

 

Example:Example: An individual turned 20 in March  2027, and their renewal is due in July 2027. The individual transitions into one of the new adult group aid codes in March 2027 but does not have to meet the WCER until their renewal period in July 2027.  

Adding a Person to an Existing Case

Any individual newly requesting Medi-Cal on an existing case who is potentially eligible for the MAGI new adult group must be assessed for WCER immediately.

 

Related Topics

Work and Community Engagement Requirement

Exemptions

Qualifying Activities

WCER at Application

WCER at Renewal