Terms

The questions on this site are a pre-screen using the 2026 Medi-Cal income chart. They are not an official eligibility decision. A county makes that decision. Sending the form does not guarantee coverage.

The email link is only for the person who requested it. Do not forward it if you do not want someone else to submit information under that email. Message and data rates may apply to texts you already opted into with the enrollment desk. This page does not send texts.