Medi-Cal

Getting Started

Welcome to CalOptima Medi-Cal

2022 Change to Medi-Cal Pharmacy Benefit

On January 1, 2022, the Department of Health Care Services (DHCS) will change your pharmacy benefit. Your prescription medications will be covered by “Medi-Cal Rx.” DHCS is working with a new contractor (Magellan) to provide Medi-Cal Rx services.

This does not change your Medi-Cal eligibility or benefits. Starting on January 1, 2022 you will get your Medi-Cal covered prescriptions through Medi-Cal Rx instead of CalOptima.

If you have general Medi-Cal Rx questions, contact the DHCS Medi-Cal Member Help Line at 800-541-5555. For TTY call 800-430-7077 Monday through Friday from 8 a.m. to 5 p.m.

Family with two children

Medi-Cal — also known as Medicaid — is a public health insurance program for low-income people offered by the state. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases.

CalOptima provides health care coverage for Orange County residents who are eligible for full Medi-Cal. Once enrolled, we will work with you to find the right health care providers to meet your needs. We also have many special programs to help you maintain your health.

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Learn how to enroll Find out if you are eligible for Medi-Cal and how to apply.

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Learn about covered benefits See a summary of the benefits for CalOptima Medi-Cal.

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Read frequently asked questions See answers to many common questions about CalOptima and Medi-Cal.

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New members start here Find out the 4 things you need to do right away.

Learn About Whole-Child Model The WCM program combines your child’s Medi-Cal and CCS benefits under CalOptima.

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New Medi-Cal Members
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