The State Department of Health Services (DHS) has established mandatory enrollment for Medi-Cal beneficiaries in certain aid categories and non-mandatory enrollment in other aid categories. Mandatory aid categories must be enrolled in a Medi-Cal Managed Care Plan. Non-mandatory aid categories may enroll if the eligible beneficiary chooses to do so.

"Mandatory Aid Codes" are the categories of Medi-Cal beneficiaries who must enroll in a Medi-Cal Managed Care Plan. These beneficiaries will be the majority of our members. Their Aid Codes are:

Public Assistance, Family (Aid to Families with Dependent Children/AFDC) Aid Codes: 30, 32, 33, 35, 38, 39, 3E, 3G, 3H, 3L, 3M, 3P, 3R, 3U, 54, 59, 7X
Medically Needy, Family (AFDC), No share of Cost Aid Code: 34, 3A, 3N, 5X
Medically Indigent Children Aid Codes: 82
Refugee/Entrant Aid Codes: 01, 02, 08, 0A
Poverty Aid Codes: 47, 72, 7A, 8P, 8R
There are about 400,000 Medi-Cal beneficiaries in both San Bernardino county and Riverside county that are required to enroll in either the mainstream plan or Local Initiative. Also, there is an additional 150,000 Medi-Cal beneficiaries that are not required to enroll in Medi-Cal Managed Care

"Non-mandatory Aid Codes" are the categories of Medi-Cal beneficiaries who may enroll in a Medi-Cal Managed Care Plan if the beneficiary chooses to do so. These codes are:

Public Assistance, Family Aid Codes: 4F, 4G
Public Assistance, Aged Aid Codes: 10, 16, 18, 1E
Public Assistance, Blind/Disabled Aid Codes: 20, 26, 2E, 28, 36, 60, 66, 68, 6C, 6E, 6N, 6P
Medically Needy, Aged, No share of Cost Aid Codes: 14, 1A, 1H
Medically Needy, Blind/Disabled, No share of Cost Aid Codes: 24, 64, 6A, 6H, 6V
Foster Care Aid Codes: 40, 42, 4M, 5K, 03, 04
Medically Indigent Adult Aid Code: 86
Medically Indigent Child Aid Codes: 45, 4A, 4F, 7J