Medi-Cal工作参与要求2027年生效：圣贝纳迪诺提醒成员提前准备
加利福尼亚州圣贝纳迪诺县提醒县内 Medi-Cal（加州医疗补助）成员提前准备：根据联邦新法 H.R. 1，部分通过《平价医疗法案》扩展计划（新成人组，New Adult Group）获得 Medi-Cal 的19至64岁成年人，2027年起将需要满足「工作与社区参与要求」（WCER），资格审核也会变得更频繁。县府强调，并非所有 Medi-Cal 成员都会受到影响，加州医疗保健服务部（DHCS）正在向可能受影响的成员发送信息。
时间表方面：自2027年1月1日起，部分新申请人将在申请时接受工作参与要求评估；现有成员的变更自2027年3月起开始，成员将收到通知，说明适用于自己的要求以及是否需要补交信息。
受影响成员每月须达到至少80小时的合格活动，或等值替代安排，可选方式包括：有偿、自雇或实物形式的工作；志愿服务或社区服务；参加合格的工作或职业培训项目；至少半日制在校就读；月收入至少580美元（按联邦最低工资80小时计算）；或组合以上方式凑满80小时。季节性工作者与收入、工时波动较大者另有适用安排。
部分成员可获豁免，例如孕妇或产后护理者、13岁及以下儿童的父母或照护者、因医疗状况或残障无法满足要求者、有 Medicare 者、美洲原住民或阿拉斯加原住民，以及26岁以下的部分前寄养青年。县府将协助成员核对已有信息、判断是否需要满足要求或符合豁免；如需补交材料，县府会另行说明提交内容与期限。
续保方面，受影响成员的资格审核将从每年一次改为每六个月一次：例如一名新成人组成员在2027年3月完成预定续保，下一次审核将在2027年9月。其他参保组别维持原有续保节奏；获得工作要求豁免并不自动免除六个月审核。DHCS 已于2026年2月启动短信通知，并于2026年8月起向新成人组成员邮寄通知信，信件提供多语言版本。
县府建议成员保持邮寄地址、电话与电邮为最新信息，定期查看邮件与在线账户中的 Medi-Cal 通知，按时提交续保表与所需信息，并可通过 BenefitsCal 在线管理福利。县府表示将继续与社区伙伴、DHCS 及联邦医疗保险与医疗补助服务中心合作发布后续指引。
（来源：圣贝纳迪诺县政府）
San Bernardino County Urges Medi-Cal Members to Prepare for New Work Requirements Taking Effect in 2027
San Bernardino County, California, is encouraging Medi-Cal members to prepare for new federal requirements related to work, community engagement and coverage renewal that will take effect in 2027. Under new federal law H.R. 1, some adults ages 19 through 64 who receive Medi-Cal through the Affordable Care Act expansion — known as the New Adult Group — will need to meet Work and Community Engagement Requirements (WCER), and will also have their eligibility reviewed more often. The county stressed that not all Medi-Cal members will be affected, and that the California Department of Health Care Services (DHCS) is sending information to members who may be impacted.
Beginning January 1, 2027, certain new applicants will be evaluated for WCER when they apply. For current members, changes will begin in March 2027, and members will receive notices explaining the requirements that apply to them and whether additional information is needed.
Impacted members will be required to work at least 80 hours per month, or an equivalent alternative. Accepted options include working — paid, self-employed or in-kind — for at least 80 hours a month; volunteering or community service for at least 80 hours a month; participating in a qualifying work or job-training program for at least 80 hours a month; attending school at least half-time; having a monthly income of at least $580 (80 hours at the federal minimum wage); or combining activities to reach 80 hours. Additional options may apply to seasonal workers or people whose income or hours fluctuate.
Some members can be excused from the work requirements, including people who are pregnant or receiving postpartum care, parents or caretakers of children age 13 or younger, people with medical conditions or disabilities that prevent them from meeting the requirements, people with Medicare coverage, American Indian or Alaska Native members, and certain former foster youth younger than 26. The county will work with members to determine whether they must meet the requirements or qualify to be excused, and will provide instructions if more information must be submitted.
Affected members will also have their Medi-Cal eligibility reviewed every six months instead of once a year — for example, a current New Adult Group member who completes a scheduled renewal in March 2027 will have another review in September 2027. Members in other coverage groups keep their existing renewal schedules, and being excused from the work requirement does not automatically excuse a member from six-month renewals. DHCS began a text message campaign in February 2026 and began mailing outreach letters to current New Adult Group members in August 2026, with letters available in multiple languages.
To avoid interruptions in coverage, the county encourages members to keep their mailing address, phone number and email current, check mail and online accounts regularly for notices, and return renewal forms by the stated deadlines. Members can manage benefits through BenefitsCal. The county said it will continue working with community partners, DHCS and the Centers for Medicare and Medicaid Services as additional guidance becomes available.
(Source: County of San Bernardino)
来源：圣贝纳迪诺县政府
发布：GSM·美国（发布链接）
图片来源：圣贝纳迪诺县政府中心大楼外景。 The San Bernardino County Government Center. CC BY-SA 4.0，摄影：Xnatedawgx。图片来源 Source image: https://commons.wikimedia.org/wiki/File:San_Bernardino_County_Government_Center,_San_Bernardino,_CA,_west_side.jpg
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