Accessing and Maintaining Medicaid

When someone enrolled in Medi-Cal moves to a new county within California and wants their Medi-Cal to continue, they need to ask for an “inter-county transfer.” The transfer process can be especially complicated for people experiencing homelessness. This guide has detailed information about Medi-Cal’s inter-county transfer process.

Updated in August 2025 to reflect the end of waivers put into place in 2023, this toolkit helps service providers, people who are unhoused, and health enrollment navigators keep Medi-Cal members covered.

This fact sheet provides an overview of the changes to Medicaid and SNAP and their expected impact on people experiencing homelessness, and opportunities for homeless systems of care and providers to mitigate those impacts.

Check out our different National Medicaid Renewal Toolkits to learn how to help people experiencing homelessness renew their Medicaid.

When we set out to help homeless service providers navigate Medi-Cal renewals, we didn’t expect to uncover another systemic challenge faced by people experiencing homelessness: keeping Medi-Cal when moving across county lines. In this blog post, Policy Analyst, Riley Meve, and Senior Directing Attorney, Julie Silas, share how community conversations led to new collaborations and resources.

This report explores ways to streamline and improve the Medi-Cal renewal processes for people experiencing homelessness, with recommended strategies and best practices based on Homebase’s understanding of the common barriers people experiencing homelessness faced during Medi-Cal’s continuous coverage unwinding, as well as the direct feedback that Homebase received from people experiencing homelessness, their health and homeless services providers, and advocates during our Medi-Cal renewal campaign.