Historical May Revision Baseline: DHCS Proposed Moving About 2 Million UIS Members to Fee-for-Service January 1, 2027

This record preserves what DHCS published in the May 14, 2026 May Revision: a proposal to move approximately 2 million members with unsatisfactory immigration status from Medi-Cal managed care to fee-for-service effective January 1, 2027, with proposal-stage General Fund reductions of $583.8 million in 2026–27 and $1.5 billion ongoing.

Those figures are a historical budget estimate, not a clinic revenue forecast, member notice, final contract instruction, or proof that every managed-care payment ends. The May Revision also described potential loss of managed-care-only services such as Enhanced Care Management and Community Supports, but it did not publish a member-by-member transition plan or FQHC contract remedy.

Researchers and finance teams may use this artifact to understand how the policy was initially scored; patient, care, billing, and contracting teams must use current DHCS implementation guidance instead. Analyze only de-identified aggregates and keep member immigration status, eligibility, diagnoses, authorizations, claims, and contract records in their approved systems rather than FQHC Talent.