This report assesses California’s efforts to widen the doorway to Medicaid coverage by reaching out to, enrolling and retaining low-income people of color and Limited English Proficient communities in the Medi-Cal program. Using key informant interviews and secondary sources the authors were able to identify policy decisions, implementation strategies and outcomes that were notable successes or barriers in the Medi-Cal expansion and offer recommendations to improve the efficiency and reach of the program. The recommendations focus on improvements that can be made in the Medi-Cal infrastructure and are designed to address multiple barriers. (August 2015)