CalAIM Justice-Involved Initiative
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People who are now, or have spent time, in jails, youth correctional facilities, or prisons are at higher risk for injury and death than the general public. They face disproportionate risk of violence, overdose, and suicide.1
- Incarcerated individuals in California jails under active care for mental health issues rose by 63 percent over the last decade.2
- 66 percent Californians in jail or prison have high or moderate need for substance use disorder treatment.3
- Overdose death rates are more than 100 times higher in the two weeks after release from incarceration than for the general population.4
- In California, 28.5 percent of incarcerated males are Black, while Black men make up only 5.6 percent of the state's total population.5
California is taking significant steps to address poor health outcomes among justice-involved individuals. Key to that is establishing Medi-Cal enrollment processes, providing targeted Medi-Cal services to individuals while they are incarcerated immediately prior to their release, and ensuring continuity of coverage and services after incarceration as part of re-entry planning. At least 80 percent of justice-involved individuals are eligible for Medi-Cal. CalAIM has the potential to make a significant difference in the health of this population.
Improving the Health of Justice-Involved Adults & Youth
CalAIM Justice-Involved initiatives focus on ensuring continuity of coverage through Medi-Cal pre-release enrollment strategies and provide key services to support a successful re-entry into the community. CalAIM will build on existing requirements through new initiatives across jails, youth correctional facilities, and prisons that will:
- Ensure all eligible individuals are enrolled in Medi-Cal prior to release from county jails and youth correctional facilities by 2023 (this process is already in place in all state prisons).
- Engage with individuals who meet specific clinical criteria (e.g., pregnant, chronically ill, or behavioral health needs) in the 90 days prior to re-entry to stabilize their health, assess their health, social, and economic needs, and provide intensive care management prepare for a successful re-entry into the community.
- Provide “warm handoffs" to health care providers to ensure that individuals who require behavioral and other health care services, medications, and other medical supplies (e.g., a wheelchair), have what they need upon re-entry.
- Offer intensive, community-based care coordination for individuals at re-entry, including through
Enhanced Care Management, when eligible.
- Make Community Supports (e.g., housing supports or food supports) available upon re-entry if offered by their managed care plan.
Provide funding to build capacity for workforce, technology changes, data sharing, and infrastructure to support justice-involved initiatives.
Download the factsheet about the CalAIM initiative to improve the health of justice-involved individuals.
Download an issue brief on strategies for conducting pre-release Medi-Cal enrollment in county jails and youth correctional facilities.
Providing Access and Transforming Health Initiative (PATH)
CalAIM PATH Initiative PATH to support the Justice-Involved Initiative
The PATH Initiate is a five-year, $1.85 billion initiative to build up the capacity and infrastructure of on-the-ground partners to successfully participate in the Medi-Cal delivery system as California widely implements Enhanced Care Management and Community Supports and Justice Involved services under CalAIM. Learn more about the PATH Initiative by visiting the CalAIM PATH webpage.
Justice-Involved (JI) Capacity Building Program
PATH will provide funding to support the implementation of statewide CalAIM justice-involved initiatives. This includes support for implementation of pre-release Medi-Cal enrollment and suspension processes, as well as the delivery of Medi-Cal services in the 90 days prior to release. This includes:
- Collaborative planning: PATH funding will support correctional agencies, county social services department, county behavioral health agencies, managed care plans, and others so they can jointly design, modify, and launch new processes aimed at increasing enrollment in Medi-Cal and continuous access to care for justice-involved youths and adults.
- Capacity and Infrastructure: PATH funding will support correctional agencies, institutions, and other justice-involved stakeholders as they implement pre-release Medi-Cal enrollment and suspension processes.
PATH JI Round 1
PATH JI Round 1 is a planning grant funding opportunity that will provide small planning grants to correctional agencies (or an entity applying on behalf of a correctional agency) to support collaborative planning with county departments of social services and other enrollment implementation partners to identify processes, protocols, and IT modifications that are necessary to support implementation of pre-release enrollment and suspension processes. The application period for PATH Round 1 closed on July 31st, 2022.
PATH JI Round 2
PATH JI Round 2 is an implementation grant funding opportunity that will provide larger application-based grants to support entities as they implement the processes, protocols, and IT system modifications that were identified during the Round 1 planning phase. While entities do not need to participate in Round 1 in order to apply for funding in Round 2, the Round 1 planning grant funds provide an opportunity to support the development of a comprehensive application for Round 2 funding. The application period for PATH Round 2 will close on December 31st, 2022, and funding will be distributed on a rolling basis upon submission, review and approval of applications.
Note: This link will take you to our PATH partner website.
Please review the 'PATH Justice Involved Capacity Building Round Two Guidance Memo' below for additional information on eligibility, application submission processes, and permissible uses of funding.
Please email firstname.lastname@example.org with any questions about the application process.
CalAIM Justice-Involved Advisory Group
CalAIM Justice-Involved Advisory Group Scope
The DHCS CalAIM Justice-Involved Advisory Group is a broad-based body to solicit stakeholder input on policy and implementation matters regarding the CalAIM Justice-Involved initiative. The Justice-Involved Advisory Group convenes a diverse and visible stakeholder advisory group of leaders and representatives from key sectors, including counties, prisons, jails, providers, consumers, health plans, and policy organizations. The Justice-Involved Advisory Group offers regular input on key policy and implementation issues to support the launch and ongoing success of the CalAIM Justice-Involved initiative. The Advisory Group will meet from October 2021 to July 2023 on a regular basis (e.g., monthly) for two hours either virtually or in Sacramento. While participation in the CalAIM Justice-Involved Advisory Group is limited to Advisory Group members, DHCS welcomes the public to attend the Advisory Group meetings.
To receive relevant updates on Justice-Involved Advisory Group meetings, sign up for the DHCS Stakeholder Announcements.
Justice-Involved Advisory Group Meeting Information
- Date and time: December 1, 2022 from 10:30-11:30 am
- Members of the public are welcome to listen to the discussion through a public zoom link, that will be provided here.
Past Meetings and Materials
Questions and Comments
Contact DHCS with any questions or comments on the CalAIM Justice-Involved initiative at CalAIMJusticeAdvisoryGroup@dhcs.ca.gov.