Home CalAIM: Transforming Medi-Cal Justice-Involved Reentry Initiative ResourcesJustice-Involved Reentry Initiative

Resources

Justice-Involved Reentry Initiative

Issue Brief

Strategies for conducting pre-release Medi-Cal enrollment in County Jails

Operational Guide

Detailed guidance for Planning and Implementing the CalAIM Justice-Involved Reentry Initiative.

JI Stakeholder Toolkit

Turnkey communications resources to help you spread the word about the Justice-Involved initiative

Impact Report

CalAIM Policy and Operational Guide

The Department of Health Care Services (DHCS) has released the CalAIM Policy and Operational Guide (also referred to as the “Guide”) to memorialize policy design and operational requirements for implementing the Justice-Involved (JI) Reentry Initiative. This Guide intends to delineate for implementing stakeholders – correctional facilities (CFs), county behavioral health agencies, providers, community-based organizations (CBOs), County Social Services Departments (SSD) and Medi-Cal managed care plans (MCPs), among others – DHCS design and operational processes that will serve as the foundation for implementing this important initiative.

This Guide serves as the foundational framework for implementing the JI Reentry Initiative. In addition to this foundational document, the Guide contains additional standalone, supplemental chapters that provide in-depth policy and operational guidance on the Reentry Initiative. Additional supplemental chapters include:

  • Chapter 1: Enrolling Eligible Individuals in Medi-Cal (Coming soon…)
  • Chapter 2: Screening and Identification of Eligible Members (Coming soon…)
  • Chapter 3: Special Requirements for Incarcerated Youth (Coming soon…)
  • Chapter 4: Managed Care Plan Requirements (Coming soon…)
  • Chapter 5: Pre-Release Service Policy and Benefit Guidance (Coming soon…)
  • Chapter 6: Short-Term Model (Coming soon…)
  • Chapter 7: Medi-Cal Billing and Claims Requirements (Coming soon…)
  • Chapter 8: Considerations for Small and Rural Counties (Coming soon…)
  • Chapter 9: Data Sharing Requirements (Coming soon…)
  • Chapter 10: Program Monitoring (Coming soon…)

Readiness Assessment Documents

Guiding Documents, Communications and Resources

Enhanced Care Management for the Individuals Transitioning from Incarceration Population of Focus

Individuals who are justice-involved may be eligible to receive Enhanced Care Management (ECM) under the Individuals Transitioning from Incarceration Population of Focus. Please visit the ECM webpage and Policy Guide for additional information. 

  • ECM is a new statewide Medi-Cal benefit available to select “Populations of Focus” that will address the needs of the highest-need members through intensive coordination of health and health-related services. 
  • It will meet members wherever they are—on the street, in a shelter, in their doctor’s office, or at home—with the care they need, clinical or not.
  • Members will have a single Lead Care Manager who will coordinate care and services across the physical, mental health and substance use disorder, dental, developmental, social services delivery systems, making it easier for them to get the right care at the right time.

CMS Guidance