加州首次為入獄後返回家園的人們提供加州醫療補助健康保健計劃服務​​ 

SACRAMENTO- 加州醫療保健服務部 (Department of Health Care Services, DHCS) 宣佈，加州三個縣 - 伊諾 (Inyo)、聖塔克拉拉 (Santa Clara) 和尤巴 (Yuba)，自 10 月 1 日起獲准開始為入獄後重返社區的人提供一套有針對性的 Medi-Cal 服務。加州所有縣都必須在 10 月1 之前實施這項倡議，2026 。​​ 

The Justice-Involved Reentry Initiative provides crucial medical and behavioral health services for Medi-Cal eligible adults and youth in state prisons, county jails, and youth correctional facilities in the 90 days before their release. This initiative will help stabilize chronic and significant clinical health conditions, including mental illness and substance use disorders, and will facilitate a coordinated reentry to support smoother transitions and improve public health and safety. Further, the Justice-Involved Reentry Initiative will close equity gaps and improve health outcomes for people who are or have been incarcerated. Equity is a key driver of the initiative as Black, Indigenous, and People of Color (BIPOC) individuals are over-represented in California prisons and jails.​​ 

「DHCS 主任 Michelle Baass 表示：」這些改革性的服務將確保重返社區的人們獲得所需的照護，從而對他們產生持久的影響。「透過提供重要的健康照護服務，這項計畫幫助人們在人生的關鍵時刻維持健康，並降低未來看急診或住院的可能性」。​​ 

加州是全美第一個獲得聯邦批准並實施這項歷史性舉措的州。在加州獲得核准之前，各州不得在州立監獄、縣監獄和青少年矯正設施中使用聯邦醫療補助撥款，以支援準備重新進入社區的個人。根據最近的州立法，加州所有縣都必須在 10 月1 之前實施此措施，2026 ，並將在每個季度分階段實施。​​ 

ABOUT THE PROGRAM: Pre-release services will focus on comprehensive care management and include physical and behavioral health consultations, lab and radiology services, medications and services for mental health and substance use disorders, community health worker services, and medications and durable medical equipment provided to the individual at the time of release.​​ 

The Justice-Involved Reentry Initiative is focused on ensuring Medi-Cal members have continuity of coverage and are supported to access key services to help them successfully return to their communities. Medi-Cal members who receive pre-release services in prison, jail, or a youth correctional facility will receive a comprehensive care transition plan to coordinate the medical, behavioral, and social services that will support them in the critical days and weeks following release.​​ 

此外，所有參與的會員在出院後都有資格接受 Medi-Cal 管理性護理計劃的加強護理管理 (ECM)。有針對性的釋放前服務以及釋放後的持續服務和照護協調，將共同改善 Medi-Cal 會員在此重要過渡期間的健康成果，並進一步推動加州的健康公平目標。​​ 

"州 Medicaid 主任 Tyler Sadwith 表示：「這項計畫是州計畫的關鍵部分，為所有加州人設定以人為中心、注重公平的照護新標準。「這不僅關係到健康照護，還關係到給予人們所需的支援，讓他們成功地重新融入社會，並重建有尊嚴的生活，以及真正通往穩定未來的道路」。​​ 

重要原因：每年有超過 350,000 名成人和青少年進入或離開加州監獄和監獄，其中至少 80% 符合 Medi-Cal 資格。曾被監禁的個人大多是有色人種，他們有相當多的健康照護需求，但在獲釋後往往得不到照護和藥物。曾被監禁的人尤其有健康狀況不佳的風險，與從未被監禁的人相比，他們的身體和行為健康診斷率高得不成比例，而且因暴力、用藥過量和自殺而受傷和死亡的風險也更高。​​ 

Individuals who are incarcerated with a behavioral health disorder are more likely than those without a disorder to have been homeless in the year prior to their incarceration, less likely to have been employed prior to their arrest, and more likely to report a history of physical or sexual abuse. From 2009 to 2019, the proportion of incarcerated people in California jails with an active mental health case rose 63 percent; in 2019, 15,500 out of 80,000 individuals in jail custody had an active mental health case.​​ 

Improving adverse health outcomes for previously incarcerated people is also a vital health equity issue. People from racial and ethnic minority groups are disproportionately incarcerated, often for mental health- and substance use disorder-related offenses. For example, 29 percent of the state’s male prison population is Black, despite only making up 6 percent of the state’s male population.​​ 

"DHCS 策略夥伴關係辦公室副主任 Autumn Boylan 表示：「Medi-Cal 有史以來第一次將支付這些服務的費用，在個人獲釋前的關鍵時期為他們提供身體和行為健康服務。「有了 Medi-Cal 卡在手，他們就可以回到加州的社區，少了一件要擔心的事，因為他們可以專注於找住處、找工作和重建人際關係」。​​ 

"Yuba County Jail and Tri-County Detention Center 的衛生主任兼正義重返領導人 Phuong Luu 醫生表示：「我們對於擴大服務範圍以及從監獄重返社區的個人資格感到非常興奮。「透過提供全面、協調的身心健康保障，我們不只是在解決當前的需求，也是在投資於長期的福祉與社區穩定」。​​ 

支持獲得釋放前服務：所有符合釋放前服務資格的 Medi-Cal 會員都將獲得 ECM 護理經理提供的重返社會支援，無論是在個人仍被羈押期間，還是在個人從監獄、監獄或青少年管教所釋放後的 12 個月內。ECM 護理經理將提供以個人為中心的全方位護理管理服務，以確保個人能夠及時獲得所有必要的醫療和行為健康服務，並與個人建立信任，瞭解個人的健康需求，協調重要的支援服務和制定社區過渡計劃。​​ 

###​​