On January 26, 2023, the Centers for Medicare & Medicaid Services approved California’s request to amend the California Advancing and Innovating Medi-Cal Section 1115 demonstration. This expert perspective describes the amendment, a centerpiece of which is approval for California Medicaid to provide a targeted set of Medicaid services to youth and adults in state prisons, county jails, and youth correctional facilities for up to 90 days prior to release. By providing re-entry services to Medicaid-enrolled individuals who are incarcerated, California aims to build a bridge to community-based care for justice-involved enrollees, offering them services to stabilize their physical and behavioral health conditions and establishing, prior to release, a re-entry plan for their community-based care.
Centering Health Equity in Medicaid Section 1115 Demonstrations
On Tuesday, February 15, State Health and Value Strategies hosted a webinar, Centering Health Equity in Medicaid Section 1115 Demonstrations.
Many states are looking to Medicaid as a critical lever for advancing health equity, and states have multiple tools and authorities in Medicaid to advance health equity through coverage and benefit policy, delivery system and payment reform, and innovations that impact social drivers of health. States seeking to test new or innovative ideas related to health equity in their Medicaid programs are tapping Section 1115 demonstrations as one key strategy.
During the webinar experts from Manatt Health provided an overview of Medicaid’s role in promoting health equity and ways states can advance health equity and address structural racism throughout the Section 1115 demonstration lifecycle, from planning to implementation to monitoring, and evaluation. Presenters highlighted specific strategies from two new publications, Centering Health Equity in Medicaid Section 1115 Demonstrations: A Roadmap for States and Centering Health Equity in Medicaid: Section 1115 Demonstration Strategies.