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.
Coverage Transitions and Value Based Purchasing
Small Group Convening hosted by the Center for Health Care Strategies
This joint meeting, hosted by the State Network and Medicaid Leadership Institute, was held in Boston, MA on April 23-24, 2012. The Center for Health Care Strategies (CHCS) led sessions that ranged from continuity of care during coverage transition to methods for integrated care and reimbursement. The attached slides include: 1) an overview by CHCS of ‘Coverage Transition Models’ highlighting keys to seamlessness and models for care linkages during coverage transitions; and 2) a presentation by Robin Callahan, Deputy Medicaid Director in Massachusetts, describing the Massachusetts Medicaid eligibility system and how the state is approaching continuity. This Small Group Convening expanded on an issue brief prepared by CHCS that analyzes how states have historically dealt with individuals that shift between public subsidy programs and how these experiences can prepare states for transitions between the Medicaid expansion and exchange qualified health plans in 2014.