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.
Improving Care for Medicaid Beneficiaries Experiencing Homelessness
This issue brief stems from technical assistance provided to California’s Department of Health Care Services (DHCS), with support from RWJF’s State Health and Value Strategies (SHVS) program. The technical expert, Carol Wilkins, facilitated webinars and meetings with DHCS staff and medical directors of contracted Medicaid managed care organizations (MCOs), in order to share information about housing resources and emerging practices for improving care and achieving savings by linking more Medicaid beneficiaries with permanent supportive housing. Carol adapted the California-specific materials for a national audience and are included as handouts accompanying this brief. State agencies can use the handouts for discussion and training with Medicaid staff, providers, MCOs and other stakeholders.
The companion toolkit:
• Handout 1 – The basics of permanent supportive housing (for state agencies, health plans, and health care providers)
• Handout 2 – Understanding the homeless assistance system (for state agencies, health plans, and health care providers)
• Handout 3 – A local housing resource template (for state agencies and health plans)
• Handout 4 – How to screen Medicaid beneficiaries to identify those who are experiencing or at risk of homelessness (for health plans and health care providers)