Every year, hundreds of thousands of people leave California jails and prisons and return to the community, including many who cycle in and out of the system repeatedly. A disproportionate number of these people have multiple chronic physical and behavioral health conditions and need services upon reentry to the community. In addition to immediate health care needs, people leaving correctional systems face myriad challenges made more difficult by having a criminal record, including reintegrating into their community, accessing benefits, securing a job, and finding housing. Coordination of health and social services at reentry is critical to improving health outcomes, advancing health equity, and reducing recidivism. Because of Medicaid expansion through the Affordable Care Act, most people leaving California jails and prisons are eligible for Medi-Cal. However, the longstanding inmate exclusion policy, which prohibits Medicaid spending for people who are incarcerated (except for hospitalization for more than a day), has contributed to challenges in accessing needed health care services when people leave correctional systems and reenter the community. CalAIM (California Advancing and Innovating Medi-Cal) creates an opportunity to change this and enables Medi-Cal spending for select services in the 90 days before release. This brief can help health care stakeholders understand the reentry process and maximize opportunities to best serve this population, both during reentry (before release from incarceration) and in the community.
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