Agenda

Return

C. 37

To:	Board of Supervisors
From:	Anna Roth, Health Services Director
Date:	December 13, 2022

Contra

Costa

County

Subject:

CalAIM PATH Funding Grant for CalAIM Justice-Involved Initiatives

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 12/13/2022

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

VOTE OF SUPERVISORS

AYE:

Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor

ABSENT:

John Gioia, District I Supervisor

Contact:

Lavonna Martin, (925) 957-2671

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: December 13, 2022
Monica Nino, County Administrator

BY:	, Deputy

RECOMMENDATION(S):

APPROVE and AUTHORIZE the Health Services Director, or designee, to apply for and accept funding in an amount not to exceed $2,525,000 from the California Department of Healthcare Services (DHCS) in coordination with the Office of the Sheriff, Probation Department, and Employment and Human Services Department for the PATH Round 1 and Round 2 grant programs, to support the planning and implementation of CalAIM for incarcerated persons; and

APPROVE and AUTHORIZE the Health Services Director to execute the necessary certifications and assurances required by DHCS for the grant agreements.

FISCAL IMPACT:

The funds requested of DHCS are essential in helping the County meet the State’s mandate for pre-release Medi-Cal enrollment under CalAIM for eligible justice-involved individuals. No additional County funds are required.

BACKGROUND:

California statute (AB-133 Health; Chapter 143) mandates all counties implement pre-release Medi-Cal enrollment processes by January 1, 2023. Establishing pre-release Medi-Cal enrollment processes is part of the State's vision to enhance the Medi-Cal health care delivery system for justice-involved populations. Implementation of pre-release enrollment and suspension processes will help ensure Medi-Cal coverage upon re-entry into the community to facilitate access to needed Medi-Cal covered services. This process for screening and supporting Medi-Cal Applications is already in place in state prison facilities.

Round 1 is a planning grant in the amount of $175,000 that will support collaborative planning to identify processes, protocols, and IT modifications that are necessary to support implementation of pre-release enrollment and suspension processes. Round 2 is a grant funding opportunity in the amount of $2,350,000 that will support the implementation of processes, protocols, and IT system modifications that were identified during the Round 1 planning phase.

The Contra Costa County Probation Department and Sheriff’s Office have delegated to Health Services to apply for funding on their behalf for Rounds 1 and 2 applications. Support from, and close collaboration with, the Contra Costa Employment and Human Services department (EHSD) is included in both Round 1 and Round 2 grants.

All agencies serve as key stakeholders in the collaborative Contra Costa County CalAIM Justice-Involved Steering Committee and sub-workgroups to support pre-release application workflow development and implementation. Members of the pre-release application workgroup include representatives from the following county agencies: Contra Costa Health Services (CCHS) Office of the Director, County Behavioral Health, Detention Health, Public Health, EHSD, Sheriff’s Office, Probation Department, Juvenile Hall Health Services, CCH Office of Informatics and Technology, and the Contra Costa Health Plan. EHSD leadership has been identified to serve as chair on a sub-workgroup for pre-release Medi-Cal applications. The steering committee has been meeting monthly since Summer 2022 and the sub-workgroup for pre-release applications meets biweekly.

Among other duties, the workgroup will be responsible for the following activities:
• Research best practices in Contra Costa County and across the state and nation for Medi-Cal application assistance, submission, and benefits activation in detention facilities prior to release.
• Identify potential partners to support application assistance and develop workflows to provide application assistance within county jails and youth correctional facilities.
• Research and prepare Board of Supervisor proposals to designate authority to assist with pre-release applications.
• Understand data sharing requirements to support workflows. If needed, develop new data sharing agreements.
• Develop workflows and recommendations to implement by required date of January 1, 2023.
• Develop task list and timeline to accomplish required activities and provide routine updates to the Justice-Involved Steering Committee.

Approval of this funding application and acceptance will provide the funding necessary to continue these Countywide efforts to implement pre-release Medi-Cal enrollment processes in our County.

CONSEQUENCE OF NEGATIVE ACTION:

Failure to apply for this funding opportunity will result in loss of allocated funding for this new initiative and non-compliance with mandated state law.