California is preparing to expand Medi-Cal to inmates up to 90 days before release as part of the latest transformation to the state’s low-income health insurance program.
“Ninety percent of people are going to be returning at some point to the community. And this is just part of not only helping that individual, but our community to be healthier and safer,” said James Mackey, clinical case management supervisor at Community Medical Centers in Stockton. “In the long run, that’s what everyone wants.”
That’s where community health workers come in. Portions of CalAIM implemented earlier this year already require Medi-Cal insurers to offer additional services like case management to high-needs users, like people with a history of incarceration or who are. That means having someone who can help you find a doctor, treatment center, housing or other social services, fill out paperwork and ensure you get appropriate follow-up.
CalAIM’s support for these services is a critical step toward improving health access and equity among people with convictions, said Joe Calderon, a former Transitions Clinic Network patient and lead community health worker with the group. Calderon was imprisoned for 17 years for second-degree murder. He has worked for the past 12 years in public health with the Transitions Clinic Network. While behind bars, Calderon was diagnosed with high blood pressure and had a family history of deaths resulting from cardiovascular disease. Upon release, his community health worker helped him sign up for insurance, find a doctor and get medication.
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