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County outlines jail‑health overhaul and Medi‑Cal billing plan under CalAIM; staff cite $270,000 recent cost recovery

3410736 · May 20, 2025
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Summary

Health and Human Services and the sheriff outlined a multi‑team plan to expand medical staffing in the jail, implement an electronic health record and pursue Medi‑Cal and CalAIM funding streams to recover health and staff costs. Staff reported recent cost recovery of roughly $270,000 and larger PathJI awards pending.

Trinity County Health and Human Services Agency (HHSA) presented a status update May 20 on jail‑health operations, describing recent service upgrades, new billing capabilities and planned pursuit of Medi‑Cal reimbursements under the state’s CalAIM initiative.

Liz Hamilton, HHSA director, told the Board that since the board directed that HHSA administer jail‑health financials in October, the county has added clinical capacity in the jail medical unit, secured an electronic health record (EHR) system tailored to correctional medicine, and set up time‑study processes that enable billing and cost recovery. Hamilton said staff recently completed an administrative review of medical billing and recovered roughly $270,000 in reimbursements that have paid for added clinical staffing (an additional…

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