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Santa Clara County details CalAIM prerelease rollout and gaps in Medicaid reactivation for people leaving custody
Summary
County custody health officials updated supervisors on the CalAIM justice-involved (JI) prerelease program, saying thousands have been enrolled but that technical and timing gaps — including that most people in custody lack a known release date — can delay Medi‑Cal reimbursement and services on reentry.
Custody health officials told the Public Safety and Justice Committee on May 8 that Santa Clara County has started prerelease Medi‑Cal services under the state CalAIM Justice‑Involved (JI) initiative but faces technical and timing gaps that can create coverage interruptions when people leave custody.
The county reported activating Medi‑Cal prerelease services for more than 4,200 adults and nearly 200 youth since CalAIM JI began in the county last October, Michelle Delacayo, who oversees the CalAIM JI initiative, said at the committee meeting. “We’re teeing them up so that there’s no delay when they’re released,” Delacayo said, describing processes to help applicants complete Medi‑Cal enrollment while incarcerated.
Supervisors pressed staff for details on when the aid code is turned on and how the county prioritizes people for enhanced services. Delacayo said the county is using three parallel processes: (1) helping people without active Medi‑Cal apply while incarcerated, (2) working on suspensions and reactivation of existing Medi‑Cal benefits (suspension typically occurs around day 28 of…
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