TO: Board of Supervisors
FROM: Amanda Gibbs, Chief Probation Officer
REPORT BY: Ferlyn Buenafe, Probation Administrative Manager
SUBJECT: Accept PATH Justice-Involved Round 4 Grant from the Department of Health Care Services
RECOMMENDATION
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Accept a grant from the California Department of Health Care Services in the amount of $300,000 to support the implementation of Enhanced Care Management and Community Supports services to correctional facilities. (Fiscal Impact: $300,000 Revenue; General Fund; Budgeted; Discretionary)
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BACKGROUND
California Department of Health Care Services (DHCS) released its fourth and final Providing Access and Transforming Health (PATH), Capacity and Infrastructure Transition, Expansion and Development (CITED) funding round with $145.5 million distributed to 153 organizations across 58 counties in California to further support the California Advancing and Innovating Medi-Cal (CalAIM) program development.
Grant funds are exclusively to implement Medi-Cal pre-release services under the CalAIM Justice-Involved Initiative in accordance with state law and California’s approved Medicaid 1115 Reentry Demonstration Waiver. Awards were given to organizations that provide Enhanced Care Management (ECM) and Community Supports services including in-person care coordination, case management, housing support, and other vital resources for Medi-Cal members with complex needs. The funding supports capacity building, infrastructure expansion, staffing, program operations, IT needs, and improved systems for monitoring performance and data.
Following a $1.5M PATH 3 award in 2025, the Department is investing in personnel, capacity, and implementation to establish pre-release services. PATH 4 funding will help support these established services.
Requested Action:
Authorize the Chief Probation Officer or designee to accept the $300,000 DHCS PATH 4 grant funding via the online grants portal to provide pre-release Medi-Cal services for youth in Probation’s Juvenile Hall.
FISCAL IMPACT
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Is there a Fiscal Impact? |
Yes |
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Is it currently budgeted? |
Yes |
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Where is it budgeted? |
General Fund, Probation Department |
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Is it Mandatory or Discretionary? |
Discretionary |
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Discretionary Justification: |
Pre-release Medi-Cal services for incarcerated persons are mandated. Applying for and accepting a grant to support these services is discretionary. |
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Is the general fund affected? |
Yes |
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Future fiscal impact: |
Although the grant obligation deadline is December 31, 2026, the Department intends to request a formal extension for expenditure. Appropriation will be budgeted accordingly. |
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Consequences if not approved: |
Pre-release services will be fully funded by the General Fund, offset in part by Medi-Cal reimbursements. |
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Additional Information: |
Strategic Initiative: Build Healthy, Connected Communities |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The proposed action is not a project as defined by 14 California Code of Regulations 15378 (State CEQA Guidelines) and therefore CEQA is not applicable.