Connecting Criminal Justice to Health Care Initiative (CCJH):
Request for Proposals
Webinar for Interested Jurisdictions
November 30, 2015
1:00 – 2:30 PM ET
Agenda
CCJH Initiative Overview
Scope of the CCJH Initiative
CCJH Initiative Application
CCJH Initiative Team
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CCJH Initiative Overview
CCJH Initiative Overview
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With support from the U.S. Department of Justice’s Bureau of Justice Assistance,
the Urban Institute and Manatt are facilitating The Connecting Criminal Justice
with Health Care Initiative (CCJH), which brings together state and local
corrections and health care officials to develop and implement strategies for
connecting justice-involved individuals with health care.
Participants in CCJH will develop, test, and implement innovative strategies in three key areas:
 Enrolling the justice‐involved population into Medicaid;
 Establishing systems of health care tailored to meet the distinctive needs of the justiceinvolved population; and
 Creating sustainable financing mechanisms for health care provided to inmates in justice
settings.
Selected state/local partnerships will participate in learning collaboratives to identify their
highest priority problems and develop potential solutions.
The insights, policies, and operational strategies that emerge from the LCs will be incorporated
into resources for stakeholders around the nation.
Setting the Stage: Criminal Justice and Health Care
Vulnerable, high cost population
 Justice-involved individuals are seven times
as likely as the general population to
experience mental health and substance
use disorders (M/SUD), infectious disease,
and chronic health conditions.
 Individuals face a 12-fold increased risk of
death during the first 2 weeks after release.
 Health care costs for prisoners account for
6 to 33 percent of institutional corrections
spending.
 70 to 90 percent of individuals released
from prison and jail each year lack health
insurance.
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Opportunities for progress
 In states that expand Medicaid, a majority
of inmates are now eligible for coverage.
 Even in non-expansion states, justiceinvolved individuals can sometimes qualify
for Medicaid or subsidized private coverage
through health insurance Marketplaces.
 Now that the Affordable Care Act is past
the early stages of implementation, states
and localities are focusing on new
opportunities to connect justice-involved
individuals to coverage and care.
Goal of CCJH Initiative
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The CCJH Initiative will support participants’ ability to improve health outcomes for
justice-involved individuals, enhance public safety, and conserve taxpayer resources
Participants will have the opportunity to:
Bring together criminal justice agencies with the state Medicaid program to develop
actionable policies
Receive technical assistance that includes active problem-solving with other states
Collaborate with national experts on innovative options to 1) expedite enrollment, 2)
build comprehensive and coordinated systems of care, and 3) obtain permitted Medicaid
funding
Participate in “learning collaboratives,” a time-tested method for rapidly designing,
implementing, and revising promising ideas
Strengthen the capacity of state and local justice agencies to document and measure the
effects of their policies and practices
Teams’ successes and experiences will serve as examples to other
stakeholders through national policy guides and webinars
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Scope of the CCJH Initiative
Scope of the CCJH Initiative
Selected state/local teams will have the opportunity to:
Participate in the CCJH Learning Collaboratives
Strengthen Capacity for Monitoring and Implementation
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Participate in the CCJH Learning Collaboratives
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Urban/Manatt expert faculty will provide technical assistance to state/local
partners through three Learning Collaboratives (LCs)
Scope of Work
 Under the LC model, members from different regions come together in “learning sessions” and
“action periods” to achieve progress on specific issues
 Before LCs begin, Urban/Manatt will coordinate site visits and teleconferences to identify teams’
goals, obstacles and experiences.
 The LCs will cover: (1) linkage to coverage; (2) coordinated, comprehensive systems of care; and (3)
sustainable funding for corrections-based health care.
 LCs will focus on: practical strategies and solutions; learning from false starts and pivoting; peer-topeer learning.
 Team members share information about their progress and problems, serving as coaches along with
faculty.
LC #1: Linkage to Coverage
Objectives
 This LC will focus on enrolling the justice‐involved population into Medicaid and other forms of
health coverage using strategies that focus on key intercept points within the justice system and
impose the least possible burden on state and local resources.
 The key intercept points will focus on the “front end” and “back end” of individuals’ interaction
with the justice system.
 Strategies will leverage innovative Medicaid business rules and data matches to minimize laborintensive enrollment work by justice agency staff.
Participation
 This LC may include: representatives from state and local health agencies,
such as Medicaid and Marketplaces; and, justice officials who are
knowledgeable about front-end justice intercept points and re-entry
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LC #2: Coordinated, Comprehensive Systems of Care
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Objectives
 This LC will pursue strategies to establish systems of health care tailored to meet the distinctive
needs of the justice-involved population, including comprehensive coverage of mental health and
substance use disorders and care coordinated between community and justice settings.
Participation
 This LC may include: Medicaid agency staff; behavioral health agency
staff; justice agency staff familiar with health care provided in
correctional settings and following reentry; other relevant agencies,
potentially including local housing authorities; and community-based
health care providers or health plans.
LC #3: Sustainable Funding for Corrections-Based Health Care
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Objectives
 This LC will develop strategies to create sustainable financing mechanisms for health care
provided to inmates in justice settings without running afoul of federal restrictions or the policies
underlying those restrictions.
Participation
 This LC may include: representatives of state Medicaid agencies;
Marketplaces officials; and officials from the state prison and local jails.
Strengthen Capacity for Monitoring and Implementation
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The Urban team will support each partnership site to document and measure the
impact of the interventions.
Scope of Work
 Collaborate with state/local teams to apply a performance measurement perspective that translates
LC goals into concrete performance indicators
 Identify data elements to track key measures, develop local definitions for those measures, and
create “scorecards” that serve as reporting vehicles
 Provide assistance in identifying key data gaps, including (1) data integration across systems and (2)
limits on capacity to extract, analyze, and report information
 Develop a process for routinely updating the scorecard, including after the project is complete
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CCJH Initiative Application
Eligibility
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To qualify, a state/local team needs participants in each of the following categories:
 State criminal justice agencies, including individuals responsible for handling initial contact
with the criminal justice system, providing health care in prison, structuring reentry, and
overseeing post-release integration into the community
 Local criminal justice agencies, from a single, major jurisdiction (either county or city) within
the state involved in the activities mentioned above
 The state Medicaid agency, including officials responsible for eligibility, enrollment policies
and systems, health care delivery system reform that focuses on care coordination, coverage
of M/SUD services, and Alternative Benefit Plans for low-income adults
 Other agencies deemed necessary by the state/local team such as leaders of state and/or
local government agencies that focus on M/SUD services, housing agencies, providers or
health plans.
If a team would like to include State-based Marketplace officials, but is not
able to recruit due to open enrollment constraints, the team may indicate
its intent to solicit involvement from Marketplace officials in 2016.
Expectations of CCJH Teams
Commit to 9-month engagement
Actively participate in all three LCs, including action periods
Collaborate with Urban to develop and implement monitoring systems
Designate one staff member who will coordinate activities
Allow information-sharing with local, state, and national partners regularly
Support program operation and staffing costs associated with this project
Commit to the ongoing self-evaluation of their CCJH efforts
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Application and Selection
Application narratives should not exceed 18 single-spaced pages.
Prerequisites
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Letter of Interest and Commitment from Team Members
Letters of Commitment from Jurisdictional Chief Executives
Selection Factors
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Why are your team’s agencies interested in participating in the CCJH Initiative?
What is your team’s capacity to generate and implement practical policy and operational
changes that support coverage and care for justice-involved populations?
What is the nature of the proposed partnership, and who is involved?
Who will serve as the CCJH coordinator for your jurisdiction?
What is your team’s capacity to generate and use relevant Medicaid and criminal justice
data?
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Timeline
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December 11, 2015 at 5pm ET:
Applications for CCJH Initiative due
2015
2016
Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep
~December 28, 2015:
Selected teams notified
January 1, 2016–
September 30, 2016:
Technical assistance is provided by
Urban and Manatt; Learning
collaboratives convene for peer-topeer learning; learning sessions are
followed by action periods
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CCJH Initiative Team
CCJH Team
Stan Dorn, J.D., Co-Principal Investigator, Senior Fellow at
Urban Institute’s Health Policy Center
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Mr. Dorn is a leading expert on state implementation
of the Affordable Care Act (ACA), including provisions
involving streamlined enrollment into Medicaid, and
has provided direct technical assistance to many
states on the issue.
Jesse Jannetta, M.P.P., Co-Principal Investigator, Senior
Research Associate in Urban’s Justice Policy Center
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Mr. Jannetta serves as the director of the Transition
from Jail to Community Initiative, the Co-Principal
Investigator of the evaluation of pre-release Medicaid
enrollment as a reentry strategy, and the Co-Principal
Investigator of the Los Angeles Gang Reduction and
Youth Development Strategy.
Kamala Mallik-Kane, M.P.H., Research Associate in
Urban’s Justice Policy Center
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With 20 years of experience researching criminal
justice, public health, and human services issues, Ms.
Mallik-Kane directs Urban’s Evaluation of Early Access
to Medicaid as Reentry Strategy and has written on
the role of physical and behavioral health in prisoner
reentry.
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Melinda Dutton, J.D., Partner
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Ms. Dutton has extensive experience working with
public health insurance programs and the healthcare
safety net, advising foundations, state governments,
the federal Department of Health and Human Services,
and provider groups on the ACA’s implications.
Jocelyn Guyer, M.P.A., Director
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Ms. Guyer provides policy expertise, strategic advice,
and technical support to states, foundations, and other
clients on ACA implementation, Medicaid, and the
Children's Health Insurance Program (CHIP).
Kinda Serafi, J.D., Counsel
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Ms. Serafi has extensive experience implementing the
coverage continuum under federal health care reform
and navigating the legal, policy and operational
challenges of the ACA, Medicaid, CHIP, Marketplace
and payment and delivery reform.
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Questions and Answers
Submission Guidelines
Please submit applications and all supporting
attachments in electronic form to CCJH@urban.org.
You may ask about the application process by contacting the project
manager at Urban:
Jesse Jannetta
The Urban Institute
2100 M Street, N.W. Washington, DC 20037
Telephone: 202-261-5593
JJannetta@urban.org
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This project was supported by Grant No. 2015-CZ-BX-K011
awarded by the Bureau of Justice Assistance. The Bureau of Justice
Assistance is a component of the Department of Justice's Office of
Justice Programs, which also includes the Bureau of Justice
Statistics, the National Institute of Justice, the Office of Juvenile
Justice and Delinquency Prevention, the Office for Victims of Crime,
and the SMART Office. Points of view or opinions in this document
are those of the authors and do not necessarily represent the
official position or policies of the U.S. Department of Justice.