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Medicaid authority and opportunity to build new programs for justice-involved individuals

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HMA to Host Webinar on Approaches to Implementing Medicaid Demonstration Programs

Join Health Management Associates (HMA) for a webinar designed to help states and other stakeholders understand the section 1115 parameters and that will provide insight to states, local government, carceral care settings and providers on how to best plan for implementing such services.

Who should register:

  • State Medicaid agencies
  • Medicaid health plans
  • Providers
  • Counties/Cities
  • Federal policymakers/officials
  • Correctional administrators and health providers
  • Foundations

Why this is important:

On January 26, the Centers for Medicare & Medicaid Services (CMS) approved California’s (CA) section 1115 request to cover targeted healthcare services for incarcerated individuals 90 days before release. This historical partial rollback of the Medicaid Inmate Exclusion Policy empowers the CA Department of Health Care Services (DHCS) to collaborate with state agencies, counties, and community-based organizations to create coordinated community reentry services focused on persons transitioning from incarceration to community that provide physical and behavioral healthcare services.

Fourteen states have pending section 1115 demonstration requests:

These requests include specific healthcare services for justice-involved individuals. CMS has indicated it will be issuing guidance on the coverage parameters for healthcare services for individuals transitioning from carceral settings.  These efforts allow states, counties, and cities to build coordinated systems of healthcare care to support reentry.  Building such systems requires infrastructure development and enhancement, stakeholder engagement, strategic planning, and project and change management across justice partners, health plans, and community-based organizations.


Linda Follenweider, Managing Director, Justice Involved Services
Tonya Moore, Senior Consultant
Margaret Tatar, Managing Principal
John Volpe, Principal
Julie White, Principal 


Webinar replay: rural health equity for dually eligible individuals: improving access to services and integrated care programs

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This webinar was held on February 2, 2023. 

Dually eligible individuals covered under Medicare and Medicaid living in rural areas struggle to access the services, care coordination, and integrated care programs they need. To address these needs, HMA conducted multi-state roundtable discussions with diverse stakeholders to create The Health Equity & Access for Rural Dually Eligible Individuals (HEARD) Toolkit. During this webinar, our experts summarized and discussed the toolkit’s actionable solutions for improving health and social outcomes for rural dually eligible individuals.

Learning Objectives:

  • Understand why the voices of rural dually eligible individuals must drive planning efforts to generate innovations and prioritize investments to advance independent living and recovery goals.
  • Learn how experiences shared from New Mexico, North Dakota, and Tennessee can offer lessons.
  • Explore eight actionable solutions for improving health and social outcomes among rural dually eligible individuals as outlined in the HEARD toolkit.
  • Understand why community engagement and investment in rural capacity are essential to improving access to services and integrated care programs for rural dually eligible individuals.


Arielle Mir, Vice President, Health Care, Arnold Ventures

HMA Team

Ellen Breslin, Principal
Samantha Di Paola, Consultant
Susan McGeehan, Senior Consultant

Expert Panelists

Dr. Kevin Bennett, Professor of Family Medicine, University of South Carolina School of Medicine, Director of the Research Center for Transforming Health, and Director of the South Carolina Center for Rural and Primary Care
Dennis Heaphy, Health Justice Advocate and Researcher, Massachusetts Disability Policy Consortium, Co-Chair, One Care Implementation Council, a One Care member, and MACPAC Commissioner
Pamela J. Parker, Medicare-Medicaid Integration Consultant, SNP Alliance
Tallie Tolen, Long-Term Services and Supports Bureau Chief, Medicaid, New Mexico Human Services Department


Webinar replay: state strategies for the certified community behavioral health clinic demonstration planning grant opportunity

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This webinar was held on November 7, 2022.

The Bipartisan Safer Communities Act offers new funding for states to develop a Certified Community Behavioral Health Clinic (CCBHC) Demonstration program. A new CCBHC Planning Grant Notice of Funding Opportunity (NOFO) for states has just been released with a deadline of Monday December 19, 2022. During this webinar – a follow up to our October 6 webinar – experts from HMA and the National Council for Mental Wellbeing provided an overview of the CCBHC Demonstration program NOFO, offered strategies for using CCBHC as a strategic transformational opportunity for systems improvement, reviewed the NOFO requirements and key changes from previous opportunities, and outline strategies for developing a successful response.

Learning Objectives

  • Review requirements of the new CCBHC Demonstration Planning NOFO for states and how it varies from previous efforts.
  • Understand the importance of aligning the CCBHC model within a larger state behavioral health and integrated care strategy.
  • Learn key considerations for states in responding to the opportunity and steps to improve the quality of a response.


Kristan McIntosh, Principal, HMA

Heidi Arthur, Principal, HMA

Josh Rubin, Principal, HMA

Rebecca Farley-David, Senior Advisor, Public Policy and Special Initiatives, National Council for Mental Wellbeing


Did You Miss Part 1 of our CCBHC Planning Grant Webinar Series?

In case you missed it, experts from HMA and the National Council for Mental Wellbeing were joined by state leaders from New York and Michigan (two current CCBHC Demonstration states) for a pre-NOFO release discussion on October 6, 2022. During this prior webinar, we shared lessons learned and strategies states have used to successfully plan for the CCBHC Demonstration Program and leverage the CCBHC initiative as a transformation opportunity that can help behavioral health care systems achieve their broader health quality and access goals. The recording, slide deck, and an associated Q&A document from that previous session can be found here.


Webinar replay: equity-centered approaches to supporting community prevention and treatment

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This webinar was held on November 15, 2022. 

Deeply rooted structures, systems, and beliefs have perpetuated racial inequities within substance use and mental health treatment and recovery settings. Racism and associated traumas add to these injustices and may influence how people of color experience and seek help for behavioral health needs. During this webinar, hear from community-based practitioners, who are leveraging evidence-based practices centered in equity, to provide support to our most vulnerable through harm reduction, overdose prevention and linkage to community treatment services.

Learning Objectives

  • Learn about the importance of centering your approaches in equity.
  • Obtain concrete examples of specific equity practices for harm reduction and overdose prevention.
  • Develop an understanding of national efforts that can support prevention in communities, driven by communities.


Juleigh Nowinski Konchak, MD, Attending Physician, Behavioral Health, Department of Family and Community Medicine and Center for Health Equity and Innovation, Cook County Health
Rashad Saafir, PhD, President, CEO, Bobby E Wright Comprehensive Behavioral Health Center


Michelle Ford, Principal, HMA
Leticia Reyes-Nash, Principal, HMA


Webinar replay: collaborating with faith-based organizations on reducing overdose deaths and addressing stigma

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This webinar was held on November 8, 2022.

Substance and opioid use disorders (S/OUD) affect people from all walks of life, including those active in faith communities. Yet many faith leaders do not know how to effectively support members of their congregations and their families who are struggling with these diseases. Faith groups and faith leaders from all denominations can be critical allies in addressing the stigma of S/OUD and building safe, compassionate spaces for individuals to get spiritual support along with the physical, mental, and emotional help they need to recover from S/OUD.

Presenters led participants through the myths and facts about S/OUD most relevant to faith communities and how to create faith-based prevention initiatives that can work in collaboration with other state S/OUD prevention and harm reduction strategies.

Learning Objectives

  • Find out how Faith-based Organizations (FBOs) can play an important role in helping individuals and families affected by S/OUD.
  • Learn how to encourage collaboration between faith communities and systems of care.
  • Understand key myths and facts related to S/OUD to share with FBOs.
  • Learn how to help FBO start prevention and harm reduction strategies in their communities.
  • Find out how to leverage FBOs to expand education about SUD and reduce stigma.


Amy Bechtol, West Tennessee Faith-Based Community Coordinator with the Tennessee Department of Mental Health & Substance Abuse Services
Ana Bueno, Senior Associate, HMA
Stephanie Denning, Principal, HMA


Related Video

Our Resilient Communities In the Opioid Epidemic: Partnering for Equitable Solutions


Webinar replay: industry-specific outreach and education for reducing overdose deaths

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This webinar was held on October 25, 2022. 

Industry stakeholders are non-traditional partners who can be effective in supporting and expanding opioid overdose prevention efforts. During this webinar, attendees heard about one state’s experience using data to identify and target stakeholders in high-risk industries, including construction and food services. We shared a framework for industry-specific prevention efforts—including use of data; identification of key partners; engagement strategies, and education; stigma reduction, and harm reduction activities—that other locales can adapt and integrate into their overall opioid prevention and response strategies. In addition, we identified possible funding opportunities to support this type of effort.

Learning Objectives

  • Learn about effective ways to build non-traditional, industry-specific partnerships to support communities to reduce overdose deaths.
  • Understand how data can help target and engage stakeholders in outreach, education, stigma reduction, and harm reduction.
  • Obtain concrete examples of industry-specific engagement and education activities that have been impactful in the restaurant and construction industries.


Kate Brookins, Director, Office of Health Crisis Response, Delaware Department of Health and Social Services Division of Public Health
Mayur Chandriani, Associate, HMA
Kristan McIntosh, Principal, HMA


Webinar replay: community response teams- reducing overdose deaths and addressing stigma

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This webinar was held on October 18, 2022. 

Community Response Teams are vital cross-sector, data driven, community-based collective action initiatives that address the local opioid crisis through harm reduction education, Naloxone distribution, and data. During this webinar, HMA speakers addressed the rationale, framework, funding, and implementation of successful initiatives that serve as models for other states, including case studies from California and Delaware.

Learning Objectives

  • Create local community collaborations focused on opioid education, Naloxone distribution, and reducing stigma.
  • Understand the four critical concepts of the Community Response Team framework: prepare, use data, prevent, and co-design with community.
  • Understand how counties in California and Delaware implemented the framework.


Nayely Chavez, Senior Associate
Liddy Garcia-Bunuel, Principal
John O’Connor, Managing Director


Don’t miss other webinars in this series, which will address:

  • Industry-Specific Outreach and Education (October 25)
  • Faith-Forward Collaborative (November 8)
  • Equity-Centered Approaches to Supporting Community Prevention and Treatment (November 15)

Webinar replay: Opportunities for advancing Minnesota’s behavioral health crisis systems and services

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This webinar was held on October 5, 2022.

With the help of newly available federal funding, states like Minnesota are poised to dramatically advance crisis systems and services to address the needs of individuals who experience behavioral health crises. During this webinar, speakers provided an overview of key behavioral health crisis initiatives nationwide, including a look at specific community efforts that can inform the development of improved systems and services in Minnesota.

Learning Objectives

  • Understand the differences between crisis systems and crisis services.
  • Find out how communities are advancing crisis systems and services by leveraging national opportunities.
  • Assess the implications of SAMHSA’s focus on block grant funding for crisis services.
  • Learn how the new national 988 call number and allocations for 988 infrastructure support can drive improved crisis response.


Sue Abderholden, Executive Director, NAMI-MN
Suzanne Rabideau, Senior Consultant, HMA
Robin Trush, Principal, HMA
John Volpe, Principal, HMA


Webinar replay: developing a strategy for the certified community behavioral health clinic state demonstration RFP

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This webinar was held on October 6, 2022. 

The Bipartisan Safer Communities Act offers states new funding for expansion of the Certified Community Behavioral Health Clinic (CCBHC) Demonstration. The next CCBHC Planning Grant RFP for states is anticipated to be released in the fall of 2022. In this webinar, the first of a two-part series, experts from HMA and the National Council for Mental Wellbeing discussed:

  • The CCBHC Demonstration opportunity and what the evidence for the model demonstrates
  • How states have used the CCBHC model as a transformational opportunity that can help behavioral health care systems achieve broader health quality and access goals
  • Lessons New York and Michigan have learned from their CCBHC efforts, including key takeaways from the application and implementation processes


Kristan McIntosh, Principal, HMA
Heidi Arthur, Principal, HMA
Dave Schneider, Managing Principal
Rebecca Farley-David, Senior Advisor, Public Policy and Special Initiatives, National Council for Mental Wellbeing

Download the CCBHC Demonstration Program Webinar Q&A


Check Out Part 2 of our CCBHC Planning Grant Webinar Series

In our follow-up webinar, HMA and National Council for Mental Wellbeing reviewed the specific requirements of the Substance Abuse Mental Health Services Administration (SAMHSA) Notice of Funding Availabilities (NOFA) and shared recommended activities for states to have a successful application. The recording and slide deck can be found here.


Webinar replay: How behavioral health organizations can strategically leverage public, private grants

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This webinar was held on September 29, 2022. 

Behavioral health organizations are benefitting from unprecedented access to public and private grant funding. But there are significant risks to simply “chasing funds,” such as mission drift and increased staff burnout within an already overburdened workforce. During this webinar, speakers from HMA and LAPA Fundraising outlined concrete steps behavioral health organizations can take to ensure they are pursuing the type of grants that support their overall mission.

Join us to:

  • Garner strategies and approaches for successfully winning grant dollars
  • Obtain an overview of current and upcoming funding opportunities that behavioral health agencies can use to build capacity and better serve their communities
  • Understand the tools and tactics organizations need to enhance their ability to attract both public and private grants
  • Develop a long-term strategy for diversifying agency funding for use in both growing existing behavioral health programs and seeding new and innovative initiatives


Kristan McIntosh, Principal, HMA
Jessica Williams, Managing Director of Grants, LAPA Fundraising


Webinar replay: New York State 1115 waiver amendment and the federal climate for waiver approval

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This webinar was held on April 26, 2022. 

On April 13, New York State announced it is requesting $13.52 billion over five years to fund a new amendment to its 1115 Waiver Demonstration that addresses health disparities and systemic healthcare delivery issues highlighted and intensified by the COVID-19 pandemic. During this webinar, speakers provided an overview and analysis of the contents of the state waiver amendment request, including Health Equity Regional Organizations (HEROs), Social Determinant of Health Networks (SDHNs), and Value Based Payment Incentive Payments. Speakers also discussed the current federal climate as CMS begins its review and consideration of New York’s waiver amendment request.

Learning Objectives

  • Understand the components and initiatives included in the New York State 1115 waiver amendment request, including lessons learned from the prior Delivery System Reform Incentive Payment (DSRIP) program
  • Learn about dynamics and considerations at the federal level and how they may impact the evaluation of state 1115 waiver requests
  • Identify potential upcoming funding streams and strategic considerations for your organization as it relates to the initiatives in the New York waiver amendment request

HMA Speakers

Josh Rubin, Principal, New York, NY

Cara Henley, Senior Consultant, Albany, NY

Andrea Maresca, Principal, Federal Policy, Washington, DC


Webinar replay: how state leaders can leverage State Opioid Response funds for system transformation

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This webinar was held on March 24, 2022. 

Since 2018, the federal government has granted more than $5 billion in State Opioid Response (SOR) funds aimed at supporting evidence-based prevention, treatment, and recovery of opioid use disorder (OUD).  The most successful state initiatives have focused on driving healthcare delivery system changes designed to increase timely, consistent, high-quality access to treatment and support services, including the use of medication assisted treatment (MAT). During this webinar, speakers showcased best-in-class efforts by states like California, Delaware, and Illinois to leverage SOR funding and achieve measurable, system-wide improvement in OUD treatment and outcomes.

Learning Objectives

  • Understand why a focused approach to the use of SOR funding is needed to drive delivery system transformation and measurable improvement in OUD treatment outcomes
  • Learn how California and Illinois are utilizing a “learning collaborative model” to increase the use of MAT among incarcerated individuals
  • Understand Delaware’s statewide approach to SOR and how building a synergistic and informed provider network is a central strategy
  • Learn how to replicate successful SOR models, with the ultimate goals of increasing access to timely, consistent care


Marsha Johnson, Managing Principal, HMA, Philadelphia, PA

Bren Manaugh, Principal, HMA, Austin, TX

Kathleen Monahan, Project Director, State Opioid Response, Illinois

Brent Waninger, Chief, Workforce Development and Education, Project Coordinator, State Opioid Response, Delaware

Reference Materials

Expanding Substance Use Disorder Treatment for Persons Involved in the Justice System

HMA Opioid Team: Experts Leading Crisis Response