Section 1115 Waiver Services

CHP partners with state and county correctional agencies to design, implement, and manage 1115 Waiver initiatives that improve continuity of care for justice-involved populations. Drawing on experience supporting programs such as California’s CalAIM Justice-Involved initiative, we help organizations build sustainable, compliant, and effective reentry healthcare programs.

Our approach combines clinical expertise, care coordination, operational support, and implementation experience to help individuals successfully transition from custody to community.

Our Approach

Building the Bridge Between Custody and Community

Successful reentry begins before release. CHP’s pre-release healthcare model connects eligible individuals to critical medical, behavioral health, and community-based services, helping improve health outcomes and reduce gaps in care upon release.

Core Services

• Care Management & Care Coordination
• Physical Health Services
• Behavioral Health Services
• Medication Management
• Medication-Assisted Treatment (MAT)
• Medications Upon Release
• Community Health Worker Services
• Laboratory & Radiology Coordination
• Durable Medical Equipment Coordination
• Warm Handoffs to Community Providers
• Behavioral Health Linkages & Community Connections
• Reentry Care Planning & Continuity of Care Support

Who We Serve

Supporting High-Need Justice-Involved Populations

CHP supports justice-involved individuals with complex physical, behavioral, and social needs who may benefit from pre-release healthcare and care coordination services. Populations served may include:

• Incarcerated youth in juvenile correctional facilities
• Pregnant and postpartum individuals
• Individuals with
           – mental health conditions
           – substance use disorders
           – chronic or complex medical conditions
           – traumatic brain injuries or cognitive impairments
           – intellectual or developmental disabilities
           – HIV/AIDS

Through targeted care management, clinical services, discharge planning, and community-based care coordination, CHP helps individuals receive the support they need for a successful transition from custody to community.

Implementation Models

Flexible Service Delivery

Every correctional system has unique operational needs, staffing resources, and implementation goals. CHP adapts its services to fit the model that best aligns with each agency’s structure and reentry strategy.

In-Reach Model

For agencies that prefer to maintain primary program oversight, CHP provides specialized clinical and care coordination services through scheduled onsite engagement. Our teams collaborate closely with correctional staff and county partners to deliver pre-release healthcare services while supporting continuity of care and compliance requirements.

Ideal for organizations seeking:

• Additional clinical expertise
• Expanded service capacity
• Flexible staffing support
• A phased implementation approach
• Enhanced care coordination without fully embedded personnel
• Embedded Model

CHP clinicians and care coordination professionals become an integrated part of the facility’s healthcare operation. Working onsite, our teams deliver medical and behavioral health services, participate in interdisciplinary care planning, and coordinate reentry services from incarceration through release.

Embedded Model

Embedded services may include:

• Health assessments and care management
• Behavioral health support
• Medication management and release planning
• Reentry care planning
• Community provider linkages
• Warm handoffs and continuity of care coordination
• Documentation, reporting, and billing support

Ideal for organizations seeking:

• Comprehensive operational support
• Dedicated onsite expertise
• Integrated medical and behavioral health services
• Enhanced care coordination and continuity of care

Hybrid (Mixed) Model

CHP works alongside correctional agencies, county departments, healthcare providers, and community-based organizations in a collaborative delivery model. Each partner contributes specialized expertise while CHP serves as a key clinical and operational partner supporting healthcare delivery, care coordination, and program implementation.

This model supports:

• Cross-agency collaboration
• Shared responsibility for service delivery
• Coordinated reentry planning
• Community-based care connections
• Flexible resource utilization

Ideal for organizations seeking:

• A highly collaborative approach
• Existing county and community partnerships
• Shared staffing and operational responsibilities
• Scalable implementation across multiple stakeholders

Proven Implementation Experience

Putting Our Models into Practice

CHP has successfully supported both embedded and collaborative implementation models across correctional settings. From fully integrated onsite healthcare teams to cross-agency partnerships involving county departments and community organizations, our experience allows us to adapt to local operational structures while maintaining a focus on continuity of care, compliance, and successful reentry outcomes.

Mixed-Model Success

CHP partnered with one of California’s early adopters of justice-involved reentry services to implement a coordinated, cross-agency healthcare program. Working alongside correctional staff, probation, county agencies, and community-based organizations, CHP provided clinical services, care coordination, medication management, reentry planning, and billing support to help ensure continuity of care upon release.

This collaborative approach aligned healthcare, social services, and community resources around a common goal: helping individuals successfully transition from custody to community with the care and support they need to thrive.

Embedded Provider Success

As an embedded healthcare partner, CHP has supported large correctional facilities through the delivery of integrated medical and behavioral health services. Working onsite with care managers, discharge planners, and facility staff, our teams facilitate assessments, care coordination, release planning, community linkages, and continuity of care services throughout the pre-release period.

This comprehensive approach helps ensure individuals leave custody with established care plans, connections to community resources, and the support needed for a successful transition back into the community.

Billing & Revenue Cycle Support

Navigating Operational and Reimbursement Complexity

Implementing 1115 Waiver programs requires more than clinical services. Sustainable programs depend on effective documentation, compliant billing practices, revenue cycle management, and coordination across multiple stakeholders.

CHP helps agencies establish workflows that support reimbursement, reduce administrative burden, and adapt to evolving state and federal requirements.

Billing Support Includes

• Clinical encounter documentation support
• Coding and claims workflow management
• Revenue cycle support
• Third-Party Administrator (TPA) coordination
• Compliance monitoring and reporting
• Eligibility and service tracking workflows

Our flexible approach aligns with each client’s implementation model and operational needs, helping agencies build programs that are both compliant and financially sustainable.

Why CHP

A Trusted Partner for 1115 Waiver Implementation

CHP combines correctional healthcare expertise with real-world implementation experience to help agencies successfully launch and operate pre-release healthcare programs.

Why Agencies Choose CHP

Correctional healthcare expertise

• Multi-state 1115 Waiver experience
• Integrated medical and behavioral health services
• Flexible implementation models
• Strong operational and compliance support
• Scalable, sustainable reentry programming

We help agencies improve continuity of care, strengthen reentry outcomes, and create healthcare programs that support long-term success for justice-involved populations.