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Community Oriented Correctional Health Services

Community Oriented Correctional Health Services (COCHS) is the national leader in promoting health care connectivity between jails and the communities in which they reside. With the ongoing implementation of the Patient Protection and Affordable Care Act (ACA), COCHS now reserves its home page to highlight recent developments impacting public health and public safety. For those seeking more information about COCHS, please visit our About Us page.

  • Medicaid Claiming and Public Safety Agencies Medicaid Claiming and Public Safety Agencies
    While Medicaid pays for traditional services like doctors’ appointments and hospital stays, it also covers other types of services. On average, 96 percent of Medicaid expenditures cover traditional direct services; the other 4 percent, however, cover non-service functions, including funding matches to states and localities for administrative expenses related to Medicaid. Those administrative expenses typically are used to fund social services, mental health, and public health programs through a program called Medicaid Administrative Claiming (MAC).Few public safety entities participate in MAC, even though they are eligible.
  • The Medicaid Administrative Claiming (MAC) Program
    The nuts and bolts of MAC:
    What is MAC?
    What does MAC cover?
    Who can claim MAC?
    What is targeted case management (TCM)?
  • Mentally Ill Inmates Are Routinely Physically Abused, Study Says
    This New York Times article summarizes a report by Human Rights Watch that details the abuse of mentally ill individuals within correctional institutions. Jamie Fellner, a senior adviser at Human Rights Watch and the report’s author, said the study was the first to take a comprehensive look at use of force by guards against mentally ill prisoners.
  • Medicaid Coverage for Jail Inmate's Inpatient Hospitalization
    In Sheriff Magazine, Steve Rosenberg, president of COCHS discusses the Department of Health and Human Services' guidance letter of 1997 that outlines the circumstances under which Medicaid could pay for health insurance when an inmate becomes a patient in a medical institution. The ACA's Medicaid expansion means that a significant number of inmates are likely to be eligible.
  • Ending the Criminalization of Mental Illness
    In a speech to a meeting of Prosecutors Against Gun Violence, Judge Steven Leifman talks about his experience being a judge in Miami-Dade County. At the time of his election, he did not realize he would become the gatekeeper to the largest psychiatric facility in the State of Florida: the Miami-Dade County Jail. Judge Leifman proposes ten essential elements to improve the care of individuals suffering from mental illness and behavioral health challenges.
  • Consumer Rights Come to Jail: How the Affordable Care Act
    Changes the Rights of Individuals Pending Disposition

    The ACA has expanded affordability of, and access to, health care and granted rights and responsibilities specifically to individuals in jail pending disposition. It is only a matter of time before correctional settings must incorporate the consumer-based insurance mechanisms and assurances established by the ACA. Recognition of serious, widespread deficiencies in the physical and mental health care services provided in jail underscores the urgency of this need.
  • Development of a Performance-Based RFP for Correctional
    Health Care Services in Vermont

    In March 2013, the DOC contracted with Community Oriented Correctional Health Services (COCHS) to help the Vermont Department of Corrections (DOC) determine how best to design a contract for correctional health care services, in alignment with ongoing federal and state health reforms. This case study describes the policy environment that prompted the Vermont DOC’s health care system, in partnership with community-based organizations, to develop the first statewide performance-based Request for Proposals (RFP) and subsequent contract for correctional health care services.
  • Technology and Continuity of Care: Connecting Justice and Health
    At the end of 2014, COCHS received funds from the Substance Abuse and Mental Health Services Administration to develop nine case studies on data-sharing between the criminal justice and the health care sectors to promote continuity of care. We developed these case studies as a way to provide insights from a range of jurisdictions and organizations and inform data-sharing efforts in other communities.
  • Medicaid-funded Paraprofessional Services for Criminal Justice Populations
    One of the ACA’s goals is the improvement of population health, including the elimination of health disparities. This goal cannot be achieved without addressing the needs of justice-involved individuals, a population with major health disparities and other challenges that impact health. Through Medicaid expansion, the ACA has created an opportunity for many justice-involved individuals to gain health insurance for the first time. Peer support providers could play an important role in bringing justice-involved individuals into the health care system, delivering culturally competent services, and drawing on shared experiences to help clients overcome their often interrelated barriers to health and community re-entry.
  • NYS Correctional Medical and Behavioral Healthcare Workshop,
    The Present and Future of Correctional Health and Mental Health Care,
    Keynote Speech, Steven Rosenberg, President, COCHS
    On December 9, 2014, at the NYS Correctional Medical and Behavioral Healthcare Workshop, Steven Rosenberg gave the keynote speech. In this speech, he described the future of correctional health care and the way managed care principals will change the relationship between health care in the community and health care in corrections.