To better understand the health care services received by individuals in community reentry and supervision, the Department of Corrections will use the Washington All-Payer Healthcare Claims Database (WA-APCD) to assess health care access, utilization, and effectiveness for this population. DOC will assess the availability of health care claims in the WA-APCD for the study population and whether standard measures of health care performance and effectiveness can be produced. Metrics to be considered include emergency department visits, chronic condition management, and medication adherence measures. The selected measures will also be calculated for individuals in the comparison group, adults eligible for Medicaid under the Affordable Care Act’s Medicaid expansion to see how the justice-involved population accesses and utilizes health care services when benchmarked against other similar adults on Medicaid. DOC also requests claims for non-DOC involved, Medicaid-expansion WA state resident adults to be used as a comparison group in examining health care access, utilization, and effectiveness.