BOP Program Statement 6031.06 § 30

Prior to the release of an inmate for home confinement or RRC placement, proper medical

clearance is required to ensure successful reintegration to the community. Medical clearance is

determined through a health record review and will be documented on the appropriate form

within the Exit Summary tab within the EHR. An Exit Summary ensuring medical clearance and

continuation of medications will be generated and sent with the inmate upon release. This will

require communication and coordination with multiple divisions, including Correctional

Programs, Reentry Services, and Health Services.

The institutional or Regional Social Workers will be involved in cases requiring ongoing care

upon release from Bureau facilities. Social Workers will provide release and treatment planning

for all Care Level 3 and 4 medical and mental health care levels with serious/chronic medical

and mental health issues at least 90 days prior to release. When applicable, they provide release

and treatment planning for Care Level 2 medical and mental health inmates with significant

needs at least 90 days prior to an inmate’s release.

The CD remains the clinical authority on medical clearance. Where the release destination has

been determined, once the inmate has been released from the Bureau facility, the Bureau Medical

Director or designee will assume the clinical authority for these inmates. In cases of differing

clinical opinions regarding inmate management, the Bureau Medical Director or designee will

retain final clinical authority.

Upon arrival at the release destination, if ongoing medical needs are not achievable and require

return to a Bureau facility, a BP-A0770, Medical/Surgical and Psychiatric Referral Request form

will be generated and sent to the Chief, Health Programs and Sector Administrator of the release

destination.