The U.S. Department of Health and Human Services (HHS) approved Illinois, Kentucky, Oregon, Utah, and Vermont to provide healthcare coverage for justice involved-individuals before their release from incarceration, which will improve continuity of care. This latest round of state approvals is part of Medicaid Reentry Section 1115 Demonstration Opportunity, which allows a state to cover services not otherwise coverable in Medicaid and Child Health Insurance Program (CHIP) up to 90 days before an eligible person’s expected release from prison or jail. The four additional states join California, Massachusetts, Montana, and Washington in implementing 1115 waivers.
“This is an essential step for advancing health equity in our nation,” said HHS Secretary Xavier Becerra. “For people involved in the justice system, ensuring a successful transition back into the community includes having the health care supports and services they need.” More states are awaiting approval from HHS.
1115 waivers can lead to justice-involved individuals receiving:
Expanded health care coverage and availability and access to medical care before their release.
Improved continuity of care because of the increased care coordination between correctional facilities and community providers.
Increased funding in health care to improve the quality of care provided in jails and prisons.
Expanded services to treat behavioral health needs and substance use disorder including medications for opioid use disorder (MOUD).
Enhanced health care resources post-release that are aimed at reducing emergency department visits, inpatient hospitalizations, and death.