Medicaid and Carceral System Involved Populations: Summary of State Actions

People who return to the community after experiencing incarceration face many challenges in reorienting to life in their communities. Addressing basic needs like food, clothing, and shelter is likely their priority, as many of them do not have a home where they can return upon discharge. Even for those who receive family support, it is challenging to navigate the process of obtaining and maintaining the services, including healthcare, that they need to thrive in the community.

States looking to improve health, improve public safety, and decrease costs are providing Medicaid insurance coverage to this population in new and innovative ways. Various states have been approved by the federal Centers for Medicare & Medicaid Services (CMS) to use 1115 research and demonstration waivers to facilitate the enrollment of Medicaid for justice-involved persons, primarily 90 days before release.

This resource highlights the requests and approvals of Reentry Demonstrations by states. The below table summarizes state programs that are focused on the justice-involved population based on research conducted by CSH.

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