Key Policy Changes for Youth Reentry Services: What Jails and Juvenile Facilities Need to Know

In a significant development aimed at improving the reentry process for incarcerated youth, new policy changes are set to take effect in January 2025. Jails and youth facilities need to know that there are mandated services for youth enacted through the Omnibus Consolidated Appropriations Act of 2023:

1. Case Management Services: States are required to provide case management services for adjudicated youth during the 30 days prior to their release and continue for at least 30 days post-release. This includes referrals to necessary services.
2. Diagnostic and Screening Services: Youth are entitled to some diagnostic and screening services, including behavioral health screenings in the 30 days prior to release or immediately after release.
3. Optional Coverage for Incarcerated Youth Pending Charges: States can opt to offer Medicaid-covered services to youth who are incarcerated while awaiting the disposition of their charges.

This policy applies to all youth under age 21 and former foster care youth up to age 26, affecting those in local jails, state prisons, and juvenile detention centers.

These changes will impact how health care services are provided to youth during their incarceration and as they transition back into the community. The Centers for Medicare and Medicaid Services (CMS) is still developing policy guidance further defining these requirements.

What Jails and Juvenile Facilities Need to Do

1. Prepare for Implementation: Plan to integrate these policy changes into current systems. This includes establishing partnerships with community health providers to ensure a seamless transition of care.
2. Educate Staff: Training and educating staff about the new policies and their roles in implementing these changes is crucial for a smooth transition.
3. Coordinate with State Agencies: Work closely with state Medicaid agencies to understand the specific requirements and timelines for the new policies.
4. Use Available Resources: Take advantage of the federal support and guidance provided by CMS to implement these changes effectively.

The upcoming policy changes under Medicaid Waiver 1115 represent a significant step forward in supporting the health and successful reentry of incarcerated youth. By understanding and preparing for these changes, jails can play a pivotal role in improving health outcomes and reducing recidivism rates among youth.

Additional resources: In addition to your state resources, the Health and Reentry Project has an excellent resource library.