Title or Subject: Medicaid State Plan Amendment (SPA) 25-0013 Managed Care Services Update to Add Reentry Services for Incarcerated Juveniles.

Description: The federal Consolidated Appropriation Act of 2023 (CAA, 2023) amended section 1902 (a)(84) of the Social Security Act (42 U.S.C. 1396a) to require states to provide specific screening and diagnostic services and targeted case management (TCM), including referrals, in the 30 days prior to release from incarceration, and TCM, including referrals, for at least 30 days post release for eligible juveniles who are incarcerated in a public institution, following the final outcome of charges.

Eligible juveniles include individuals who are under 21 years of age and former foster care children ages 18 to 26 who are determined to be eligible for medicaid immediately before incarceration in a public institution or while incarcerated in a public institution. A public institution includes such correctional institutions as prisons, jails, detention facilities, and other penal settings such as boot camps or wilderness camps.

The health care authority (HCA) intends to submit SPA 25-0013 to allow managed care organizations to provide TCM services to eligible juveniles. TCM includes a comprehensive assessment and periodic reassessment of an individual in gaining access to needed medical, educational, social, or other services.

SPA 25-0013 is expected to increase annual aggregate payment/reimbursement/expenditures for these services by approximately $220,500.

SPA 25-0013 is under development. HCA would appreciate any input or concerns regarding this SPA. To request a copy when it becomes available or submit comments, please use the contact below (please note that all comments are subject to public review and disclosure, as are the names of those who comment).

CONTACT: Email HCAReentryDemonstrationProject@hca.wa.gov, 626 8th Avenue S.E., Olympia, WA 98504, TRS 711.