This chapter contains rules regarding reentry services.
(1) The medicaid agency covers reentry services under the following authorities:
(a) Under the authority of the reentry demonstration initiative, which is part of the agency's section 1115 medicaid demonstration waiver known as the medicaid transformation project 2.0 (MTP 2.0). Subject to the availability of amounts appropriated for this specific purpose, the agency covers a limited set of services for incarcerated individuals who are eligible for medicaid or children's health insurance program (CHIP) benefits for up to 90 days before their release from carceral facilities within Washington state; and
(b) Under sections 5121 and 5122 of the Consolidated Appropriations Act (CAA), 2023, a federal bill that created exceptions to the inmate exclusion policy and requires states to provide certain services while an eligible juvenile is incarcerated in a public institution.
(2) Reentry benefits are based on carceral facilities' eligibility to participate and successful completion of an agency-specific readiness assessment.
(3) Reentry benefits available under CAA vary based upon whether the eligible juvenile is preadjudication or postadjudication.
(a) Preadjudication benefits (section 5122 of CAA, 2023) include the following for eligible juveniles that are incarcerated in public institutions pending disposition:
(i) Medicaid and CHIP benefits; and
(ii) Reentry targeted case management (RTCM) if the individual is expected to be released in less than 90 days; and
(b) Postadjudication benefits (section 5121 of CAA, 2023), which include:
(i) Clinical assessment and evaluation for eligible juveniles (diagnostic services and medical, behavioral, and dental screenings) provided within 30 days prerelease or no later than one week postrelease; and
(ii) Thirty days of RTCM prerelease and for at least 30 days postrelease.