Manatt Health December 4, 2025
Introduction
States have made remarkable progress in designing and launching Medicaid reentry initiatives—coordinated pre-release strategies that use Medicaid authority to connect individuals leaving incarceration with coverage, care, and critical supports to ensure a more stable transition back into the community. The Consolidated Appropriations Act (2023 and 2024 CAA) and the Centers for Medicare and Medicaid (CMS) Reentry Section 1115 Demonstration opportunity have created new, federally authorized pathways to expand pre-release services and strengthen transitions from incarceration back to the community. The true story, however, lies in the day-to-day complex work states and their partners have done to translate these opportunities into practice. States have needed to construct entirely new workflows for Medicaid eligibility and enrollment, pre-release clinical service delivery,...
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