Health Affairs April 6, 2023
Benjamin A. Howell, Bradley Richards

In 2018, the federal SUPPORT for Patients and Communities Act directed the Department of Health and Human Services to provide guidance on how waivers could improve care for individuals transitioning out of incarceration, and in January, the Centers for Medicare and Medicaid Services (CMS) approved the first 1115 demonstration waiver that expands Medicaid coverage to incarcerated individuals in California 90 days before release; other similar submitted 1115 waivers are pending CMS review. As Medicaid coverage can have a potentially lifesaving impact on individuals post-incarceration—through providing timely mental health and addiction treatment, for example—this policy change should be applauded. It is also directly aligned with the Center for Medicaid and Medicare Innovation’s (the Innovation Center) recently published 10-year strategy document that...

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