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Reducing Medicaid Coverage Gaps for Youth During Reentry.

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Justice-involved youth (JIY) often lose Medicaid in detention, creating coverage gaps upon reentry. Experts recommend keeping Medicaid active or reactivating it to improve health and reduce reincarceration.

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Area of Science:

  • Public Health
  • Health Policy
  • Criminology

Background:

  • Many justice-involved youth (JIY) depend on Medicaid for healthcare coverage.
  • Federal "inmate exclusion" policies often lead to Medicaid suspension upon detention entry, causing coverage gaps at release.

Purpose of the Study:

  • To identify expert-recommended solutions for reducing Medicaid coverage gaps for JIY during reentry.
  • To address the public health problem of healthcare access for vulnerable JIY.

Main Methods:

  • Thematic analysis of interviews with 28 experts in Medicaid and the justice system.
  • Qualitative research to identify challenges and solutions for JIY reentry.

Main Results:

  • Coverage gaps during reentry are a significant public health concern for JIY.
  • Expert-recommended solutions include maintaining active Medicaid, pre-reentry reactivation, interagency collaboration, and addressing societal barriers.
  • These strategies aim to ensure continuous healthcare access for Medicaid-eligible JIY.

Conclusions:

  • Addressing Medicaid coverage gaps is crucial for improving health outcomes in JIY.
  • Solutions can mitigate health disparities and potentially reduce cycles of youth incarceration.
  • Enhanced interagency collaboration and policy adjustments are key to successful reentry healthcare access.