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With federal youth reentry requirements for Medicaid/CHIP enrollment taking effect now, justice leaders have new tools to ensure that young people leaving juvenile detention and jails are connected to care to improve their return to the community. This seminar will highlight how counties can move from complex policy requirements to functional, real-world operations so that participants leave with concrete next steps and answers to their implementation questions.

Through the Stepping Up Initiative, we have been working directly with county jail leaders to create clear, actionable approaches tailored to local needs, with a priority on engaging rural facilities not yet involved in important implementation conversations. We help jails strategize how to approach state Medicaid agencies, managed care organizations, and community partners so that they can stand up their programs, build IT and data-sharing infrastructure, and strengthen operational workflows grounded in best practices across the field.

The session will feature early implementation efforts from 1-2 county jail sites focused on operationalizing the requirements for young adults in custody. Presenters will share practical lessons on building capacity, aligning operations with Medicaid and managed care, and ensuring sustainable connections to coverage that support youth reentry success.

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