NASHP/HARP Reentry Resource Repository

National Resources You Should Know

• CSG Reentry 2030
• The Health and Reentry Project (HARP)
• The National Reentry Resource Center
• Council of State Governments Justice Center (CSGJC) Reentry Resources
• Community Oriented Correctional Health Services
• The National Institute of Corrections
• The Council on Criminal Justice
• JustLeadershipUSA
• National Association of Community Health Centers

General Resources on Reentry and Health

• Key Terms and Acronyms – Health and Reentry 
• Substance Abuse and Mental Health Services Administration (SAMHSA) (2023): Best Practices for Successful Reentry From Criminal Justice Settings for People Living With Mental Health Conditions and/or Substance Use Disorders. Includes resource guide and community examples from Laredo, TX; Alameda County, CA; Plymouth County, MA; and New Haven, CT.
• Office of the Assistant Secretary for Planning and Evaluation (ASPE): Report to Congress (2023): Health Care Transitions for Individuals Returning to the Community from a Public Institution: Promising Practices Identified by the Medicaid Reentry Stakeholder Group. Summarizes key challenges and practices for improving transitions from correctional settings to the community, including key considerations for a Medicaid 1115 waiver.
• Urban Institute Policy Guide (2018) Strategies for Connecting Justice-Involved Populations to Health Coverage and Care. Presents a menu of practical strategies to support enrollment and care coordination for justice-involved populations, including opportunities to access Medicaid financing for these efforts.
• The Commonwealth Fund (CMWF) (2020): Bringing Health Care to People Leaving the Criminal Justice System Through In-Reach Programs. Explains in-reach programs for individuals leaving corrections systems and features an example from a CareSource program in Ohio.
• Department of Housing and Urban Development (HUD): Homecoming: Life After Incarceration. A multimedia project designed to highlight the challenges and struggles people experience as they try to re-enter society – includes a toolkit.
• HARP for The Commonwealth Fund (2023): Essential Connections: Community Health Centers’ Role in Facilitating Healthy Transitions Out of Incarceration Describes how community health centers are poised to play an important role in delivering care to formerly incarcerated people as they return to their communities

• State Medicaid Director Letter #23-003 (2023): Opportunities to Test Transition-Related Strategies to Support Community Reentry and Improve Care Transitions for Individuals Who Are Incarcerated. This letter outlines an opportunity for states to request demonstrations that provide coverage for certain Medicaid services to incarcerated individuals who are soon to be released from incarceration.
• State Health Official Letter # 24-004 (2024): Provision of Medicaid and CHIP Services to Incarcerated Youth. This letter provides guidance to address the statutory requirements in the Consolidated Appropriations Act, 2023

Policy Explainers on New Medicaid Policy

• HARP (2024): Medicaid’s New Role in Advancing Reentry: Key Policy Changes
• HARP (2024): Key Elements of Medicaid Reentry Waivers
• HARP (2024): Meeting the Moment: Opportunities to Improve Health and Safety by Changing Medicaid’s Role When People are Incarcerated
• HARP (2023): Breaking Ground: How California is Using Medicaid to Improve the Health of People Leaving Incarceration
• Kaiser Family Foundation (KFF) (2024): Section 1115 Waiver Watch: Medicaid Pre-Release Services for People Who Are Incarcerated. Reviews CMS guidance and summarizes key features of three approved 1115 reentry waivers.
• Public Consulting Group (PCG) (2024): Revisiting Pending Medicaid 1115 Re-Entry Demonstration Waivers and Where They Stand. Summarizes components of states’ re-entry demonstration waivers.
• CMS (2023): Overview of Sections 5121 and 5122 of the Consolidated Appropriations Act, 2023
• CHCS (2024): Medicaid Opportunities to Support Youth Transitioning from Incarceration. Outlines requirements under Section 5121 of the Consolidated Appropriations Act of 2023, including next steps for state agencies and needed partnerships.

Best Practices

• The John D. and Catherine T. MacArthur Foundation’s Safety and Justice Challenge Initiative/HARP/JSP (2024): Implementing the Reentry Waiver in California: Key Policy and Operational Insights from 11 Counties. Explores California’s implementation approach focusing on strategies and challenges across the county-level jails, health care providers, and reentry processes. Includes insights from 11 California counties and the California Department of Health Care Services (DHCS).
• HARP/Council on Criminal Justice (CCJ) (2022): Redesigning Reentry: How Medicaid Can Improve Health and Safety by Smoothing Transitions from Incarceration to Community. Synthesizes stakeholder feedback and identifies essential elements for successful implementation of Medicaid reentry policies.
• Medicaid and CHIP Payment and Access Commission (MACPAC) (2023): Access to Medicaid Coverage and Care for Adults Leaving Incarceration. The Commission identified key considerations for implementing pre-release Medicaid services.
• CMWF/Manatt (2019): State Strategies for Establishing Connections to Health Care for Justice-Involved Populations: The Central Role of Medicaid. Covers strategies to support the health and social needs of people leaving jail or prison, and includes state case examples including from Arizona, New York, Ohio, and New Mexico.

State Medicaid Documents

• Arizona
  • Approved 1115 waiver– as of December 27, 2024
• California
  • CalAIM 1115 Demonstration & 1915(b) Waiver website
  • STCs with approved Implementation Plan (Attachment CC) – as of October 2, 2024
  • Reentry Reinvestment Plan (Attachment EE) – as of December 19, 2023
  • DRAFT Evaluation Design for the Reentry Demonstration Initiative (begins p. 73) – submitted February 7, 2024
• Colorado
  • Approved 1115 waiver– as of January 13, 2025
  • Medicaid Reentry and Community Health (M-REACH) overview 
  • M-REACH Pharmacy Policy- Phase 1 
  • M-REACH Provider Enrollment & Billing Guidance- Phase 1 
• Hawaii
  • Approved 1115 waiver– as of January 8, 2025
  • STCs– As of January 8, 2025
• Illinois
  • Approved 1115 waiver– as of July 2, 2024 
  • STCs- As of December 13, 2025 
• Kentucky
  • STCs– As of July 2, 2024 
  • Reentry Monitoring Protocol – Approved as of July 2025
  • Reentry Evaluation Design and Approval Letter– As of October 3, 2025 
  • Team Kentucky 1115 Waiver website
  • Approved 1115 Waiver – as of July 2, 2024
• Maryland
  • Approved 1115 waiver- as of January 13, 2025
• Massachusetts
  • DRAFT Reentry Demonstration Initiative Implementation Plan – submitted August 16, 2024
  • 1115 MassHealth Demonstration Waiver website
  • Approved 1115 Waiver – as of June 25, 2024
  • STCs – as of June 25, 2024
• Michigan
  • Section 1115 Reentry Services Demonstration website 
  • Approved 1115 waiver– as of December 27, 2024
• Montana
  • Approved 1115 waiver– as of February 26, 2024
  • Justice-Involved Reentry Initiative website 
  • HEART Waiver website
  • Approved 1115 Waiver – as of February 26, 2024
• New Hampshire
  • Approved extension– as of July 16, 2024 
  • STCs– as of July 16, 2024 
  • Approved Evaluation Design– As of October 22, 2025
  • New Hampshire Community Reentry website 
  • Medicaid Waivers & Demonstrations website
  • Approved 1115 Waiver – as of July 16, 2024
• New Mexico
  • JUST Health Plus Policy and Billing Manual– As of October 2025 
  • Medicaid 1115 Waiver Renewal website
  • Approved 1115 Waiver – as of July 25, 2024
• North Carolina
  • Approved 1115 Waiver– as of December 10, 2024 
  • NC Department of Health and Human Services/ NC Department of Adult Corrections: Pre- Release Medicaid Services to Support Reentry Presentation– February 2025
• Oregon
  • Approved 1115 Waiver – as of July 2, 2024
• Pennsylvania
  • Approved 1115 waiver– as of December 26, 2024 
  • Bridges to Success: Keystones of Health for Pennsylvania Medicaid 1114 Demonstration, Application– February 2024
• Utah
  • Utah Justice-Involved Program website 
  • Utah Medicaid’s Reentry Demonstration Initiative Implementation Plan 
  • Medicaid Justice Re-entry Waiver: Capacity Building Funds 
  • Justice-Involved Correctional Facility Readiness Assessment  
  • Utah 1115 Waiver website
  • Approved 1115 Waiver – as of July 2, 2024
• Vermont
  • Approved 1115 waiver– as of September 29, 2025 
  • Global Commitment to Health 1115 Waiver website
  • Approved 1115 Waiver – as of July 2, 2024
• Washington
  • Reentry Initiative Policy and Operations Guide – updated, July 24, 2025  
  • Reentry Targeted Case Management (rTCM) Billing Guide– July 1, 2025
  • Washington’s Third-Party Administrator for Reentry Services RFP  
  • Washington HCA Reentry from a carceral setting website 
  • Approved 1115 Waiver – as of June 30, 2023
• West Virginia:
  • Approved 1115 waiver – as of December 11, 2024

Medicaid Enrollment

• KFF (2019): States Reporting Corrections-Related Medicaid Enrollment Policies In Place for Prisons or Jails. Tracks states that suspend rather than terminate Medicaid coverage and whether states have automated data exchange processes in place to facilitate suspension and reinstatement.
• Urban Institute (January 2017) Information Sharing between Medicaid and Corrections Systems to Enroll the Justice-Involved Population: Arizona and Washington. Examines initiatives in Pima County, Arizona, and Washington State, where state and local Medicaid and correctional agencies have developed systems to coordinate enrollment and communicate regularly on the status of individuals within the correctional system.

Data Sharing

• Justice Outcomes Explorer (JOE): A publicly available dashboard utilizing the Criminal Justice Administrative Records System (CJARS), linked with a socio-economic data available from the U.S. Census Bureau to provide insights on the societal impacts and outcomes of justice-involved individuals within the U.S. criminal justice system.
• SAMHSA/Vera (2015): Improving the Health of Justice-Involved People through Information Technology. Provides proceedings from a conference convened by SAMHSA in 2014.Includes state and local examples, New York City; District of Columbia; Alabama; Pima County, Arizona; and Hennepin County, Minnesota.
• SAMHSA: Data Collection Across the Sequential Intercept Model. Assists jurisdictions with considering data points and measures they should be gathering and analyzing at each intercept in the Sequential Intercept Model and includes several community examples.
• Transitions Clinic Network/Health, Homelessness & Criminal Justice Lab/Seiche (2024): A Roadmap to Evaluating 1115 Reentry Waiver Outcomes. Defines a set of prioritized program evaluation components and a starter set of core quality measure domains aligned with the CMS National Quality Strategy for policymakers implementing 1115 waivers.

• NASHP/HARP/JLUSA (2024): FAQ: Engaging People with Lived Experience of Incarceration. Discusses key definitions and best practices for effective collaboration between states and people affected by incarceration.
• NASHP (2024): Engaging Community Health Workers in State Reentry Efforts. Provides insights to challenges and best practices for engaging the CHW workforce in programs that support justice-involved individuals. Includes three programs that integrate lived experience in reentry processes: Alaska, Kansas, and the Transitions Clinic Network.
• SAMHSA (2023): Lifting Lived Experience Across Criminal Justice Settings: Executive Summary & Report. This report summarizes an in-person meeting that brought together individuals with lived experience of mental health and/or substance use who were also involved with criminal justice settings.
• NPHL/Transitions Clinic Network (2023): Promoting Health Equity in Communities Affected by Mass Incarceration: Addressing Legal Obstacles to Hiring Formerly Incarcerated Individuals as Community Health Workers. Highlights barriers and opportunities to hiring people with lived experience of incarceration as community health workers.
• Chicago Beyond: Do I Have the Right to Feel Safe: A Vision for Holistic Safety in Corrections. Shares a vision and framework outlining five tenets of Holistic Safety.

• U.S. Office of Special Education Programs (2016): Improving Outcomes for Youth with Disabilities in Juvenile Corrections: Transition and Reentry. Summarizes best practices for meeting the needs of youth exiting correctional facilities.
• RTI International and Center for Court Innovation (2021): A three-part series to assist reentry programs in applying a racial equity lens to research and evaluation.
  • Racial Equity Consideration When Using Recidivism as a Core Outcome in Reentry Program Evaluations
  • Risk Assessment and Racial Equity: Making Reentry Program Evaluation Part of the Conversation
  • Assessing and Enhancing Cultural Responsiveness in Reentry Programs Through Research and Evaluation
• RTI International (2023): Similar but Different: Considerations for the Aging Reentry Population. Presents an overview of barriers faced by formerly incarcerated older adults reintegrating into society.
• Center for American Progress (2024): Supporting Women Affected by the Criminal Legal System. Highlights the various economic challenges and barriers women encounter after exiting carceral settings and presents state and federal policy strategies that could assist in supporting women reentering the community and workforce.
• CSG (2023): Building Connections to Housing During Reentry. Examines results from a questionnaire on DOC housing policies, programs, and needs.

Key Insights on the One Big Beautiful Bill Act (OBBBA) on Reentry, Health, and Public Safety 

• HARP (2025):Implications of Key Medicaid Provisions from the One Big Beautiful Bill Act (OBBBA) on Reentry, Health, and Public Safety  
• HARP (2026): State Strategies to Leverage Existing Medicaid Reentry Practices to Support Implementation of the One Big Beautiful Bill Act (OBBBA) 

Medications for the Treatment of Opioid Use Disorder (OUD)

• HARP (2025):  Serving People With Opioid Use Disorder During Reentry: A Resource for States 
• NASHP (2024): A Braided Funding Approach: Leveraging Opioid Settlement Funds to Strengthen Supports for Justice-Involved Populations. Features best practices and opportunities to leverage opioid settlement investments to foster sustainable financing of reentry services.
• California Department of Corrections and Rehabilitation, California Correctional Health Care Services, and University of California, the Irvine Center for Evidence-Based Corrections wrote a meta-analysis: Review of Medication Assisted Treatment (MAT) in United States Jails and Prisons. Provides best practices and lessons from California and other state correctional systems to support MAT expansion in correctional facilities.
• HARP (2024): Set of three reports providing recommendations on services and standards, performance measures, and payment models for Medicaid coverage of opioid use disorder services in prisons and jails. This slide deck provides an overview of the case for MOUD during incarceration and the key findings from all three reports.
• NGA (2021): Expanding Access To Medications For Opioid Use Disorder In Corrections And Community Settings. Highlights state efforts and serves as a policy development tool for states seeking to increase access to MOUD among justice-involved individuals

Youth Requirements

• HARP (2025): Improving Health and Safety as Youth and Young Adults Leave the Justice System: State Implementation of New Policies to Strengthen Continuity of Care at Reentry 

BJA, HARP, NTACC (2024):

• Consolidated Appropriations Act (CAA) of 2023 Youth Requirements: Frequently Asked Questions (FAQ) For Jails
• Consolidated Appropriations Act (CAA) of 2023 Youth Requirements: Frequently Asked Questions (FAQ) For State Departments of Correction and/or Prisons
• Brief Operational Checklist for Post-Adjudicated Youth: A checklist with quick, concrete considerations to guide initial implementation of new requirements.
• Getting Ready: Key Elements for the Implementation of Section 5121 Youth Requirements in Adult Correctional Facilities: A deeper dive, highlighting seven key elements facilities need to think about to be ready to implement the new requirements.

Colorado

The Department of Health Care Policy & Financing published the Federal Authority to Support Health-Related Reentry Services for Incarcerated Populations, which contains an analysis of a potential Medicaid benefit, effectiveness, and fiscal analysis.

Delaware

Delaware’s Correctional Reentry Commission (DCRC) released the Delaware Recidivism Reduction System Blueprint (2021) which provides a guide to reduce recidivism rates within Delaware of those released from state corrections system.

Georgia

The Georgia Division of Community Services formalized a reentry approach for children impacted by the juvenile justice system. This visual map highlights the reentry model and regular transition meetings.

Kentucky

Kentucky has had longstanding collaboration across many state and community partners to support individuals as they transition from incarceration to the community. This partnership map highlights all of the involved players.

In addition to the key partnerships above, below are additional resources to Kentucky’s initiatives supporting reentry and justice-involved individuals: 

• Kentucky Judicial Commission on Mental Health 
• Kentucky Judicial Commission on Mental Health Structure 
  • 2023 Sequential Intercept Model Mapping Workshop 
  • Kentucky Upstream Mapping Workshop: Child Welfare 
  • Kentucky Upstream Mapping Workship: Juvenile Justice 

Maine

Maine is implementing its reentry efforts in a three-part approach composed of a provider incentive pilot program, the 1115 re-entry waiver, and its juvenile justice initiative.  Additionally, has established the Post Incarceration Incentive Payment Pilot, which provides financial incentives to providers who establish early connections with individuals transitioning from incarceration to ensure continuity of community-based care.  

Maryland

The U.S. Attorney’s Office for the District of Maryland developed a Reentry Resource Guide by County (2023) to assist transitioning and returning citizens locate and access services.

Michigan

The Wayne State Center for Behavioral Health and Justice (CBHJ), in collaboration with TBD Solutions, released the report,” Medicaid and Continuity of Coverage for the Justice-Involved Population: An Assessment of Select Michigan Counties and Jails.” An assessment of Michigan’s Medicaid enrollment practices for the justice-involved population.

North Carolina

In North Carolina, the North Carolina Formerly Incarcerated Program (NC FIT) connects formerly incarcerated individuals with chronic conditions, mental illness, or substance use disorders to essential health services and reentry resources, led by Community Health Workers with lived experience.  

Ohio

Ohio released a report “2018 Ohio Medicaid Released Enrollees Study,” an evaluation of the Ohio’s Medicaid Pre-Release Enrollment program created by the Department of Medicaid and Department of Rehabilitation and Correction.

Pennsylvania

The Pennsylvania Department of Corrections in collaboration with Recidivism created a data dashboard that provides data and measures outcomes cross sectionally and longitudinally with a focus on prisons, racial disparities, and parole. This data allows for analysis of racial disparities, recidivism, and more across Pennsylvania prisons.