Support for Youth Returning From Incarceration

What Child Welfare Leaders Need to Know About Medicaid

Updated February 6, 2026 | Posted January 31, 2026
By the Annie E. Casey Foundation
A group of people sit in a circle in a brightly lit room. One woman reaches out lovingly to put her hand on a young woman's knee,

A webi­nar, Col­lab­o­rat­ing to Sup­port Youth Return­ing from Incar­cer­a­tion: What Child Wel­fare Lead­ers Need to Know about Med­ic­aid, helps child wel­fare pro­fes­sion­als, Med­ic­aid sys­tems and juve­nile jus­tice part­ners max­i­mize col­lab­o­ra­tion to bet­ter serve young peo­ple return­ing to their com­mu­ni­ties after being incarcerated.

The Con­sol­i­dat­ed Appro­pri­a­tions Act went into effect on Jan­u­ary 1, 2025. Sec­tion 5121 requires states to pro­vide cer­tain Med­ic­aid and Children’s Health Insur­ance Pro­gram (CHIP) ser­vices — includ­ing screen­ings, assess­ments and case man­age­ment — to youth return­ing home from incar­cer­a­tion. The ses­sion dis­cussed how pro­fes­sion­als can now use Med­ic­aid for youth health and well-being and fea­tures experts from the Cen­ter for Health Care Strate­gies, which is a grantee of the Annie E. Casey Foundation.

The pol­i­cy change increas­es access to Med­ic­aid-eli­gi­ble ser­vices that ben­e­fit youth, fam­i­lies and com­mu­ni­ties,” said Joe Rib­sam, the Foundation’s direc­tor of child wel­fare and juve­nile jus­tice pol­i­cy and Col­lab­o­rat­ing to Sup­port Youth Return­ing from Incar­cer­a­tion moderator.

The ses­sion’s oth­er pan­elists included:

  • Elis­sa Gel­ber, senior pro­gram offi­cer, Cen­ter for Health Care Strate­gies; and
  • Liz Buck, senior pro­gram offi­cer, Cen­ter for Health Care Strategies.

What Med­ic­aid and CHIP Changes Mean for Youth Reentry

Many young peo­ple in cor­rec­tion­al insti­tu­tions and oth­er res­i­den­tial set­tings expe­ri­ence gaps in health care, includ­ing gaps in behav­ioral health care. Youth in cor­rec­tion­al insti­tu­tions who have also spent time in fos­ter care may also have unmet health needs asso­ci­at­ed with fam­i­ly sep­a­ra­tion or trau­ma. Under the new fed­er­al require­ments, most are eli­gi­ble for reen­try support.

The pan­elists explored:

  • what child wel­fare lead­ers and prac­ti­tion­ers need to know and do now to improve reen­try plan­ning for young peo­ple; and
  • how to strength­en col­lab­o­ra­tion among child wel­fare, Med­ic­aid and juve­nile jus­tice agen­cies to help return­ing youth get the health ser­vices they need.

Child wel­fare agen­cies are key part­ners in con­nect­ing youth with Med­ic­aid-eli­gi­ble care as they return to their com­mu­ni­ties from incar­cer­a­tion. Deliv­er­ing that care requires strong coor­di­na­tion across child wel­fare, jus­tice and Med­ic­aid sys­tems,” said Ribsam.

More Resources on Lever­ag­ing New Med­ic­aid Guidelines

The Cen­ter for Health Care Strate­gies, with sup­port from the Casey Foun­da­tion, has pro­duced sev­er­al resources to help indi­vid­u­als learn more about using Med­ic­aid to sup­port the health and well-being of young peo­ple in the jus­tice system: