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Spokane County reports delays, billing and pharmacy issues with 11:15 jail reentry waiver
Summary
Spokane County staff reported operational and billing gaps in the federal/state 11:15 partial reentry waiver implementation and recommended moving the county from cohort 1 to cohort 2 to allow more time to resolve provider contracting, billing and medication‑dispensing issues.
Spokane County staff told the regional meeting that implementation of the 11:15 partial reentry (jail‑to‑community) waiver has encountered multiple operational and billing hurdles and that county leaders expect a delayed rollout for the county jail.
Project manager Eric Green briefed attendees on the county’s implementation timeline, provider contracting and outstanding technical issues. Spokane County was an early cohort (cohort 1) for the waiver, Green said, but he described unclear state requirements early in the process, rolling deadlines, and slow release of billing guidance and covered services. He said Spokane’s jail medical provider initially declined to include many behavioral health commitments in its proposal; contract negotiations later produced a single vendor and the county moved into implementation in February while the provider develops an amended plan.
Why it matters: the waiver is intended to expand Medicaid‑funded clinical…
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