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Vermont officials outline rollout of Section 1115 Medicaid reentry waiver, aim for Jan. 1, 2026
Summary
State Medicaid officials told the Joint Legislative Justice Oversight Committee that a Section 1115 reentry waiver approved July 1 will let Vermont claim Medicaid for certain prerelease services; implementation requires IT and billing changes, and the state expects to phase in post‑adjudicated coverage by Jan. 1, 2026.
State Medicaid officials outlined plans on Oct. 16 to implement a Section 1115 Medicaid "reentry services" waiver that allows federal funding for certain services delivered to sentenced people in Vermont correctional facilities before they are released.
"We applied for this waiver in 2022. We didn't actually get it until July first of this year," Ashley Berliner, director of Medicaid policy at the Vermont Agency of Human Services, told the Joint Legislative Justice Oversight Committee. Berliner said the state is aiming to begin full implementation on Jan. 1, 2026, and that the work requires eligibility‑system changes, claims system changes, provider outreach and technology to ensure inmates can be identified and their enrollment suspended rather than terminated while in custody.
The waiver permits Medicaid payment for a defined set of prerelease services up to 90 days before release, Berliner said. Those services include case management,…
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