Corrections director recommends Cowlitz County withdraw from Medicaid program for inmates

Mar 31, 2026

The county’s corrections director told commissioners the Medicaid Transformation Act option to extend inmate Medicaid for the first 90 days would require infrastructure and staffing and — based on county projections — costs would likely exceed reimbursements; staff recommended returning state startup funds and not moving forward now.

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Marin Fox, director of corrections, told the board the county should not move forward immediately with the Medicaid Transformation Act (MTA) program that would extend Medicaid for inmates for the initial 90 days of incarceration.

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