Spokane County reports progress and hurdles implementing Medicaid '11:15' prerelease services

Jul 21, 2026

Officials said Spokane County went live with Medicaid waiver '11:15' on July 1 but faces staffing gaps, managed‑care contract complexities and potential reimbursement lag; staff said pharmacy and medication billing may be an early source of recoveries but legal/contract amendments remain.

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County staff and contracted providers briefed the board on the '11:15' Medicaid waiver pilot, which provides up to 90 days of prerelease case management and substance‑use disorder treatment for eligible incarcerated individuals.

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