A HARP publication with support from the Foundation for Opioid Response Efforts (FORE)
More than half of the states are building continuity of care as people return to the community after incarceration using Medicaid 1115 reentry waivers. One goal of these waivers is to expand access to services for people with substance use disorder (SUD) and facilitate their safe transitions back to communities. However, rural jails face unique operational and programmatic challenges when implementing SUD services under their state’s reentry waiver program.
To better understand how best to implement reentry waivers in rural counties, HARP conducted case studies from three counties in Washington state and Maine. The case studies illustrate the approaches, resources, and partnerships three county jails are building to adapt their implementation strategies to local circumstances.
As more states implement Medicaid reentry waivers, the experiences of these rural counties offer practical examples of how local partnerships and flexible service models can support successful reentry and improve continuity of care for people returning to their communities.
Visit HARP’s “Serving People with Opioid Use Disorder During Reentry” toolkit to learn more about how states and counties are leveraging 1115 reentry waivers to expand access to treatment for people with SUD at reentry.