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Kentucky CHFS Medicaid · October 24, 2026 · Primary source

Public Notice regarding Incarcerated Youth (December 19, 2024)

Score 66PRIMARYregulatoryState MedicaidKY

Summary

Kentucky Medicaid issued a public notice under 42 CFR 447.205 implementing coverage of pre-release and post-release services for eligible juveniles exiting the carceral system, effective January 1, 2025, as required by Section 5121 of the Consolidated Appropriations Act of 2023. Eligible individuals are juveniles under age 21 and former foster care individuals ages 18 to 26 meeting the mandatory eligibility group criteria at 42 C.F.R. section 435.150. Covered services include screening (physical, vision, hearing, dental, and behavioral health), diagnostic services, and targeted case management, reimbursed at existing Kentucky Medicaid rates. The estimated fiscal impact is $1,513,440.

What this may mean

Kentucky Medicaid providers delivering screening, diagnostic, and targeted case management services to eligible juveniles exiting incarceration can bill for those services under the state plan effective January 1, 2025. The CAA Section 5121 mandate applies statewide, and the $1.51 million fiscal estimate reflects a new covered population for participating providers including behavioral health and case management organizations.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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