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Pennsylvania Keystones of Health Section 1115 Demonstration Approval Period: December 26, 2024 through December 31, 2029 Page 11 of 90 community-based providers from whom they can receive services upon reentry to their communities. This bridge to coverage begins within a short time prior to release and is expected to promote continuity of coverage and care and improve health outcomes for justice- involved individuals. The reentry demonstration initiative provides short-term Medicaid enrollment assistance and pre-release coverage for certain services to facilitate successful care transitions, as well as improve the identification and treatment of certain chronic and other serious conditions to reduce acute care utilization in the period soon after release, and test whether it improves uptake and continuity of medication-assisted treatment (MAT) and other Substance Use Disorder (SUD) and behavioral health treatments, as appropriate for the individual. During the demonstration, the state seeks to achieve the following goals: a. Increase coverage, continuity of care, and appropriate service uptake through assessment of eligibility and availability of coverage for benefits in correctional facility settings prior to release; b. Improve access to services prior to release and improve transitions and continuity of care into the community upon release and during reentry; c. Improve coordination and communication between correctional systems, Medicaid systems, managed care plans (as applicable), and community-based providers; d. Increase additional investments in health care and related services, aimed at improving the quality of care for individuals in correctional facility settings, and in the community to maximize successful reentry post-release; e. Improve connections between correctional facility settings and community services upon release to address physical and behavioral health needs, and health-related social needs; f. Reduce all-cause deaths in the near-term post-release; g. Reduce the number of emergency department visits and inpatient hospitalizations among recently incarcerated Medicaid individuals through increased receipt of preventive and routine physical and behavioral health care; h. Provide interventions for certain behavioral health conditions, including use of stabilizing medications like long-acting injectable antipsychotics and medication for addiction treatment for SUDs where appropriate, with the goal of reducing overdose and overdose-related death in the near-term post-release; i. Ensure a seamless transition and continuity of care for justice-involved beneficiaries; and j. Enhance the reintegration of justice-involved beneficiaries into the community while optimizing their access to essential healthcare services.