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Pennsylvania Keystones of Health Section 1115 Demonstration Approval Period: December 26, 2024 through December 31, 2029 Page 13 of 90 STCs and accompanying protocols, and not otherwise covered under the inpatient exception to the inmate exclusion rule remain subject to the inmate exclusion rule. Accordingly, other benefits and services covered under the Commonwealth of Pennsylvania Medicaid State Plan, as relevant, that are not included in the above- described pre-release services (e.g., EPSDT treatment services for qualifying Medicaid beneficiaries under age 21) are not available to qualifying individuals through the reentry demonstration initiative. 5.5. Participating Correctional Facilities. The pre-release services will be provided at prisons and jails, or outside of the correctional facilities, with appropriate transportation and security oversight provided by the correctional facility, subject to the Commonwealth of Pennsylvania’s Department of Human Services approval of a facility’s readiness, according to the implementation timeline described in STC 5.9. States must be mindful of and ensure the policies, procedures, and processes developed to support implementation of these provisions do not effectuate a delay of an individual’s release or lead to increased involvement in the juvenile and adult justice systems. Correctional facilities that are also institutions for mental diseases (IMDs) are not allowed to participate in the reentry demonstration initiative. 5.6. Participating Providers. a. Licensed, registered, certified, or otherwise appropriately credentialed or recognized practitioners under the Commonwealth of Pennsylvania scope of practice statutes shall provide services within their individual scope of practice and, as applicable, receive supervision required under their scope of practice laws and must be enrolled as a Medicaid provider. b. Participating providers eligible to deliver services under the reentry demonstration initiative may be either community-based or correctional facility-based providers. c. All participating providers and provider staff, including correctional providers, shall have necessary experience and receive appropriate training, as applicable to a given correctional facility, prior to furnishing demonstration-covered pre-release services under the reentry demonstration initiative. d. Participating providers of reentry case management services may be community- based or correctional providers who have expertise working with justice-involved individuals. 5.7. Suspension of Coverage. Upon entry of a Medicaid individual into a correctional facility, the Commonwealth of Pennsylvania’s Department of Human Services must not terminate and generally shall suspend their Medicaid coverage. a. If an individual is not enrolled in Medicaid when entering a correctional facility, the state must ensure that such an individual receives assistance with completing an application for Medicaid and with submitting an application, unless the individual declines such assistance or wants to decline enrollment.