Find policies, billing codes, payers, states, and providers
Coverage of Benefits for Justice-Involved Youth (JIY)
Customize your policy alerts
Sign up for all Alaska Medicaid policy alerts
Know when Alaska Medicaid releases new policies or updates existing guidance.
Monitor payer policy activity
Defines new Alaska Medicaid benefits and processes for justice-involved youth, including early eligibility/enrollment, pre-release screening reimbursement, coverage upon release, and targeted case management for 30 days before and after release. Applies to Medicaid-eligible justice-involved youth in Alaska.
New benefits for justice-involved youth including early Medicaid eligibility/enrollment, pre-release screening reimbursement, coverage upon release, and targeted case management were implemented in compliance with Section 5121 of the Consolidated Appropriations Act of 2023.
Coverage criteria for Justice-Involved Youth benefits
Coverage Criteria for JIY Benefits
Covered when ALL of the following are met
Enrollment/eligibility must be determined prior to release to enable pre-release services.
Reimbursed by Medicaid.
Eligibility determination and enrollment occur prior to release.
Provider enrollment and operational guidance forthcoming via remittance advice.
No explicit exclusions are detailed in this document for the Justice-Involved Youth (JIY) benefits.
Not specified in this policy.
Coding and coverage windows
| No codes listed |
Provider responsibilities, enrollment, and documentation
JIY-TCM coverage window and provider enrollment
Targeted Case Management for Justice-Involved Youth (JIY-TCM) is covered for 30 days prior to release and 30 days after release; providers must follow forthcoming provider enrollment and operational guidance to bill for these services.
Step therapy
The policy does not specify any step therapy requirements for JIY-related services.
Required documentation for pre/post-release services
Document that the juvenile is an eligible justice-involved youth (post-adjudication), record the date Medicaid eligibility was determined and enrollment completed prior to release, and record any EPSDT or other screening/diagnostic services and JIY-TCM activities provided within the 30-day pre- and post-release windows.
- Eligibility status: post-adjudication and meets age criteria
- Date of eligibility determination and enrollment prior to release
- Details of EPSDT or physical/behavioral/dental-vision screenings provided within 30 days pre-release
- JIY-TCM care coordination activities during the 30-day pre- and 30-day post-release periods
Eligibility timing and coverage risk
Failure to determine Medicaid eligibility and enroll the juvenile prior to release may result in lack of coverage for services intended to be provided within the 30-day pre-release period and upon release.
Background and rationale
Justice-involved youth often have unmet physical, behavioral, and dental/vision needs that benefit from continuity of care at release. Early Medicaid eligibility and enrollment enable provision of screening and diagnostic services prior to release and support linkage to community services at the time of release. The state has implemented new benefits to support pre-release screening and post-release continuity of care, including coverage of Targeted Case Management for coordination around release.
Key definitions
Care coordination and targeted case management criteria
Screening and diagnostic services
Screening and Diagnostic Services (EPSDT, physical, behavioral, dental/vision)
EPSDT applies to those under age 21; physical, behavioral, and dental/vision screening/diagnostic services apply for ages 21-26.
Visit limits and duration
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.