This report, created by the Center for Health Care Strategies with support from the Annie E. Casey Foundation, offers States guidance on utilizing Medicaid to enhance transition processes for justice-involved youth moving out of incarceration. It addresses the health and well-being needs of incarcerated youth and explores new federal requirements and Medicaid options aimed at supporting smoother transitions. It presents best practices and actionable steps for implementation, focusing on youth and family engagement, cross-system collaboration, community partnerships, and expanded support services beyond the justice system.