The present study addresses the complexities of providing education and rehabilitation to incarcerated youth during the COVID-19 crisis. A total of three state-level administrators, one supervisor for juvenile residential services health care, and one medical director of state detention centers from three states completed a survey focusing on the key domains of education, physical safety, mental health support, social support, support for physical health, and information sharing. With each domain, respondents were queried on the adequacy and basis of policies, as well as monitoring of compliance with policies and barriers to compliance. The state officials then each participated in two 45-minute interviews. Results indicate that the survey respondents found policies to be adequate across domains. Interview findings yielded across-state themes of learned capability and collaboration and/or cooperation. Additional results, as well as implications for research and practices, are discussed.