Medicaid Areas of Flexibility to Provide Coverage and Care to Justice-Involved Populations

Many states have expanded Medicaid eligibility to reach a wider array of vulnerable and historically uninsured populations. While Medicaid cannot pay for medical services provided in prisons or jails, people who are arrested and incarcerated can enroll in Medicaid and become eligible for benefits in the community. Given the high prevalence of mental health issues, substance abuse, and chronic health conditions among criminal justice populations, providing health care services to them could improve public health and public safety outcomes. This series of briefs highlights areas of flexibility within Medicaid that can facilitate enrollment in health coverage and access to care in the community for justice-involved people.

Many states have expanded Medicaid eligibility to reach a wider array of vulnerable and historically uninsured populations. While Medicaid cannot pay for medical services provided in prisons or jails, people who are arrested and incarcerated can enroll in Medicaid and become eligible for benefits in the community. Given the high prevalence of mental health issues, substance abuse, and chronic health conditions among criminal justice populations, providing health care services to them could improve public health and public safety outcomes. This brief describes efforts that Colorado is making to connect individuals returning from prison or jail to Medicaid-funded case management and care coordination in the community.

Case Management for Justice-Involved Populations: Colorado

Many states have expanded Medicaid eligibility to reach a wider array of vulnerable and historically uninsured populations. While Medicaid cannot pay for medical services provided in prisons or jails, people who are arrested and incarcerated can enroll in Medicaid and become eligible for benefits in the community. Given the high prevalence of mental health issues, substance abuse, and chronic health conditions among criminal justice populations, providing health care services to them could improve public health and public safety outcomes. This brief highlights initiatives in New York and Rhode Island that use the Medicaid health home model to improve continuity of care for justice-involved individuals.

Connecting Justice-Involved Individuals with Health Homes at Reentry: New York and Rhode Island

Many states have expanded Medicaid eligibility to reach a wider array of vulnerable and historically uninsured populations. While Medicaid cannot pay for medical services provided in prisons or jails, people who are arrested and incarcerated can enroll in Medicaid and become eligible for benefits in the community. Given the high prevalence of mental health issues, substance abuse, and chronic health conditions among criminal justice populations, providing health care services to them could improve public health and public safety outcomes. This brief highlights initiatives in Arizona and Washington State through which Medicaid and correctional agencies exchange information to support enrollment in Medicaid.

Information Sharing between Medicaid and Corrections Systems to Enroll the Justice-Involved Population: Arizona and Washington

Many states have expanded Medicaid eligibility to reach a wider array of vulnerable and historically uninsured populations. While Medicaid cannot pay for medical services provided in prisons or jails, people who are arrested and incarcerated can enroll in Medicaid and become eligible for benefits in the community. Given the high prevalence of mental health issues, substance abuse, and chronic health conditions among criminal justice populations, providing health care services to them could improve public health and public safety outcomes. This brief describes how Ohio uses peer Medicaid educators in the prisons, facilitates Medicaid managed care plan selection before release, and conducts pre-release transition planning for people with serious chronic health condition

Ohio’s Medicaid Pre-Release Enrollment Program

Many states have expanded Medicaid eligibility to reach a wider array of vulnerable and historically uninsured populations. While Medicaid cannot pay for medical services provided in prisons or jails, people who are arrested and incarcerated can enroll in Medicaid and become eligible for benefits in the community. Given the high prevalence of mental health issues, substance abuse, and chronic health conditions among criminal justice populations, providing health care services to them could improve public health and public safety outcomes. This brief highlights initiatives in Connecticut and Rhode Island to ensure continuous access to needed medication for justice-involved people.

Providing Medications at Release: Connecticut and Rhode Island