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Date: April 30, 2024 Tue
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Results for medicaid
13 results foundAuthor: Hanlon, Carrie Title: A Multi-Agency Approach to Using Medicaid to Meet the Health Needs of Juvenile Justice-Involved Youth Summary: Juvenile justice, mental health, and Medicaid agencies have a common interest in meeting the health needs of youth in the juvenile justice system. There is evidence that youth involved in the juvenile justice system have both unmet, and more extensive than average, needs. Better meeting those needs could result in more efficient and effective use of the resources available to the three agencies – and in decreased recidivism, as well as improvements in children’s well-being and their ability to remain in the community. However, these three agencies have different, yet overlapping, program objectives, funding sources, target populations, and partners at the federal, state, and county levels. This situation creates both barriers and opportunities in using these agencies’ resources to meet the health and behavioral health needs of children involved with the juvenile justice system. In mid-2008, the National Academy for State Health Policy (NASHP) began work to: (1) identify the barriers to the effective use of the resources available to juvenile justice, mental health, and Medicaid agencies to meet the health and mental health needs of children involved with the juvenile justice system, and (2) surface potential policies and strategies that states could implement to address those barriers. Specifically, with the support of the John D. and Catherine T. MacArthur Foundation, NASHP staff conducted a literature review and interviewed agency and community stakeholders in five states. Analysis of the interviews found that the barriers cited by informants fell into two categories: Knowledge: Staff from one a local agencies did not know relevant state policies (and vice versa), and there was little data about the health needs of the children served by more than one agency. Interviewees report that some state policies presented barriers for those seeking to access the coverage or services for which children qualified. Finally, this study identified opportunities for improvement and ‘promising practices’ within four strategic areas: • Improving knowledge of how the relevant systems do (or should) work among state agencies and local/state levels, • Improving eligibility policies and processes to ensure that Medicaid eligible children participate in the program, • Improving service coverage policies to ensure that Medicaid beneficiaries in the juvenile justice system receive the Medicaid covered services they need, and • Collaborating among agencies to use their combined resources to meet the needs of these children. Details: Portland, ME: National Academy for State Health Policy, 2008. 21p. Source: Internet Resource: Accessed October 29, 2010 at: http://www.nashp.org/sites/default/files/Multi_Agency_NASHP.pdf Year: 2008 Country: United States URL: http://www.nashp.org/sites/default/files/Multi_Agency_NASHP.pdf Shelf Number: 120135 Keywords: Juvenile OffendersMedicaidMedical CareMental Health Services |
Author: Zemel, Sarabeth Title: Service Delivery Policies: Findings from a Survey of Juvenile Justice and Medicaid Policies Affecting Children in the Juvenile Justice System Summary: This issue brief from NASHP highlights findings from surveys of juvenile justice and Medicaid agencies in order to determine policies around health care and Medicaid for youth involved in the juvenile justice system. The paper focuses on findings related to service delivery and continuity of care policies for juvenile justice-involved youth. Details: Portland, ME: National Academy for State Health Policy, 2010. 12p. Source: Internet Resource: Accessed November 1, 2010 at: http://www.nashp.org/sites/default/files/Aug2010MacFoundFinal_0.pdf Year: 2010 Country: United States URL: http://www.nashp.org/sites/default/files/Aug2010MacFoundFinal_0.pdf Shelf Number: 120143 Keywords: Health CareJuvenile OffendersMedicaid |
Author: Zemel, Sarabeth Title: Findings from a Survey of Juvenile Justice and Medicaid policies Affecting Children in the Juvenile Justice System: Inter-Agency Collaboration Summary: Medicaid is important to juvenile justice-involved youth both as a health care financing mechanism and as a way to access physical and behavioral health services. The National Academy for State Health Policy (NASHP), with the support of the John D. and Catherine T. MacArthur Foundation, is working with the Models for Change grantee organizations and state policymakers to address the health needs of youth in the juvenile justice system. This issue brief from NASHP is the first in a series that highlights findings from surveys of juvenile justice and Medicaid agencies in order to determine policies around health care and Medicaid for youth involved in the juvenile justice system. The paper focuses on findings related to inter-agency collaboration, as well as educating juvenile justice agencies and staff about Medicaid policies, and data collection about the population both agencies serve. Details: Portland, ME: National Academy for State Health Policy, 2009. 11p. Source: Internet Resource: Accessed November 29, 2010 at: http://www.nashp.org/sites/default/files/JuvJust.pdf Year: 2009 Country: United States URL: http://www.nashp.org/sites/default/files/JuvJust.pdf Shelf Number: 120144 Keywords: Health CareJuvenile OffendersMedicaidMental Health Services |
Author: Zemel, Sarabeth Title: Medicaid Eligibility, Enrollment, and Retention Policies: Findings from a Survey of Juvenile Justice and Medicaid Policies Affecting Children in the Juvenile Justice System Summary: This issue brief from NASHP is the second in a series that highlights findings from surveys of juvenile justice and Medicaid agencies in order to determine policies around health care and Medicaid for youth involved in the juvenile justice system. The paper focuses on findings related to Medicaid enrollment and retention policies for juvenile justice-involved youth. Details: Portland, ME: National Academy for State Health Policy, 2009. 14p. Source: Internet Resource: Accessed November 29, 2010 at: http://www.nashp.org/sites/default/files/MacFound11-09.pdf Year: 2009 Country: United States URL: http://www.nashp.org/sites/default/files/MacFound11-09.pdf Shelf Number: 120300 Keywords: Health CareJuvenile OffendersMedicaid |
Author: Bazelon Center for Mental Health Law Title: Finding the Key to Successful Transition from Jail or Prison to the Community. An Explanation of Federal Medicaid and Disability Program Rules Summary: Growing numbers of men and women with severe mental illnesses are in jail or prison. Many cycle through corrections facilities repeatedly, costing criminal justice systems and communities significant resources and causing great pain to themselves and their families. For people with serious mental illnesses, access to mental health and addiction services and to the income support that can pay for housing is generally through federal entitlement programs. Yet, whether because relevant federal rules are not well understood or because state implementation of them is problematic, many unnecessarily lose their federal entitlements while in jail or prison. Others who could qualify do not apply because they lack timely assistance from corrections staff or community mental health providers to file an application. Very few states and localities have adopted policies and procedures for assisting inmates with severe mental illnesses in claiming or maintaining federal benefits upon their release. Finding the Key describes the federal entitlements — income support through the Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) programs, and health coverage under Medicaid and Medicare, which together can enable someone with a severe mental illness to transition successfully from jail or prison to community life. In it we also suggest ways for states, localities and advocates to improve the situation. Details: Washington, DC: Bazelon Center for Mental Health Law, 2009. 20p. Source: Internet Resource: Accessed August 10, 2011 at: http://www.bazelon.org/LinkClick.aspx?fileticket=Bd6LW9BVRhQ%3d&tabid=104 Year: 2009 Country: United States URL: http://www.bazelon.org/LinkClick.aspx?fileticket=Bd6LW9BVRhQ%3d&tabid=104 Shelf Number: 122350 Keywords: MedicaidMentally Ill OffendersPrisoner Reentry (U.S.) |
Author: U.S. Department of Health and Human Services. Office of Inspector General Title: Medicaid Managed Care: Fraud and Abuse Concerns Remain Despite Safeguards Summary: We found that although managed care entities (MCE) and States are taking steps to address fraud and abuse in managed care, they remain concerned about their prevalence. States have increasingly adopted managed care in response to Medicaid expenditures, which have nearly doubled in the past decade. CMS requires MCEs to meet specific program integrity requirements as a condition for receiving payment. CMS also requires MCEs to disclose to States certain information, such as ownership and control. States are directly responsible for monitoring MCE operations. CMS's Medicaid Integrity Group (MIG) conducts program integrity reviews of States and MCEs. In 2000, CMS issued guidelines to States for addressing fraud and abuse in Medicaid managed care. The guidelines identified six areas of concern. We surveyed a purposive sample of 46 MCEs and received responses from 45. We conducted structured telephone interviews with the 13 States that contracted with those MCEs. We also reviewed MIG's files from its program integrity reviews of those 13 States and 46 MCEs. All MCEs in our sample reported taking steps to meet the Federal program integrity requirements. All 45 MCEs that responded to our questionnaire provided fraud and abuse safeguard training to their staffs in 2010. Most also reported offering such training to their providers. In 2009, 33 MCEs reported cases of suspected fraud and abuse to their State Medicaid agencies, and 20 MCEs recovered payments from providers that resulted from fraud and abuse. The 13 States in our sample reported taking steps to oversee MCEs' fraud and abuse safeguards. All 13 States conduct desk reviews of MCEs' compliance plans, and 11 States conduct onsite MCE reviews. All 13 States reported requiring that MCEs disclose ownership and control information. Eleven States hold recurring meetings with MCEs and often provide training. The primary concern about Medicaid managed care fraud and abuse-shared by MCEs and States-related to services billed but not received. The major concerns identified in our review largely fall under only one of the six areas included in CMS's 2000 guidelines. Managed care presents challenges in addressing fraud that differ from those in fee-for-service Medicaid. As States increasingly use managed care to deliver Medicaid services, implementing safeguards to protect against fraud and abuse remains essential. We recommend that CMS require that State contracts with MCEs include a method to verify with beneficiaries whether they received services billed by providers. CMS could require States to implement one of several options, such as for MCEs to send explanations of medical benefits to beneficiaries. We also recommend that CMS update guidance to reflect concerns expressed by MCEs and States. CMS could also share best practices and innovative methods that States and MCEs have used to address fraud and abuse concerns and strengthen program integrity oversight. CMS concurred with both recommendations. Details: Washington, DC: Office of Inspector General, Department of Health & Human Services, 2011. 26p. Source: OEI-01-09-00550: Internet Resource: Accessed March 11, 2012 at http://oig.hhs.gov/oei/reports/oei-01-09-00550.pdf Year: 2011 Country: United States URL: http://oig.hhs.gov/oei/reports/oei-01-09-00550.pdf Shelf Number: 124465 Keywords: FraudHealth CareMedicaid |
Author: Council of State Governments Justice Center Title: Medicaid and Financing Health Care for Individuals Involved with the Criminal Justice System Summary: The appropriate use of federal Medicaid dollars to help expand health care coverage for individuals involved with the criminal justice system presents an opportunity to achieve reductions in state and local spending, while minimizing known health and public safety concerns associated with reentry following incarceration. However, opportunities to maximize and maintain Medicaid enrollment for eligible individuals in this population, and especially to make use of Medicaid to finance certain types of care provided to those who are incarcerated, have been largely underutilized by states. This brief provides an overview of opportunities to expand health care coverage, as well as access to and continuity of care; improve public health and safety outcomes for individuals involved with the criminal justice system; and reduce state and local expenditures on corrections and health care. Details: New York: Council of State Government Justice Center, 2013. 30p. Source: Internet Resource: Policy Brief: Accessed December 4, 2013 at: http://csgjusticecenter.org/wp-content/uploads/2013/12/ACA-Medicaid-Expansion-Policy-Brief.pdf Year: 2013 Country: United States URL: http://csgjusticecenter.org/wp-content/uploads/2013/12/ACA-Medicaid-Expansion-Policy-Brief.pdf Shelf Number: 131737 Keywords: Inmate Health Care (U.S.) Medicaid |
Author: Cloud, David Title: On Life Support: Public Health in the Age of Mass Incarceration Summary: Each year, millions of incarcerated people-who experience chronic health conditions, infectious diseases, substance use, and mental illness at much higher rates than the general population-return home from correctional institutions to communities that are already rife with health disparities, violence, and poverty, among other structural inequities. For several generations, high rates of incarceration among residents in these communities has further contributed to diminished educational opportunities, fractured family structures, stagnated economic mobility, limited housing options, and restricted access to essential social entitlements. Several factors in today's policy climate indicate that the political discourse on crime and punishment is swinging away from the punitive, tough-on-crime values that dominated for decades, and that the time is ripe to fundamentally rethink the function of the criminal justice system in ways that can start to address the human toll that mass incarceration has had on communities. At the same time, the nation's healthcare system is undergoing a historic overhaul due to the passage of the Affordable Care Act (ACA). Many provisions of the ACA provide tools needed to address long-standing health disparities. Among these are: Bolstering community capacity by expanding Medicaid eligiblity, expanding coverage and parity for behavioral health treatment, and reducing health disparities. Strengthening front-end alternatives to arrest, prosecution, and incarceration. Bridging health and justice systems by coordinating outreach and care, enrolling people in Medicaid and subsidized health plans across the criminal justice continuum, using Medicaid waivers and innovation funding to extend coverage to new groups, and advancing health information technology. There is growing interest among health and justice system leaders to work together in the pursuit of health equity, public safety, and social justice. In many states and localities, efforts are already underway. While challenges remain, including regional differences in using the ACA, the combination of political will, public support, and increased access to healthcare funding presents a momentous opportunity to address the impacts of mass incarceration on community health, develop policy and programmatic reforms to undo the damage, and rethink the core values and goals of the American justice system moving forward. Details: New York: Vera Institute of Justice, 2014. 34p. Source: Internet Resource: Accessed November 20, 2014 at: http://www.vera.org/pubs/public-health-mass-incarceration Year: 2014 Country: United States URL: http://www.vera.org/pubs/public-health-mass-incarceration Shelf Number: 134162 Keywords: Health Care (U.S.)Mass IncarcerationMedicaidMedical CareMental HealthPrisoners |
Author: Davis, Chelsea Title: Bridging the Gap: Improving the Health of Justice-Involved People through Information Technology Summary: On September 17, 2014, the federal Substance Abuse and Mental Health Services Administration (SAMHSA) convened a two-day conference in Rockville, Maryland called Bridging the Gap: Improving the Health of Justice-Involved People through Information Technology. The meeting aimed to address the problems of disconnected justice and health systems and to develop solutions by describing barriers, benefits, and best practices for connecting community providers and correctional facilities using health information technology (HIT). The gathering, organized by the SAMSHA Health Information Technology and Criminal Justice Team and the Federal Interagency Reentry Council HIT Workgroup, included representatives from federal agencies; national advocacy organizations; and nonprofit, state, and local agencies providing health services to justice-involved populations. The following proceedings give an overview of each session and a synthesis of the obstacles to instituting HIT solutions for information sharing detailed during the meeting. The proceedings address the importance of using emerging HIT to respond to the growing problem of people with mental health and substance use disorders involved in the criminal justice system and to articulate a vision of how HIT can facilitate ongoing connections between health and justice systems. Several jurisdictions that are implementing new HIT programs - both those that connect community providers to correctional facilities during initial intake into the justice system and those that connect correctional facilities to community providers during reentry - are highlighted here. Common challenges emerged among jurisdictions despite their unique environments and systems. Conference participants discussed these challenges along with opportunities for overcoming them. An in-depth case study of new HIT initiatives in Louisville, Kentucky, is included, illustrating how to build and sustain collaborative cross-sector teams. The conference coalesced around six key themes: - An underdeveloped HIT landscape makes it difficult for health and justice systems to communicate and share data vital to the health of justice-system-involved populations. - Innovative programs from jurisdictions around the country can help others figure out how to successfully launch HIT programs intended to share data between community providers and correctional facilities. - Representatives from Medicaid agencies, corrections departments, and community providers need to be at the table together to develop solutions that advance common goals that promote public health and public safety. - Every locale must build a program based on its specific needs, infrastructure, and partners, but resources such as Justice and Health Connect, NIEM, and Global can guide jurisdictions looking to bridge the justice and health gap. - Privacy, security, consent, and technology adaptation are difficult but surmountable obstacles to providing healthcare to the justice-system-involved population. - Data-driven programs such as justice reinvestment seek to cut spending and reinvest the savings in practices that have been empirically shown to improve safety and hold offenders accountable. The trend toward evidence-based evaluation of justice programs, coupled with mounting evidence that current incarceration and recidivism rates are economically unsustainable, have galvanized diverse stakeholders to collaborate on developing better responses to justice-involved people who have substance use and mental health issues. Details: New York: Vera Institute of Justice, 2015. 36p. Source: Internet Resource: Accessed May 18, 2015 at: http://www.vera.org/sites/default/files/resources/downloads/samhsa-justice-health-information-technology.pdf Year: 2015 Country: United States URL: http://www.vera.org/sites/default/files/resources/downloads/samhsa-justice-health-information-technology.pdf Shelf Number: 135699 Keywords: Inmate Health CareMedicaidMedical CareMental HealthMentally Ill OffendersSubstance Abuse Treatment |
Author: Mallik-Kane, Kamala Title: Using Jail to Enroll Low-Income Men in Medicaid Summary: Many people in jail have serious health needs that can contribute to a cycle of relapse and recidivism, but a recent pilot in Connecticut found that those who left jail with Medicaid coverage availed themselves of outpatient services, prescription medicines, and behavioral health care, often within one month of release. This report details how jail staff worked with Medicaid to implement an enrollment procedure and describes the challenges in conducting enrollment with pretrial detainees given their short stays in jail. Findings suggest that suspending rather than terminating Medicaid coverage when people enter jail, as well as automatically reinstating Medicaid upon release, can increase continuity of care for this high-risk population. Doing so may enhance the health prospects of individuals leaving jail and potentially reduce recidivism, while also minimizing the burden on hospitals of preventable emergency room visits. Details: Washington, DC: Urban Institute, 2016. 40p. Source: Internet Resource: Accessed January 30, 2017 at: http://www.urban.org/research/publication/using-jail-enroll-low-income-men-medicaid/view/full_report Year: 2016 Country: United States URL: http://www.urban.org/research/publication/using-jail-enroll-low-income-men-medicaid/view/full_report Shelf Number: 144877 Keywords: Health CareHealth ServicesMedicaid |
Author: Vogler, Jacob Title: Access to Health Care and Criminal Behavior: Short-Run Evidence from the ACA Medicaid Expansions Summary: I investigate the causal relationship between access to health care and criminal behavior following state decisions to expand Medicaid coverage after the Affordable Care Act. Many of the newly eligible individuals for Medicaid-provided health insurance are adults at high risk for crime. I leverage variation in insurance eligibility generated by state decisions to expand Medicaid and differential pre-treatment uninsured rates at the county-level. My findings indicate that the Medicaid expansions have resulted in significant decreases in annual crime by 3.2 percent. This estimate is driven by significant decreases in both reported violent and property crime. A within-state heterogeneity analysis suggests that crime impacts are more pronounced in counties with higher pre-reform uninsured levels. The estimated decrease in reported crime amounts to an annual cost savings of $13.6 billion Details: Unpublished paper, 2017. 53p. Source: Internet Resource: Accessed November 20, 2017 at: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3042267 Year: 2017 Country: United States URL: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3042267 Shelf Number: 148279 Keywords: Affordable Care ActHealth CareHealth InsuranceMedicaid |
Author: Wishner, Jane B. Title: Connecting Criminal Justice-Involved People with Medicaid Coverage and Services. Innovative Strategies from Arizona Summary: This brief describes six strategies used in Arizona to connect justice-involved people with Medicaid coverage and health care services following incarceration. The strategies include automating data-sharing arrangements between justice agencies and the state Medicaid agency, automatically re-enrolling people who are about to be released in their previous Medicaid plan, and co-locating enrollment assistance and behavioral health services at probation and parole offices. These strategies in combination represent an innovative model that could be replicated in other jurisdictions. Details: Washington, DC: Urban Institute, 2018. 14p. Source: Internet Resource: Accessed March 19, 2018 at: https://www.urban.org/sites/default/files/publication/97036/connecting_criminal_justice-involved_people_with_medicaid_coverage_and_services_innovative_strategies_from_arizona.pdf Year: 2018 Country: United States URL: https://www.urban.org/sites/default/files/publication/97036/connecting_criminal_justice-involved_people_with_medicaid_coverage_and_services_innovative_strategies_from_arizona.pdf Shelf Number: 149519 Keywords: Health Care Health Services MedicaidMedical Care |
Author: Guyer, Jocelyn Title: State Strategies for Establishing Connections to Health Care for Justice-Involved Populations: The Central Role of Medicaid Summary: Issue: With many states expanding Medicaid eligibility, individuals leaving jail or prison are now often able to enroll in health coverage upon release. It is increasingly clear, however, that coverage alone is insufficient to address the often complex health and social needs of people who cycle between costly hospital and jail stays. Goals: To identify emerging trends in the care delivery models that state Medicaid programs use for former inmates. Methods: Literature review and interviews with state officials, plans, and providers. Key Findings: The care delivery models for individuals leaving jail or prison provide comprehensive primary care, typically including: data exchange to ensure providers are notified when someone is leaving jail or prison; "in-reach" to help inmates establish a relationship with a primary care provider prior to release, identify health conditions, and set up community-based care; strategies for addressing housing issues and other social determinants of health; use of a peer-support specialist who has experienced incarceration; and specialized training for primary care providers and specialists who work with the formerly incarcerated. Conclusion: With a foundation of insurance coverage, states have developed a range of promising, replicable approaches to providing care to people leaving jail or prison. Details: New York: Commonwealth Fund, 2019. 12p. Source: Internet Resource: Issue Brief: Accessed March 18, 2019 at: https://www.commonwealthfund.org/sites/default/files/2019-01/Guyer_state_strategies_justice_involved_Medicaid_ib_v2.pdf Year: 2019 Country: United States URL: https://www.commonwealthfund.org/sites/default/files/2019-01/Guyer_state_strategies_justice_involved_Medicaid_ib_v2.pdf Shelf Number: 155011 Keywords: Correctional Health CareHealth CareMedicaidMedical Care |