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MEDICAL SERVICES POLICY MANUAL, SECTION D D-300 State Residency

D-381 Juveniles Released from DYS

When a child with suspended Health Care eligibility receives eligible medical treatment off the grounds of the juvenile detention facility or is released from custody, the child’s case will be reopened in their previous Medicaid or CHIP category if the reopen date is within the twelve (12) month period from the individual’s initial approval or most recent renewal. For those children receiving eligible treatment while off the correctional facility grounds, Health Care will be reopened in their previous Medicaid or CHIP category for a fixed eligibility period from the date of hospitalization to the date of hospital discharge. The case will be re-suspended following the fixed eligibility period.

If the child is in the juvenile detention facility when a redetermination occurs, the case will be closed if it is a single person household or incarcerated juvenile is only member with coverage. If after the closure, the same individual requires overnight medical treatment off the correctional facility grounds, the juvenile detention center will submit a new application for the individual and once Medicaid or CHIP coverage is approved, the treatment stay will be approved for a fixed eligibility period and the case or coverage for the incarcerated juvenile will be placed in suspended status for a new twelve (12) month period.

D-381 Juveniles Released from DYS MS Manual 07/01/2026

Juveniles under the care of DYS, who are eligible, must be provided with Medicaid or CHIP coverage for at least the 30 days before and after their release. • If the juvenile is returned to the same home that he or she left prior to entering DYS custody and the Health Care case is still open with other children, the child’s coverage will be reopened. This case action will be treated as a change and a new application will not be required. • If the juvenile is returned to the same home that he or she left prior to entering DYS custody and was the only Health Care eligible juvenile in the home, the case will be reopened. If it is within the renewal period, a new application will not be required. • If the juvenile does not have a case in suspended status, DYS will determine eligibility into either a Medicaid or CHIP category for the juvenile while in the facility. This coverage will begin 30 days prior to the juvenile’s release date.