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The following individuals are not eligible for Medicaid: • Individuals (including juveniles) who are being held involuntarily in detention centers awaiting trial • Inmates involuntarily residing at a wilderness camp under governmental control • Inmates involuntarily residing in half-way houses under governmental control • Inmates receiving care as an outpatient • Inmates receiving care on premises of a prison, jail, detention center, or other penal setting • Individuals involuntarily living in state or local corrections-related supervised community residential facilities (operated by a governmental entity or a private entity, i.e.: work release facilities).

If the individual does not have freedom of movement and association while residing at the facility, then the individual does not qualify for Medicaid. Freedom of movement includes the ability for residents to use community resources (such as libraries, grocery stores, recreation, education, and so on) at will. These individuals can leave in the morning from these facilities and are just required to return by a specific time in the evenings. The ability to move at will means the residents are able to go about the community with freedom of movement but still abide by the facilities’ house rules.

Structured movement means the residents are only allowed to leave the work release facility for work, court appearances or court ordered programs. These individuals are not able to be in the community at will and are held to a strict time schedule and are also subject to being monitored by program staff while out in the community. Individuals may be eligible for Medicaid while residing in the types of institutions listed below, public, and private, if they are not inmates as described in the above paragraphs. (Special eligibility considerations for persons in psychiatric facilities are explained in Section 2422.10.05.) • Nursing facilities providing skilled and/or intermediate levels of care • Acute care hospitals • Intermediate Care Facilities for the Mentally Handicapped/Developmentally Disabled (ICF/IID or CRF/DD) • Public institutions designed to serve no more than 16 persons and which provide services beyond food and shelter, such as social services, help with personal living activities, or training in socialization and life skills 86 • Public educational or vocational training institutions such as Indiana Schools for the Blind and Deaf and Silvercrest Developmental Center