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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |107 Effective Month: September 2018 INDIVIDUALS NOT CONSIDERED INMATES INDIVIDUALS CONSIDERED INMATES for Medicaid or continue to qualify until the individual is under direct control of the penal system and becomes an inmate or returns to inmate status. Individuals on home confinement or house arrest when not required to report to the public institution for overnight stay(s). Individuals on home or work release for a temporary period of time or who have to report to the facility for incarceration at night or on weekends An individual placed in a public institution on a temporary emergency basis. Individuals in correctional or holding facilities, who have been arrested or detained involuntarily and are awaiting trial or disposition of charges or who are held under court order. Individuals voluntarily and temporarily living in a detention center, jail or penal facility after their case has been adjudicated and other living arrangements are being made. Inmates who are sent to work on farms on a seasonal basis. Escaped prisoners. NOTE: Inmate (of a public institution) status is not terminated until the individual is paroled or otherwise unconditionally or permanently released or pardoned and no longer resides in a penal setting. 102.12.03 INMATE ELIGIBILITY FOR MEDICAID Federal law allows Medicaid payment for services only when an otherwise Medicaid- eligible inmate, who qualifies in an allowed category of eligibility (defined below), has been admitted as an inpatient to a community medical institution by a practitioner. Inpatient admission is defined as receiving room and board and professional services in the medical institution for a 24-hour period or longer. The admission can include a transfer to another medical facility. Death in the inpatient setting is an exception to meeting the 24-hour admission. Medicaid payments are not allowed for Medicaid-eligible inmates who receive care in correctional hospitals or for services received in an emergency room, urgent care clinic, FQHC or other outpatient setting.