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CMA 302-3 Incarcerated Individuals

Supersedes: N/A Reference: 42 CFR 435.907, .1010; 42 CFR 433.112; P.L. 117-328 Overview: Facilitating enrollment in Medicaid, for individuals not already Medicaid eligible, while individuals are incarcerated supports access to services following incarceration and has the potential to help individuals with disabilities obtain critical community services to avoid crises and unnecessary institutionalization. Individuals eligible for Medicaid at the time of incarceration should not have their Medicaid terminated but will be suspended during the time of their incarceration. They are eligible for inpatient hospital services only. An incarcerated individual, regardless of age, is an individual held involuntarily by law enforcement authorities in a carceral setting. This policy applies to eligible individuals held in carceral facilities to include: • State or Federal Prisons • Local jails • Tribal jails and prisons • Detention facilities • Other penal settings It will be necessary to get more information about the client’s status in some of these settings. HMK Plus/HMK Eligibility For those under age 19 the filing unit must include • natural, adoptive and stepparents and • siblings under age 19

Exception: if the child is in CFSD or court control, they will need to be processed on their own case.