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An institution that is the responsibility of a governmental unit or over which a governmental unit exercises administrative control, this includes correctional institutions. A public institution does not include: • childcare institutions, or • publicly operated community residences. ELIGIBLE INDIVIDUALS: If eligible, Medicaid is available for the following: 1. Infants living in a public institution with an inmate; 2. Parolees; 3. Individuals on probation; 4. Individuals voluntarily living in a detention center, jail or county penal facility awaiting other living arrangements (such as transfer to a community residence); 5. Inmates admitted as inpatients of a hospital, nursing facility, IMD, ICFMR (if they meet Medicaid eligibility requirements); and 6. Inmates involuntarily residing in a halfway house under government control. To qualify, the halfway house must allow residents to: a. work outside the facility in jobs available to the general public; b. use community resources (libraries, grocery stores, recreation, education, etc.) at will; and c. seek healthcare in the community the same as any other Montana Medicaid recipient. INELIGIBLE INDIVIDUALS: The following individuals are not eligible to receive Medicaid coverage: 1. Individuals, including juveniles, held involuntarily in a detention center while awaiting trial; 2. Inmates involuntarily residing at a government-controlled wilderness camp; 3. Inmates receiving outpatient care; and 4. Inmates receiving onsite medical care at a prison, jail, detention center or other penal setting. A suspension will be entered until the individual is released or they are admitted to a hospital, nursing facility, IMD, ICF or juvenile psychiatric facility; and are expected to stay in the facility for at least 24 hours.

Effective Date: January 01, 2023