20.02 Correctional facility

Nonfinancial eligibility requirements Part 3 – Page 14 (Sec.21.00, Sub.0) In general.23 An individual living in a correctional facility, including a juvenile facility, is not precluded from being determined eligible for Medicaid or from retaining their Medicaid eligibility if they were eligible before becoming incarcerated. However, the individual’s Medicaid benefits will be suspended during their incarceration period (described in (b) below). Incarceration period. Incarceration begins on the date of admission and ends when the individual moves out of the correctional facility. Inpatient exception: Transfer to a medical facility.24 While incarcerated, Medicaid is available when a Medicaid enrollee is an inpatient in a medical institution not under the control of the corrections system. Such institutions include a hospital, nursing facility, juvenile psychiatric facility, or intermediate care facility. Reentry Demonstration Initiative exception: If incarcerated in a participating correctional facility, pre-release services are available to a qualifying Medicaid enrollee within 90 days of the enrollee’s expected release from the correctional facility. A participating correctional facility is one that participates in the Reentry Demonstration Initiative under AHS’s Global Commitment to Health Section 1115 Waiver.