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• An individual voluntarily residing in an institution while waiting for other living arrangements to be made that are appropriate to the person’s needs. • An individual who is legally confined to his or her home by a monitoring device, such as an ankle bracelet. • People who are on parole, probation, or have been released to the community pending trial (including those under pre-trial supervision). A public institution is an institution that is the responsibility of a governmental unit or over which a governmental unit exercises administrative control. This includes correctional facilities operated by or under contract with a governmental unit. A public institution does not include a medical institution (see SECTION 27.1 INSTITUTIONS), a publicly operated community residence that serves no more than 16 residents, or a child care institution in which Foster Care maintenance payments are made under Title IV-E. People residing in these situations are not inmates. Even though the following institutions may accommodate 16 or fewer residents, they are not considered to be publicly operated community residences. People residing in these institutions may be inmates if they are residing there on an involuntary basis through operation of law enforcement authorities: • Residential facilities located on the grounds of, or immediately adjacent to, any large institution or multiple purpose complex. • Correctional or holding facilities for people who are prisoners, have been arrested or detained pending disposition of charges, or are held under court order as material witnesses or juveniles. This page last updated in Release Number: 20-04 Release Date: 11/23/2020 Effective Date: 10/24/2020 13.2 Covered Services Individuals who are inmates of a public institution may be eligible for suspended SSI-related Medicaid or Wisconsin Well Woman Medicaid if they otherwise meet eligibility requirements. See CHAPTER 24 SSI RELATED MEDICAID AND DEDUCTIBLES or CHAPTER 36 WISCONSIN WELL WOMAN MEDICAID for information about these programs. If a member of a different health care program becomes incarcerated, eligibility for that program will be terminated. However, the member will be evaluated for eligibility in a program that can be suspended. When a member is incarcerated in a public institution, Medicaid will only cover inpatient services received while the member is outside of jail or prison for 24 hours or more. While incarcerated, members are not eligible to enroll in an HMO. Copay limits still apply to incarcerated members for any services they receive. See SECTION 13.8.5 SERVICES FOR YOUTH for information on coverage for certain pre-release and post- release services for youth. This page last updated in Release Number: 25-03 Release Date: 08/13/2025 Effective Date: 08/13/2025