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Health care transitions for individuals returning to the community from a public institution: promising practices identified by the Medicaid reentry stakeholder group : report to Congress
Health care transitions for individuals returning to the community from a public institution: promising practices identified by the Medicaid reentry stakeholder group : report to Congress
- Collection:
- Health Policy and Services Research
- Contributor(s):
- United States. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation, issuing body.
- Publication:
- Washington, D.C. : U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, January 2023
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Medicaid -- legislation & jurisprudence
Prisoners -- legislation & jurisprudence
Transitional Care -- legislation & jurisprudence
Insurance Coverage
Community Health Services
United States - Genre(s):
- Technical Report
- Abstract:
- Individuals returning to the community after incarceration in prison or jail have a variety of significant needs, including those related to access to health coverage and continuity of health care. These needs are especially important because justice-involved individuals have disproportionately high rates of serious mental illness (SMI), substance use disorder (SUD), and infectious and other chronic physical health conditions. Mortality among returning community members is significantly elevated in the post-release period; especially in the week after release, when overdose, suicide, and homicide are the leading causes of death. Poor health status is associated with higher costs to the health care and criminal justice systems and, in some studies, increased rates of recidivism. Black and low-income individuals are overrepresented in the justice system, and negative outcomes during reentry may perpetuate existing disparities. In states that expanded Medicaid eligibility under the Affordable Care Act (ACA), most returning community members are eligible for Medicaid. However, Medicaid plays a very limited role during incarceration due to a federal inmate exclusion that prohibits use of Medicaid funds to cover most services provided to people while incarcerated in prison and jails. Section 5032 of the 2018 Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (Pub.L. 115-271) (hereinafter referred to as SUPPORT Act) requires the Secretary of HHS to convene a stakeholder group of representatives of “managed care organizations, Medicaid beneficiaries, health care providers, the National Association of Medicaid Directors, and other relevant representatives from local, state, and federal jail and prison systems” to discuss best practices for states to help inmates released from public institutions transition to the community with health care (hereinafter referred to as the Stakeholder Group). This report summarizes the identified practices of that Stakeholder Group and, as required by Section 5032 of the SUPPORT Act, informs design of a demonstration opportunity “under Section 1115 of the Social Security Act (42 U.S.C. 1315) to improve care transitions for certain individuals who are soon-to-be former inmates of a public institution and who are otherwise eligible to receive medical assistance under Title XIX of such Act.”9 This content comes from the stakeholder meeting unless otherwise cited. The Stakeholder Group is governed by the Federal Advisory Committee Act (Pub.L. 92-463) which sets forth standards for the formation and use of advisory committees.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (45 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918590888806676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918590888806676