![]() Per the Centers for Medicare and Medicaid Services (CMS), "if an individual meets all applicable eligibility requirements the state must enroll or renew the enrollment of the individual effective before, during, and after the period of time in the correctional facility." Incarceration does not impact an individual's eligibility for Medicaid enrollment. The Healthy Michigan Plan expanded the number of incarcerated individuals eligible for Medicaid, which increased the urgency and importance of clarifying jail Medicaid enrollment and eligibility practices. With the Affordable Care Act's Medicaid Expansion opportunity, Michigan's plan (named Healthy Michigan) expanded coverage to an additional 650,000 people in early 2020 (Norris, 2020). As of March 2020, Medicaid provided coverage to 2,300,000 individuals in Michigan (Norris, 2020). With Medicaid, individuals can access important services such as doctor visits, mental health services, substance use disorder treatment, prenatal and maternity care, medications, and preventive care services. Medicaid is a federal- and state-funded benefit plan available to low-income individuals, eligible pregnant women, children, and individuals receiving Supplemental Security Income (CMS, 2020). Medicaid and Jails: The Basics Eligibility Although individuals released from prison may experience similar or additional barriers to accessing health care or Medicaid, the plight of those previously or currently incarcerated in state or federal prisons is outside of the scope of this report. Due to the complexities and differences between jail and prison related to Medicaid enrollment, and health care, this report only discusses the experiences of individuals and administrators in select Michigan jails. County jails are managed by their respective counties, and as such, there is no overarching authority over all jails in the state. ![]() The Michigan Department of Corrections (MDOC) oversees health care provided to individuals housed in state prisons.
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