Medicaid Policies and Practices in US State Prison Systems

Rosen, David L.; Dumont, D.; Cislo, Andrew M.; Brockmann, Bradley W.; Traver, Amy E.; Rich, Josiah D.

doi:10.2105/ajph.2013.301563

Cited by 24 publications

(17 citation statements)

References 7 publications

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“…27,28 David Rosen and coauthors found that most states with suspension policies reported being able to reactivate benefits within a month of release but that some states with the policies reported that reenrollment was not an automatic process. 28 Furthermore, Joseph Morrissey and coauthors concluded that some local jurisdictions suspend benefits, despite state policies that require termination of benefits. 16 Future research should characterize states’ suspension activities to understand the effects on enrollment after release and identify best practices for the implementation of suspension policies.…”

Section: Discussionmentioning

confidence: 99%

Leveraging The Affordable Care Act To Enroll Justice-Involved Populations In Medicaid: State And Local Efforts

et al. 2015

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The Affordable Care Act provides an unprecedented opportunity to enroll criminal justice–involved populations in health insurance, particularly Medicaid. As a result, many state and county corrections departments have launched programs that incorporate Medicaid enrollment in discharge planning. Our study characterizes the national landscape of programs enrolling criminal justice–involved populations in Medicaid as of January 2015. We provide an overview of sixty-four programs operating in jails, prisons, or community probation and parole systems that enroll individuals during detention, incarceration, and the release process. We describe the variation among the programs in terms of settings, personnel, timing of eligibility screening, and target populations. Seventy-seven percent of the programs are located in jails, and 56 percent use personnel from public health or social service agencies. We describe four practices that have facilitated the Medicaid enrollment process: suspending instead of terminating Medicaid benefits upon incarceration, presuming that an individual is eligible for Medicaid before the process is completed, allowing enrollment during incarceration, and accepting alternative forms of identification for enrollment. The criminal justice system is a complex one that requires a variety of approaches to enroll individuals in Medicaid. Future research should examine how these approaches influence health and criminal justice outcomes.

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Section: Discussionmentioning

confidence: 99%

Leveraging The Affordable Care Act To Enroll Justice-Involved Populations In Medicaid: State And Local Efforts

et al. 2015

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“…In addition, providing sensitivity training for health care providers working with this population may be useful. Nationally, about one third of prisons do not provide Medicaid enrollment support prior to release (Rosen et al, 2014). Providing HIV-infected inmates with support to enroll in Medicaid (Teitelbaum & Hoffman, 2013) before release would facilitate continuity of care after release, as well as provide individuals with the ability to find providers who meet their needs.…”

Section: Discussionmentioning

confidence: 99%

“You're in a World of Chaos”: Experiences Accessing HIV Care and Adhering to Medications After Incarceration

Dennis¹,

Barrington²,

Hino³

et al. 2015

Journal of the Association of Nurses in AIDS Care

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Most HIV-infected inmates leave prison with a suppressed viral load; many, however, become disconnected from care and non-adherent to medications during reentry to community life. In this secondary data analysis of focus groups (N = 6) and in-depth interviews (N = 9) with 46 formerly incarcerated HIV-infected people during reentry, we used an inductive analytic approach to explore the interplay between individual, interpersonal, community, and structural factors and HIV management. Participants described barriers and facilitators to care engagement and adherence at each of these 4 levels, as well as a milieu of HIV and incarceration-related stigma and discrimination. The constellation of barriers and facilitators created competing demands and a sense of chaos in participants’ lives, which led them to address reentry-related basic needs (e.g., housing, food) before health care needs. Interventions that simultaneously address multiple levels, including augmenting employment and housing opportunities, enhancing social support, and reducing stigma, are needed.

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“…The ACA offers a number of provisions that will expand access to the health care insurance market for individuals living with HIV, such as the expansion of Medicaid coverage and open enrollment in the health insurance exchanges (Crowley & Kates, 2012). Researchers have also predicted that broader eligibility for Medicaid will not only improve health care access for HIV-infected inmates after release but also reduce state health care spending (Rosen et al, 2014). The ACA can also expand essential services under Medicaid, including prescription drugs, and mental health and substance use services, which have important implications for formerly incarcerated populations who disproportionately suffer from mental and behavioral health problems (Crowley & Kates, 2012).…”

Section: Discussionmentioning

confidence: 99%

Provider Perspectives Regarding the Health Care Needs of a Key Population: HIV-infected Prisoners After Incarceration

Sidibe¹,

Golin²,

Turner³

et al. 2015

Journal of the Association of Nurses in AIDS Care

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During incarceration, many HIV-infected prisoners receive care and are adherent to medication. However, following release, many have difficulty engaging in HIV care and remaining on antiretroviral therapy (ART). Community-based service providers for HIV-infected releasees have a deep understanding of the health needs and challenges these individuals face on community re-entry. We conducted in-depth qualitative interviews with 38 health care and service professionals in 2 U.S. southern states regarding the barriers releasees faced in meeting their health needs, including HIV care and treatment post-release. Individual, community, and organization-level barriers to HIV care and treatment adherence post-release were identified and offered unique insight into the ways that these multi-level obstacles affect HIV-infected former prisoners’ abilities to engage in care and access necessary social services. Provider perspectives should be considered when designing interventions to support HIV care after release.

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Medicaid Policies and Practices in US State Prison Systems

Cited by 24 publications

References 7 publications

Leveraging The Affordable Care Act To Enroll Justice-Involved Populations In Medicaid: State And Local Efforts

Leveraging The Affordable Care Act To Enroll Justice-Involved Populations In Medicaid: State And Local Efforts

“You're in a World of Chaos”: Experiences Accessing HIV Care and Adhering to Medications After Incarceration

Provider Perspectives Regarding the Health Care Needs of a Key Population: HIV-infected Prisoners After Incarceration

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