{"id":12275,"date":"2024-07-04T08:33:31","date_gmt":"2024-07-04T08:33:31","guid":{"rendered":"https:\/\/distilinfo.com\/healthplan\/?p=12275"},"modified":"2024-07-04T08:33:31","modified_gmt":"2024-07-04T08:33:31","slug":"cms-waivers-medicaid-incarcerated","status":"publish","type":"post","link":"https:\/\/distilinfo.com\/healthplan\/cms-waivers-medicaid-incarcerated\/","title":{"rendered":"CMS Waivers Ensure Medicaid for Incarcerated Individuals"},"content":{"rendered":"\r\n<div id=\"rank-math-toc\" class=\"wp-block-rank-math-toc-block has-electric-grass-gradient-background has-background\"><nav>\r\n<ul>\r\n<li><a href=\"#introduction\">Introduction<\/a><\/li>\r\n<li><a href=\"#understanding-the-new-medicaid-waivers\">Understanding the New Medicaid Waivers<\/a><\/li>\r\n<li><a href=\"#states-implementing-the-waivers\">States Implementing the Waivers<\/a><\/li>\r\n<li><a href=\"#impact-on-incarcerated-individuals\">Impact on Incarcerated Individuals<\/a><\/li>\r\n<li><a href=\"#addressing-behavioral-health-needs\">Addressing Behavioral Health Needs<\/a><\/li>\r\n<li><a href=\"#expanding-access-to-life-saving-treatments\">Expanding Access to Life-Saving Treatments<\/a><\/li>\r\n<li><a href=\"#future-implications-and-ongoing-reviews\">Future Implications and Ongoing Reviews<\/a><\/li>\r\n<li><a href=\"#fa-qs\">FAQs<\/a>\r\n<ul>\r\n<li><a href=\"#q-1-what-is-the-medicaid-reentry-section-1115-demonstration-opportunity-waiver\">Q1: What is the Medicaid Reentry Section 1115 Demonstration Opportunity waiver?<\/a><\/li>\r\n<li><a href=\"#q-2-which-states-have-implemented-these-waivers\">Q2: Which states have implemented these waivers?<\/a><\/li>\r\n<li><a href=\"#q-3-how-will-these-waivers-benefit-incarcerated-individuals\">Q3: How will these waivers benefit incarcerated individuals?<\/a><\/li>\r\n<\/ul>\r\n<\/li>\r\n<\/ul>\r\n<\/nav><\/div>\r\n\r\n\r\n\r\n<h3 id=\"introduction\" class=\"wp-block-heading\">Introduction<\/h3>\r\n\r\n\r\n\r\n<p>On July 2, the <a href=\"https:\/\/www.hhs.gov\/about\/news\/2024\/07\/02\/hhs-authorizes-five-states-provide-historic-health-care-coverage-people-transitioning-incarceration.html\" target=\"_blank\" rel=\"noopener\">Department of Health and Human Services (HHS)<\/a> announced a groundbreaking initiative to provide Medicaid and Children&#8217;s Health Insurance Program (CHIP) coverage to incarcerated adults and children before their release. This move aims to minimize gaps in healthcare coverage and ensure continuous medical support as individuals transition back into society.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"understanding-the-new-medicaid-waivers\" class=\"wp-block-heading\">Understanding the New Medicaid Waivers<\/h3>\r\n\r\n\r\n\r\n<p>Under the Medicaid Reentry Section 1115 Demonstration Opportunity waiver, states can offer Medicaid and CHIP coverage to incarcerated individuals up to 90 days before their release. This initiative is designed to address the healthcare needs of a population that often faces significant medical challenges, including high rates of substance use disorders and chronic conditions.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"states-implementing-the-waivers\" class=\"wp-block-heading\">States Implementing the Waivers<\/h3>\r\n\r\n\r\n\r\n<p>As of now, Illinois, Kentucky, Oregon, Utah, and Vermont are the first states to implement these waivers. This initiative allows these states to connect incarcerated individuals with community-based providers before their release, ensuring a smoother transition and better health outcomes.<\/p>\r\n\r\n\r\n\r\n<p>Massachusetts has taken this a step further by <a href=\"https:\/\/www.mass.gov\/news\/masshealth-receives-federal-authority-to-expand-eligibility-for-individuals-and-lower-insurance-costs-for-massachusetts-families\" target=\"_blank\" rel=\"noopener\">approving a demonstration that provides 12 months of Medicaid<\/a> and CHIP coverage post-release. For those who are chronically homeless, this coverage extends to 24 months, highlighting the state&#8217;s commitment to supporting vulnerable populations.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"impact-on-incarcerated-individuals\" class=\"wp-block-heading\">Impact on Incarcerated Individuals<\/h3>\r\n\r\n\r\n\r\n<p>Providing Medicaid coverage before release has numerous benefits for incarcerated individuals. It ensures they have access to necessary medical treatments and support services immediately upon reentry into the community. This continuous care can prevent emergency department visits, inpatient hospitalizations, and even deaths, significantly improving overall health outcomes.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"addressing-behavioral-health-needs\" class=\"wp-block-heading\">Addressing Behavioral Health Needs<\/h3>\r\n\r\n\r\n\r\n<p>Incarcerated individuals often have higher rates of behavioral health issues, including substance use disorders and mental health conditions. The new waivers aim to address these needs by increasing access to long-acting injectable antipsychotics and other essential behavioral health services. This proactive approach can lead to better management of these conditions and a reduced risk of relapse or deterioration.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"expanding-access-to-life-saving-treatments\" class=\"wp-block-heading\">Expanding Access to Life-Saving Treatments<\/h3>\r\n\r\n\r\n\r\n<p>Expanding access to life-saving treatments is a crucial aspect of the new waivers. By providing coverage for substance use disorder treatments and other critical medical services, the initiative aims to reduce the overdose epidemic and save lives. Dr. Rahul Gupta, director of the White House Office of National Drug Control Policy, emphasized the importance of this initiative in supporting underserved and marginalized individuals.<\/p>\r\n\r\n\r\n\r\n<h3 id=\"future-implications-and-ongoing-reviews\" class=\"wp-block-heading\">Future Implications and Ongoing Reviews<\/h3>\r\n\r\n\r\n\r\n<p>The Centers for Medicare &amp; Medicaid Services (CMS) continues to review application requests from other states interested in implementing similar waivers. States such as California, Montana, and Washington have already taken steps to support their incarcerated populations through various healthcare initiatives. As more states join this effort, the overall impact on public health and reentry outcomes is expected to be significant.<\/p>\r\n\r\n\r\n\r\n<p><span class=\"ui-provider a b c d e f g h i j k l m n o p q r s t u v w x y z ab ac ae af ag ah ai aj ak\" dir=\"ltr\">Discover the latest <a class=\"fui-Link ___1rxvrpe f2hkw1w f3rmtva f1ewtqcl fyind8e f1k6fduh f1w7gpdv fk6fouc fjoy568 figsok6 f1hu3pq6 f11qmguv f19f4twv f1tyq0we f1g0x7ka fhxju0i f1qch9an f1cnd47f fqv5qza f1vmzxwi f1o700av f13mvf36 f1cmlufx f9n3di6 f1ids18y f1tx3yz7 f1deo86v f1eh06m1 f1iescvh fhgqx19 f1olyrje f1p93eir f1nev41a f1h8hb77 f1lqvz6u f10aw75t fsle3fq f17ae5zn\" title=\"https:\/\/distilinfo.com\/healthplan\/\" href=\"https:\/\/distilinfo.com\/healthplan\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Link payers&#039; news updates\"><strong>payers&#8217; news updates<\/strong><\/a> with a single click. 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Join our community today!<\/span><\/p>\r\n\r\n\r\n\r\n<h3 id=\"fa-qs\" class=\"wp-block-heading\">FAQs<\/h3>\r\n\r\n\r\n\r\n<h4 id=\"q-1-what-is-the-medicaid-reentry-section-1115-demonstration-opportunity-waiver\" class=\"wp-block-heading\">Q1: What is the Medicaid Reentry Section 1115 Demonstration Opportunity waiver?<\/h4>\r\n\r\n\r\n\r\n<p>A1: The Medicaid Reentry Section 1115 Demonstration Opportunity waiver allows states to provide Medicaid and CHIP coverage to incarcerated individuals up to 90 days before their release.<\/p>\r\n\r\n\r\n\r\n<h4 id=\"q-2-which-states-have-implemented-these-waivers\" class=\"wp-block-heading\">Q2: Which states have implemented these waivers?<\/h4>\r\n\r\n\r\n\r\n<p>A2: As of now, Illinois, Kentucky, Oregon, Utah, and Vermont have implemented these waivers. Massachusetts has also approved a related demonstration for extended coverage post-release.<\/p>\r\n\r\n\r\n\r\n<h4 id=\"q-3-how-will-these-waivers-benefit-incarcerated-individuals\" class=\"wp-block-heading\">Q3: How will these waivers benefit incarcerated individuals?<\/h4>\r\n\r\n\r\n\r\n<p>A3: These waivers ensure that incarcerated individuals have continuous access to medical treatments and support services, improving their health outcomes and reducing the risk of emergency department visits, hospitalizations, and deaths.<\/p>\r\n\r\n\r\n\r\n\r\n","protected":false},"excerpt":{"rendered":"<p>Introduction On July 2, the Department of Health and Human Services (HHS) announced a groundbreaking initiative to provide Medicaid and&#8230; <a href=\"https:\/\/distilinfo.com\/healthplan\/cms-waivers-medicaid-incarcerated\/\" style=\"white-space: nowrap;\">Continue Reading <i class=\"fas fa-long-arrow-alt-right\" style=\"vertical-align: middle;\"><\/i><\/a><\/p>\n","protected":false},"author":1,"featured_media":12276,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[1],"tags":[395],"class_list":{"0":"post-12275","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-distilinfo-originals","8":"tag-waivers","9":"entry"},"_links":{"self":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/12275"}],"collection":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/comments?post=12275"}],"version-history":[{"count":3,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/12275\/revisions"}],"predecessor-version":[{"id":12279,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/posts\/12275\/revisions\/12279"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/media\/12276"}],"wp:attachment":[{"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/media?parent=12275"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/categories?post=12275"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/distilinfo.com\/healthplan\/wp-json\/wp\/v2\/tags?post=12275"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}