2.5.5 Hospitalized Incarcerated People (Archive)

In general, people incarcerated in a state prison, county detention facility, or city jail are not eligible for Medical Assistance (MA) coverage. See the MA Living Arrangement policy for more information. However, a person incarcerated in one of the following facilities may qualify for MA payment for inpatient hospital or nursing facility care.

• State prison, county detention facility, or city jail for adults. A person incarcerated in one of these facilities remains incarcerated, and thus ineligible for MA benefits, if the person:

  • is in a work-release program that requires the person to return to the facility during non-work hours or

  • has been sent by the court or correctional facility to a chemical dependency residential treatment program while serving a sentence and must return to the correctional facility after completing treatment.

• Secure juvenile facilities licensed by Minnesota Department of Corrections (DOC) that are for holding, evaluation and detention

• State-owned and -operated juvenile correctional facilities

• Publicly owned and operated juvenile residential treatment facilities and group foster care facilities that are licensed by the DOC and have more than 25 non-secure beds

Additionally, children placed by a juvenile court in certain juvenile group residential facilities or programs may be eligible for MA depending on the type of facility. A child who resides in a non-secure correctional setting may be eligible for MA. Some correctional facilities have both secure and non-secure units. See the MA Living Arrangement policy for more information.

A person must meet the eligibility requirements that match their basis of eligibility. People are in one of the following eligibility groups:

• MA for Families With Children and Adults (MA-FCA)

• MA for People Who Are Age 65 or Older and People Who Are Blind or Have a Disability (MA-ABD)

• MA for Long-Term Care Services

This subchapter includes policies that apply to MA for hospitalized incarcerated people (MA-HIP) who are incarcerated and links to policies that apply to all MA programs and all Minnesota Health Care Programs (MHCP) programs.

1. MA-HIP General Requirements

   1. MA-HIP Applications

   2. MA Responsibilities

   3. MHCP Retroactive Eligibility

   4. MHCP Rights

2. MA-HIP Non-Financial Eligibility

   1. MA-ABD Non-Financial Eligibility

   2. MA-FCA Non-Financial Eligibility

   3. MA-LTC

3. MA-HIP Financial Eligibility

   1. MA-ABD Financial Eligibility

   2. MA-FCA Financial Eligibility

   3. MA-LTC

4. MA-HIP Post-Eligibility

   1. MA-HIP Health Care Delivery

   2. MA-ABD Post Eligibility

   3. MA-FCA Post Eligibility

   4. MA-LTC

Published:  June 1, 2016

Archived: December 1, 2017