Medical Assistance for People Who Are Incarcerated

2.5.5.4.1 Health Care Delivery

Medical Assistance (MA) enrollees who are incarcerated are generally excluded from managed care enrollment. Medical services are provided via fee-for-service.

Fee-for-Service

Fee-for-service is a method of payment where the medical provider bills the Minnesota Health Care Programs (MHCP) for specific, individual services. Enrollees must use a medical provider enrolled with MHCP, except in special circumstances. A directory of enrolled providers is available online.

Covered Services

MA only covers services received while the person who is incarcerated is in an inpatient in a hospital.

Legal Citations

Code of Federal Regulations, title 42, section 435.1009

Code of Federal Regulations, title 42, section 435.1010

Minnesota Rules, part 9505.0050

Minnesota Statutes, section 256B.055, subdivision 14