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Effective: December 1, 2006 | |
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14.10.20 - Correctional Facilities |
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Adults who are incarcerated in correctional facilities or penal institutions are generally ineligible for Minnesota Health Care Program (MHCP) coverage. Children who are incarcerated may be eligible depending on the type of facility.
Exception: People who meet all other eligibility requirements for Refugee Medical Assistance (RMA) are eligible for RMA regardless of their living arrangement. The Refugee Medical Assistance program, which is 100% federally funded, is not subject to living arrangement requirements.
Inmates may apply for health care program coverage 45 days before their scheduled release date. Eligibility cannot begin until they are actually released. MinnesotaCare eligibility cannot begin until the first premium payment is received. See Applications for Inmates for further information.
Types of Correctional Facilities.
Under Control of the Penal System.
Not Under Control of the Penal System.
Incarcerated MinnesotaCare Enrollees.
Exception for General Assistance Medical Care (GAMC).
Types of Correctional Facilities
The system codes for correctional facilities and penal institutions are:
l 68 Adult - City or County Jail.
l 69 Adult - Other Correctional Facility.
l 70 Juvenile - State Correctional Facility.
l 71 Publicly or Privately Operated Secure Juvenile Detention Facility (Residential Facility or Group Home) or Bed.
l 72 Publicly Owned and Operated Juvenile Residential Facility or Group Foster Home. IV-E certified; no more than 25 non-secure beds.
l 73 Publicly Owned and Operated Juvenile Residential Facility or Group Foster Home. More than 25 beds.
l 74 Privately Operated Juvenile Residential Facility or Group Home. Non-secure facility.
l 75 Juvenile Foster Home.
l 76 Publicly or Privately Operated Juvenile Temporary Holdover Facility. Secure facility.
l 77 Publicly or Privately Operated Juvenile Temporary Holdover Facility. Non-secure facility.
Under Control of the Penal System
People incarcerated in correctional or penal facilities are generally not eligible for MHCP coverage. People who are under the control of the penal system are:
l Inmates residing in city, county, state and federal penal/correctional institutions for adults.
l Inmates in any penal institution who are on a work release program allowing them to leave the institution for work hours only and requiring them to return to the institution for all non-work hours.
l Inmates released to a government owned and operated half-way house.
Note: Currently, all penal halfway houses in Minnesota are privately owned and operated. Inmates who are released or transferred into privately owned halfway houses are eligible to apply for and receive MHCP coverage while residing in the halfway house.
l Inmates residing in any penal institution for adults, who are admitted to a medical hospital for treatment and required to return to the penal institution after treatment is completed (even if the release is termed a ”furlough” by the institution).
Note: If the person is released from the hospital to his home to recuperate before returning to the correctional facility, he may apply for MHCP coverage for the day of release from the hospital up to the day he is returned to the correctional facility. The hospital stay is not covered.
l Residents of secure juvenile facilities licensed by the DOC which are for holding, evaluation, or detention purposes only.
l Juveniles incarcerated in a state owned and operated correctional facility.
l Juveniles placed in a publicly owned and operated DOC licensed juvenile residential treatment facility or group foster home licensed for more than 25 non-secure beds.
For MHCP enrollees, Medical Assistance (MA) eligibility ends immediately upon incarceration, as does GAMC (unless the exception for GAMC applies). MinnesotaCare eligibility continues until the next renewal.
See Incarcerated MinnesotaCare Enrollees and Children in Facilities for further information about MHCP eligibility for incarcerated enrollees.
Not Under Control of the Penal System
People no longer under the direct control of the penal system are potentially eligible for health care program coverage. People are no longer considered to be under the direct control of the penal system if they are:
l Released on their own recognizance.
l On bail.
l Given a pardon.
l Released upon completing sentence.
l Under home surveillance, required to wear a monitoring bracelet or cuff.
l Determined not guilty.
l On probation.
l Released to a halfway house owned and/or managed by a private party.
l Transferred to a nursing home on conditional leave.
l Under civil court hold orders.
l Released to a chemical dependency facility.
l On parole or supervised release, or, in the case of a juvenile, on extended furlough (usually 90 days).
l Juveniles placed in facilities licensed by the Department of Corrections (DOC) as a privately owned and operated, non-secure residential treatment, group or foster homes.
l Juveniles placed in a publicly owned and operated DOC licensed juvenile residential treatment facility or group foster home that is IV-E certified and licensed for no more than 25 non-secure beds.
Incarcerated MinnesotaCare Enrollees
People who are incarcerated in adult correctional or penal institutions are ineligible for MinnesotaCare regardless of age. This includes people age 18 or older and people under 18 who are tried as adults and incarcerated in adult facilities.
Deny MinnesotaCare coverage to adults and children who are incarcerated at the time of application. Close MinnesotaCare coverage if an enrollee is incarcerated at the time of renewal.
l If a MinnesotaCare enrollee is eligible for a MinnesotaCare major program that is federally funded, change the enrollee to state-funded MinnesotaCare starting the month after admission (unless that is the renewal month).
l Count incarcerated adults or children in the MinnesotaCare household size if they continue to have MinnesotaCare coverage.
n Coverage may continue until the next renewal unless another adult household member requests to have them removed from coverage sooner.
n Remove adults or children who are incarcerated from the MinnesotaCare household size beginning with the month they are removed from coverage.
l Incarcerated people must arrange to receive care through their health plans until they are disenrolled from MinnesotaCare.
People are ineligible for GAMC while residing in a penal institution unless they meet all of the following conditions:
l Detainment must be for less than one year in a county correctional or detention facility, or, the person must be an inpatient in a hospital on a criminal hold order.
l The person must have been a GAMC enrollee at the time of arrest or admission to the hospital on a criminal hold order.
l The person must be otherwise eligible for GAMC.