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Managed Medicaid Braces For Influx of Ex-Inmates
By managedcaremag.com- Nan Myers
Published: 11/24/2014

Most people don’t lose sleep worrying about health care services provided to inmates in jails or prisons, but maybe they should. Lack of proper coverage is a major cause of recidivism, experts say, but this year the Affordable Care Act (ACA) allows inmates to sign up for Medicaid. This comes with challenges, and health insurance plans involved in managed Medicaid gird themselves to handle an influx of beneficiaries who have historically had little or nothing to do with the health system.

The ACA is a federal law, but the Supreme Court famously ruled that state participation is not mandatory when it comes to Medicaid expansion. States oversee health matters related to prisoner release, but many don’t have comprehensive rules.

One exception, though, is Illinois. It specifies that client enrollment brokers work with released prisoners. It also has rules for community health, mental health, primary care, and medical homes. ‘One of the good things about the program in Illinois is that it is all-inclusive,’ says Karen Brach, vice president for Medicaid at Blue Cross & Blue Shield of Illinois.

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