Medi-Cal 주 수감자 프로그램 및 Medi-Cal 카운티 수감자 프로그램
Medi-Cal 주 수감자 프로그램 및 Medi-Cal 카운티 수감자 프로그램
역사
Federal law prohibits claiming Medicaid funds for healthcare services provided to inmates residing in correctional facilities. There is an exception to this federal prohibition when an inmate receives inpatient services at a medical facility located off the grounds of the correctional facility for an expected stay of more than 24 hours, and the inmate is found to be Medicaid eligible.
연방 기관
- Section 1905(a)(29)(A) of the Social Security Act
- 의료 지원에는 의료 기관의 환자를 제외한 공공 기관의 재소자에 대한 치료 또는 서비스는 포함되지 않습니다.
국가 기관
- Assembly Bill (AB) 1628 (Chapter 729, Statutes of 2010) – Adults
- Welfare and Institution Code (WIC) §14053.7
- Assembly Bill (AB) 396 (Chapter 394, Statutes of 2011) – Juveniles
- Senate Bill (SB) 695 (Chapter 647, Statutes of 2011) – Juveniles
- Welfare and Institution Code (WIC) §14053.8
- Senate Bill (SB) 1462 (Chapter 837, Statutes of 2012) – Compassionate Release and Medical Probation
개요
Medi-Cal 수감자 프로그램은 주 및 카운티 수준에서 이루어지며 Medi-Cal 허용되는 입원 환자 정신과 서비스를 포함한 입원 환자 병원 서비스 및 Medi-Cal 자격이 있다고 판단되는 교정 시설 내 수감자의 입원 환자 입원 기간 동안 제공되는 의사 서비스를 허용합니다.
The Medi-Cal County Inmate Program (MCIP) is voluntary and counties have the option to participate in this program by entering into an agreement with the Department of Health Care Services (DHCS). Per legislation, there is to be no General Fund (GF) impact under MCIP. The purpose of the MCIP agreement is to establish the amounts needed to satisfy each county’s responsibility to reimburse DHCS for the nonfederal share of MCIP service costs incurred by DHCS. If a County does not participate in MCIP or does not abide by the terms of this Agreement, the County remains responsible for arranging for and paying for medical care for its inmates.
The Medi-Cal State Inmate Program (MSIP) is unique from standard Medi-Cal claiming because Medi-Cal providers do not directly bill the DHCS for MSIP services. Under the MSIP, the California Department of Corrections and Rehabilitation (CDCR) pays providers for healthcare services rendered to state inmates off the grounds of the correctional facility, and submits claims to the DHCS’ Fiscal Intermediary (FI) for Medi-Cal allowable services provided to MSIP eligible inmates. DHCS’ FI prices the claims and suspends without payment and forwards claims data to the Safety Net Financing Division (SNFD). SNFD generates an invoice for federal reimbursement paid to CDCR.
Medi-Cal 주정부 수감자 프로그램
Medi-Cal 카운티 수감자 프로그램
자격 정보
문의하기
- 청구 문의: dhcsimcu@dhcs.ca.gov
- Medi-Cal 자격 문의: mciep@dhcs.ca.gov
- 정신 건강 전문 문의: medccc@dhcs.ca.gov