Medi-Cal 州囚犯计划和 Medi-Cal 县囚犯计划
Medi-Cal 州囚犯计划和 Medi-Cal 县囚犯计划
历史
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.
联邦当局
- Section 1905(a)(29)(A) of the Social Security Act
- 医疗援助不包括对公共机构囚犯的护理或服务，除非作为医疗机构的患者。
国家权力
- 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
概述
Medi-Cal 囚犯计划在州和县两级实施，允许 Medi-Cal 允许的住院医院服务，包括住院精神病服务，以及在惩教机构中被确定符合 Medi-Cal 资格的囚犯住院期间提供的医生服务。
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.
加州州立囚犯医疗计划
Medi-Cal 县囚犯计划
资格信息
联系我们
- 索赔咨询： dhcsimcu@dhcs.ca.gov
- 有关 Medi-Cal 资格的咨询： mciep@dhcs.ca.gov
- 专业心理健康咨询： medccc@dhcs.ca.gov