State health care information for the criminal justice system

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This map of state health information for criminal justice practitioners is funded through a grant from the Bureau of Justice Assistance, Office of Justice Programs, U.S. Department of Justice.  Neither the U.S. Department of Justice nor any of its components operate, control, are responsible for, or necessarily endorse its content (including, without limitation, any of the information links to other websites provide).

 

For a glossary of important terms in this profile, review the Key Terms for State Health Care Information for Criminal Justice Systems.

Basic Information on Health Reform in Washington D.C.

Washington D.C. has expanded Medicaid coverage to low-income adults, as of January 2015.[i]  Medicaid and CHIP (Children’s Health Insurance Plan) are safety net health benefit programs available. [ii]

Health Insurance Exchange Information: The District of Columbia is operating its own state-based insurance exchange. Visit DC HealthLink, the Washington D.C. health insurance marketplace, to compare health plans and take advantage of federal tax subsidies that may apply.[iii]

Eligibility and Enrollment: People in Washington D.C. can apply for and enroll in Medicaid or CHIP any time of year and coverage can begin immediately. They can purchase and enroll in marketplace plans during the annual open enrollment period, which begins November 15th of each year and extends through February 15th.  If they meet certain criteria, such as having been released from custody in the last 90 days, they may be able to enroll in private coverage outside the open enrollment period. [iv]  There are three ways to see if they meet eligibility requirements and to apply for or enroll in these benefits:

1) They can use Washington D.C.’s online application for free or low cost benefits.[v]

2) They can get free, in-person help from a local assistor or broker. [vi]

3) They can enroll by phone (855-532-5465, TTY/TDD-711-1-532-5465, Mon.-Sat. from 8 am to 8 pm).

 

Washington D.C. Medicaid and Health Insurance Links

Link to Washington D.C.’s Medicaid agency website for information about Medicaid and for application forms to download and print[vii]

Link to important contact information and the Medicaid helpline number (202- 442-5988, TTY 311). [viii]

Link to locations and contact information for the nearest district Medicaid office[ix]

Link to a summary of Washington D.C.’s basic eligibility guidelines[x]

In DC, benefits covered are the same for the traditionally eligible Medicaid population and the Medicaid expansion population under the ACA.

Link to information on Washington D.C.’s Medicaid State Plan[xi]

Link to DC’s Alternative Benefit Plan for newly Medicaid-eligible individuals

Link to the Medicaid Member Handbook and information on what is covered[xii]

Link to an organizational chart for the Washington D.C. Department of Human Services

Link to contact information for the state Medicaid director[xiii]

Link to Medicaid provider information and forms[xiv]

 

Where do you apply for coverage on Washington D.C.’s health insurance exchange?  To apply, visit DC HealthLink[xv]

Where can you find help to enrollment in health coverage and answers to questions? Link to enrollment help  https://dchealthlink.com/help.[xvi]

 

State Health Information

How many people in Washington D.C. are eligible to participate?  According to the Kaiser Family Foundation, 6.7% of D.C. residents (42,295) were uninsured in 2013.  The estimated number of potential marketplace participants is 33,000.[xvii]

How many are enrolled so far?  17,485 individuals have selected a plan as of January 2015.[xviii]

How many of the state’s uninsured population are eligible for Medicaid? 23,000 of uninsured D.C. residents (55%) are eligible for Medicaid; 19,000 of them are adults, as of January 2015. [xix]

Is Washington D.C. a Medicaid health home state?  No.

Who are the health committee chairs in the state legislature?

Council of the District of Columbia: Councilmember Yvette Alexander (D-Ward 7) chairs the Health and Human Services Committee. [xx]

Other Related Information and Links for Washington D.C.

Link to information on the Washington D.C. Department of Corrections[xxi]

Link to Washington D.C.’s Department of Health-Substance Abuse Services[xxii]

Link to Washington D.C.’s Department of Behavioral Health-Mental Health Services[xxiii]

Link to the D.C. Behavioral Health Association to get information about D.C.’s mental health and substance use disorder service providers

 

General Information and Useful Links on Health Reform

Kaiser Family Foundation offers information on health reform in each state:

Link to specific health data and insurance coverage information for Washington D.C. [xxiv]

Link to a calculator for possible subsidies available to people who purchase coverage on the exchanges [xxv]

Link to information about health insurance exchanges in each state [xxvi]

 

Government websites that offer useful information on health reform:

InsureKidsNow.gov offers general information on the CHIP program.[xxvii]

Healthcare.gov offers links to local enrollment help and information on coverage for incarcerated people and answers to questions about health benefits.[xxviii]

Medicaid.gov offers general information on the Medicaid program and a breakdown of mandatory benefits all plans must include. [xxix]

The Health Resources and Services Administration (HRSA) offers an online directory of Federally Qualified Health Centers (FQHC) in each state that offer free or low cost care.[xxx]

The Substance Abuse and Mental Health Services Administration (SAMSHA) offers a directory of substance abuse and mental health treatment facilities in each state at: SA-Treatment Facility Locator and at: MH-Treatment Facility Locator.[xxxi]

SAMHSA also offers the National Survey of Substance Abuse Treatment Facilities, which has information on substance abuse treatment facilities by state, the types of programs available, and services they offer for justice-involved populations.[xxxii]

 

Click here to return to the map of state profiles: state-by-state healthcare profile map

 

[i] See Medicaid.gov, Medicaid by State, Washington D.C., last viewed on January 2, 2015, at 1:35 p.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/ District-of-Columbia.html.

[ii] See HealthCare.gov, Find out if you qualify for Medicaid and CHIP, District-of-Columbia, last viewed at January 12, 2015, at 1:04 p.m., https://www.healthcare.gov/medicaid-chip/eligibility/.

[iii] See Medicaid.gov, Medicaid by State, Washington D.C., viewed at January 12, 2015, at 1:06 p.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/District-of-Columbia.html.

[iv] See Medicaid.gov, Medicaid by State, Washington D.C., viewed at January 12, 2015, at 1:06 p.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/District-of-Columbia.html.

[v] See DC.Gov, Department of Health Care Finance, Medicaid, last viewed at January 12, 2015, at 1:16 p.m., http://dhcf.dc.gov/service/medicaid.

[vi] See DC Health Link, last viewed at January 12, 2015, at 1:16 p.m., https://dchealthlink.com/.

[vii] See DC.Gov, Department of Health Care Finance, Medicaid, last viewed at January 12, 2015, at 1:18 p.m., http://dhcf.dc.gov/service/medicaid.

[viii] See DC.Gov, Department of Health Care Finance, Medicaid, last viewed at January 12, 2015, at 1:19 p.m., http://dhcf.dc.gov/service/medicaid.

[ix] See DC Health Link, Frequently Asked Questions, Medicaid, last viewed at January 12, 2015, at 1:22 p.m., http://dhcf.dc.gov/service/medicaid.

[x] See Washington D.C. Health Connect, 2015 Subsidy Estimator, last viewed at January 12, 2015, at 1:34 p.m., http://info.healthconnect.Washington D.C..gov/subsidy_estimator.

[xi] See  DC.Gov, Department of Health Care Finance, Medicaid State Plan, last viewed at January 12, 2015, at 1:40 p.m., http://dhcf.dc.gov/page/medicaid-state-plan.

[xii] See DC.Gov, Department of Health Care Finance, DC Medicaid Fee-For-Service Member Handbook, last viewed at January 12, 2015, at 1:45 p.m., http://dhcf.dc.gov/publication/dc-medicaid-fee-service-member-handbook.

[xiii] See DC.Gov, Department of Health Care Finance, DHCF-Meet Our Executive Team, last viewed at January 12, 2015, at 1:49 p.m., http://dhcf.dc.gov/page/dhcf-meet-our-executive-team.

[xiv] See DC.Gov, Department of Health Care Finance, Provider Information and Forms, last viewed at January 12, 2015, at 1:52 p.m., https://www.dc-medicaid.com/dcwebportal/providerSpecificInformation/providerInformation.

[xv] See DC Health Link, last viewed at January 12, 2015, at 1:59 p.m., https://dchealthlink.com/.

[xvi]See DC Health Link, Get Help, last viewed at January 12, 2015, at 2:22 p.m., https://dchealthlink.com/help.

[xvii] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in Washington D.C. Fare Under the Affordable Care Act?, last viewed at January 12, 2015, at1:56 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-district-of-columbia/.

[xviii] See Medicaid.gov, Medicaid and CHIP Enrollment Data, Table 1A: Medicaid and CHIP: August and September 2014 Monthly Enrollment Updated November 2014, last viewed at January 11, 2015, at 4:23 p.m., http://www.medicaid.gov/medicaid-chip-program-information/program-information/downloads/updated-september-2014-enrollment-data.pdf.

[xix] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in Washington D.C. Fare Under the Affordable Care Act?, last viewed at January 12, 2015, at1:56 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-district-of-columbia/.

[xx] See Council of the District of Columbia, last viewed at January 12, 2015, at 2:28 p.m., http://dccouncil.us/committees/committe-on-health-and-human-services.

[xxi] See DC.gov, last viewed at January 12, 2015, at 2:32 p.m., http://doc.dc.gov/.

[xxii] See DC.gov, Department of Health, DOH Substance Abuse, last viewed at January 12, 2015, at 2:35 p.m., http://doh.dc.gov/service/doh-substance-abuse.

[xxiii] See DC.gov, Department of Behavioral Health, last viewed at January 12, 2015, at 2:50 p.m., http://dbh.dc.gov/.

[xxiv] See The Henry Kaiser Foundation, State Health Facts, last viewed January 8, 2015 at 1:38 p.m.: http://kff.org/state-category/health-reform/?state=DC.

[xxv]  See The Henry Kaiser Foundation, State Health Insurance Marketplace Profiles, January 8, 2015 at 1:38 p.m.: http://kff.org/state-health-marketplace-profiles/.

[xxvi]   See The Henry Kaiser Foundation, State Health Insurance Marketplace Profiles, January 8, 2015 at 1:38 p.m.: http://kff.org/state-health-marketplace-profiles/.

[xxvii]   See InsureKidsNow.gov, last viewed on January 8, 2015 at 1:37 p.m.: http://www.insurekidsnow.gov/chip/index.html.

[xxviii]  See Healthcare.gov, last viewed on January 8, 2015 at 1:38 p.m.: https://localhelp.healthcare.gov/ and https://www.healthcare.gov/incarcerated-people/.

[xxix] See Medicaid.gov, last viewed on January 8, 2015 at 1:38 p.m., http://www.medicaid.gov/medicaid-chip-program-information/medicaid-and-chip-program-information.html.

[xxx] See Health Resources and Services Administration (HRSA), Find a Health Center, last viewed January 8, 2015 at 1:40 p.m.: http://www.bphc.hrsa.gov/.

xxv  See SAMSHA Treatment Facility Locator, last viewed January 8, 2015 at 1:40 p.m.: http://findtreatment.samhsa.gov/TreatmentLocator/faces/quickSearch.jspx and http://findtreatment.samhsa.gov/MHTreatmentLocator/faces/quickSearch.jspx

xxvi See SAMHSA N-SSATS last viewed January 8, 2015 at 1:45 p.m.: http://www.samhsa.gov/data/substance-abuse-facilities-data-nssats.

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