State health care information for the criminal justice system

1_bja_logo_mstThis 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 Maine

Maine is not expanding 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 in Maine.[ii]

Health Insurance Exchange Information:  Maine has adopted a State-Federal Partnership model for their health insurance exchange.[iii]  People can use the Federally-facilitated Marketplace (FFM) to compare plans, purchase low-cost insurance, and take advantage of federal tax subsidies that apply.

Eligibility and Enrollment: People in Maine 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. There are three ways people in Maine can see if they meet eligibility requirements and apply for or enroll in these benefits:

1) They can use Maine’s application for free or low cost health benefits.[iv]

2) They can use the online application on the Federally Facilitated Marketplace.[v]

3) They can contact the Marketplace call center (1-800-318-2596, TTY: 1-855-889-4325, 24 hours a day, 7 days a week).[vi]

 

Maine Medicaid and Health Insurance Links

Link to the state Medicaid agency website for more information on Medicaid and for application forms to download and print[vii]

Link to important contact information and the number for questions about Medicaid (207- 287-3707, TTY: Maine relay 711)[viii]

Link to contact information for local Department of Health and Human Services offices[ix]

Link to a summary of Maine’s basic eligibility guidelines[x]

Link to information on Maine’s Medicaid State Plan[xi]

Link to information on what is covered, including the Medicaid (MaineCare) Handbook on Covered Services [xii]

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

Link to Medicaid provider manuals[xiv]

 

Where do you apply for coverage on Maine’s health insurance exchange? Maine currently does not have its own health insurance exchange. To apply for coverage visit Heathcare.gov [xv]

Where can you find help to enrollment in health coverage and answers to questions? Link to enrollment help   [xvi]

 

State Health Information

How many people in Maine are eligible to participate?  According to the Kaiser Family Foundation, 130,000 of Mainers were uninsured in 2014. [xvii]  36% of uninsured nonelderly Mainers are eligible to participate. The total number of potential marketplace participants is 124,000. [xviii]

How many are enrolled so far?  61,964 have selected a plan as of January 2015.[xix]

How many of the state’s uninsured population are eligible for Medicaid? 3% of Maine’s uninsured or 6,000 individuals are eligible for Medicaid; 4,000 of them are adults.[xx]

Is Maine a Medicaid health home state? Yes, link to information on health homes in Maine[xxi]

Who are the health committee chairs in the state legislature?

House and Senate: Sen. Eric L. Brakey (R-Androscoggin) chairs the Joint Committee on Health and Human Services. [xxii]

 

Other Related Information and Links for Maine

Link to information the Maine Department of Corrections[xxiii]

Link to the website for the Maine Office of Substance Abuse and Mental Health Services [xxiv]

Link to the Maine Association of Mental Health Services and the Maine Association of Substance Abuse Programs to get information about Maine’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 Maine [xxv]

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

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

 

Government websites that offer useful information on health reform:

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

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

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

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.[xxxi]

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.[xxxii]

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.[xxxiii]

 

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

 

[i] See Medicaid.gov, Medicaid by Sate, Maine, last viewed at November 2, 2014, at 1:05 p.m., http://www.medicaid.gov/medicaid-chip-program-information/by-state/maine.html.

[ii] See supra at i.

[iii] See healthinsurance.org, Maine Health Insurance Exchange, http://www.healthinsurance.org/maine-state-health-insurance-exchange/, last viewed at November 3, 2014, at 4:23 p.m., http://www.healthinsurance.org/maine-state-health-insurance-exchange/.LePage,

[iv] See Maine.gov, My Maine Connection, last viewed at November 2, 2014, at 1:35 p.m.: https://www1.maine.gov/benefits/account/login.html.

[v] See Healthcare.gov, last viewed at November 3, 2014, at 1:54 p.m.,: https://www.healthcare.gov/get-coverage/.

[vi] See supra at iv.

[vii] See Maine.gov, Department of Health and Human Services, last viewed at November 3, 2014, at 1:54 p.m., http://www.maine.gov/dhhs/index.shtml.

[viii] See supra at vii.  http://www.maine.gov/dhhs/contactus.shtml.

[ix] See Maine DHHS, Office Finder, last viewed at November 3, 2014, at 2:43 p.m., http://gateway.maine.gov/dhhs-apps/office_finder/, (provides Maine DHHS district office locations).

[x] See CMS, State Medicaid and CHIP Income Eligibility Standards, (For MAGI Groups, based on state decisions as of July 1, 2014), last viewed at November 3, 2014, at 3:05 p.m. (Provides data for all 50 states.  Not as specific as the PDF sheet attached in the Maine template).

[xi] See Medicaid.gov, State Resources, Medicaid State Plan Amendments, last viewed at November 3, 2014, at 3:22 p.m., http://www.medicaid.gov/State-Resource-Center/Medicaid-State-Plan-Amendments/Medicaid-State-Plan-Amendments.html?filterBy=Maine (Provides State Plan Amendments and Summaries).

[xii] See Maine.gov, MaineCare Services, last viewed at November 3, 2014, at 3:39 p.m., http://www.maine.gov/dhhs/oms/member/.

[xiii] See Maine.gov, MaineCare Services, Contact us, last viewed at November 3, 2014, at 3:56 p.m., http://www.maine.gov/dhhs/oms/contacts.shtml.

[xiv] See HealthPas, MaineCare Services, Provider, last viewed at November 3, 2014, at 4:07 p.m., http://www.maine.gov/dhhs/oms/contacts.shtml.

[xv] See HealthCAre.gov, Find Out If You Qualify For Medicare And Chip, last viewed at November 9, 2014, at 12:32 p.m., https://www.healthcare.gov/medicaid-chip/eligibility/.

[xvi]See HealthCare.gov, Get Answers, last viewed at November 9, 2014, at 12:36 p.m., https://www.healthcare.gov/get-answers/.

[xvii] See The Henry Kaiser Foundation, State Health Facts, State Profiles: How Will the Uninsured Fare Under the Affordable Care Act?, last viewed at November 10, 2014, at 12:50 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-maine/.

[xviii] See The Henry Kaiser Foundation, State Health Facts, State Profiles: How Will the Uninsured Fare Under the Affordable Care Act?, last viewed at November 10, 2014, at 12:50 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-maine/.

[xix] See Maine.Gov, Office of Govenor Paul R. LePage, MaineCare Reform, last viewed at November 3, 2014, at 4:23 p.m., http://www.maine.gov/governor/lepage/issues/mainecare_reform.shtml.

[xx] See The Henry Kaiser Foundation, State Health Facts, State Profiles: How Will the Uninsured Fare Under the Affordable Care Act?, last viewed at November 10, 2014, at 12:50 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-maine/.

[xxi] See Maine Health, Patient Centered Medical Homes, last viewed at November 9, 2014, at 12:47 p.m.: http://mainehealth.org/mh_body.cfm?id=7854 or Maine Health Home State Plan Amendment, last viewed at November 9, 2014, at 12:44 p.m., http://www.medicaid.gov/state-resource-center/medicaid-state-plan-amendments/downloads/me/me-12-004-att.pdf.

[xxii] See Joint Standing Committee on Health and Human Services, last viewed at November 9, 2014, at 12:53 p.m., http://www.maine.gov/legis/house/jt_com/hum.htm

[xxiii] See Maine.Gov, Department of Corrections, last viewed at November 3, 2014, at 5:12 p.m., http://www.state.me.us/corrections/

[xxiv] See Maine.Gov, Substance Abuse and Mental Health Services, last viewed at November 3, 2014, at 5:15 p.m., http://www.maine.gov/dhhs/samhs/osa/

[xxv] 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=ME.

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

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

[xxix]  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/.

[xxx]   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.

[xxxi]   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/.

xxxiii 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

xxxiv   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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