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 Montana

Montana has submitted a Medicaid expansion proposal to the federal Department of Health and Human Services; however, it has not yet been approved or implemented.[i]  Medicaid and CHIP (Children’s Health Insurance Plan) are safety net health benefit programs available in Montana.[ii]

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

Enrollment: People 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 two ways people in Montana can see if they meet eligibility requirements and to apply for or enroll in these benefits:

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

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

 

Montana Medicaid and Health Insurance Links

Link to the state Medicaid agency website[vi]

Link to important contact information Medicaid helpline number (800) 362-8312) [vii]

Link to find location and contact information for nearest county Medicaid office[viii]

Link to a summary of Montana’s basic eligibility guidelines[ix]

Link to information on Montana’s Medicaid State Plan[x]

Link to information on what is covered by Medicaid in Montana[xi]

Link to an organizational chart of the Montana Medicaid agency[xii]

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

Link to the Medicaid provider manual[xiv]

 

Where do you apply for coverage on Montana’s health insurance exchange? Montana does not currently operate its own exchange. To apply, visit Healthcare.gov.[xv]

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

 

State Health Information

How many people in Montana are eligible to participate?  According to Kaiser Family Foundation, 16.5% of Montana’s population was uninsured in 2013. The total number of potential marketplace participants is 121,000.[xvii]

How many are enrolled so far? 47,206 have selected a marketplace plan as of January 2015.[xviii]

How many of the state’s uninsured population are eligible for Medicaid? 22% of uninsured Montana residents (13,000) are eligible for Medicaid; only 1,000 of them are adults.[xix]                       

Is Montana a Medicaid health home state?  No.[xx]

Who are the health committee chairs in the state legislature?

House: Rep. Ron Ehli (R-District 86) chairs the Health & Human Services Committee.

Senate: Sen. Fred Thomas (R-District 44) chairs the Public Health and Welfare Committee. [xxi]

 

Other Related Information and Links for Montana

Link to information on the Montana Department Corrections [xxii]                         

Link to the Montana Substance Abuse Service Bureau

Link to the Montana Mental health Service Bureau[xxiii]

 

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 Montana [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 Healthcare.gov, Find out if you qualify for Medicaid and CHIP, Montana, last viewed at December 1, 2014, at 11:23 a.m., https://www.healthcare.gov/medicaid-chip/eligibility/.

[ii] See Medicaid.gov, Medicaid by Sate, Montana, last viewed at December 1, 2014, at 11:23 a.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/Montana.html.

[iii] See Medicaid.gov, Medicaid by Sate, Montana, last viewed at December 1, 2014, at 11:26 a.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/Montana.html.

[iv] See Montana DPHHS, SNAP, TANF, and Health Coverage Assistance Application, last viewed at December 1, 2014, at 11:33 a.m., https://apply.mt.gov/access/accessController?id=0.44041028851722497, (provides information for county office contacts.

[v] See Healthcare.gov, Apply for health coverage, last viewed at December 1, 2014, at 11:39 a.m., https://www.healthcare.gov/apply-and-enroll/how-to-apply/.

[vi] See Montana DPHHS, last viewed at December 1, 2014, at 11:47 a.m., http://www.dphhs.mt.gov/.

[vii] See Montana DPHHS, Offices of Public Assistance, last viewed at December 1, 2014, at 11:51 a.m., http://www.dphhs.mt.gov/contact/humancommunityservices.aspx.

[viii] See Montana DPHHS, Offices of Public Assistance, last viewed at December 1, 2014, at 11:51 a.m., http://www.dphhs.mt.gov/contact/humancommunityservices.aspx.

[ix] See Montana DPHHS, Am I Eligible, last viewed at December 1, 2014, at 11:57 a.m., https://apply.mt.gov/access/accessController?id=0.4148111590893744.

[x] See Medicaid.gov, State Resources, Medicaid State Plan Amendments, last viewed at December 1, 2014, at 11:58 a.m., http://www.medicaid.gov/State-Resource-Center/Medicaid-State-Plan-Amendments/Medicaid-State-Plan-Amendments.html?filterBy=Montana. (Provides state plan amendments and summaries).

[xi] See Montana DPHHS, Montana Healthcare Programs, last viewed at December 1, 2014, at 10:01 a.m., http://www.dphhs.mt.gov/MontanaHealthcarePrograms.aspx.

[xii] See Montana Department of Social Services, Office of the Director, last viewed December 1, 2014, at 1:54 p.m., http://dss.mo.gov/ddo/.

[xiii] See Center for Health Care Strategies, Inc., Montana, last viewed at December 1, 2014, at 12:06 p.m., http://www.chcs.org/state/montana/.

[xiv] See Montana DPHHS, Montana Medicaid Provider Information, last viewed at December 1, 2014, at 12:10 p.m., http://medicaidprovider.hhs.mt.gov/.

[xv] See Montana DPHHS, last viewed at December 1, 2014, at 2:22 p.m., http://www.dphhs.mt.gov/MontanaHealthcarePrograms.aspx.

[xvi] See Montana DPHHS, Montana Healthcare Programs, last viewed at December 1, 2014, at 2:05 p.m., http://www.dphhs.mt.gov/MontanaHealthcarePrograms.aspx.

[xvii] See The Henry Kaiser Foundation, State Health Facts, Health Insurance Coverage of the Total Population, December 1, 2014, at 1:54 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-Montana/

[xviii] See CMS, Medicaid & CHIP: June 2014 Monthly Applications, Eligibility Determinations and Enrollment Report August 8, 2014, last viewed at December 1, 2014, at 1:57 p.m., http://www.medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Downloads/June-2014-Enrollment-Report.pdf.

[xix] See The Henry Kaiser Foundation, State Health Facts, State Profiles: How Will the Uninsured Fare Under the Affordable Care Act?, last viewed at December 1, 2014, at 2:00  p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-Montana/.

[xx] See The Henry Kaiser Foundation, State Health Facts, Health Home State Plan Option, last viewed at December 14, 2014, at 9:18 p.m., http://kff.org/medicaid/state-indicator/health-home-state-plan-option/.

[xxi] See the Montana Legislature, last viewed at December 1, 2014, at 2:09 p.m., http://leg.mt.gov/css/Committees/interim/2011-2012/Children-Family/default.asp.

[xxii] See  Montana  Department of  Corrections, last viewed at December 1, 2014, at 3:00 p.m., http://www.mdoc.state.ms.us.

[xxiii] See Montana DPHHS, Substance Abuse Services and Resources, last viewed at December 1, 2014, at 3:13 p.m., http://www.mtlsa.org/about-us/.

[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=MT.

[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/.

xxxii  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

xxxiii 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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