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 New York

New York 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 in New York.[ii]

Health Insurance Exchange Information: New York is operating its own state-based insurance exchange. Visit New York’s health insurance marketplace,  New York State of Health, to compare and enroll in health plans and take advantage of federal tax subsidies that may apply.[iii]

Eligibility and Enrollment: People in New York 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 four ways to see if they meet eligibility requirements and apply for and enroll in these benefits:

1) They can use New York’s online application for free or low cost benefits.[iv]

2) They can get free, in-person help from a local navigator/broker or enrollment counselor.[v]

3) They can enroll over the phone (855-355-5777, TTY: 800-662-1220 Mon. – Fri. 8 a.m. to 8 p.m., Saturday, 9 a.m. to 1 p.m.).

4) They can fill out an application and mail it to: New York State Department of Health,

Corning Tower, Empire State Plaza, Albany, NY 12237.

 

New York Medicaid and Health Insurance Links

Link to the state Medicaid agency website [vi]

Link to important contact information and Medicaid helpline numbers [vii]

Link to locations and contact information for the nearest local Medicaid office[viii]

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

In NY, benefits covered are the same for the traditionally eligible Medicaid population and the Medicaid expansion population under the ACA; link to information on New York’s Medicaid State Plan[x]; link to information on which services are covered [xi]

Link to an organizational chart of the New York State Department of Health

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

Link to the Medicaid provider manual [xiii]

 

Where do you apply for coverage on New York’s health insurance exchange? To apply, visit New York State of Health[xiv]

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

 

State Health Information

How many people in New York are eligible to participate?  According to the Kaiser Family Foundation, 10.7% of New York’s population (2,069,521) was in uninsured in 2013. The estimated number of potential marketplace participants is 1,246,000.[xvi]

How many are enrolled so far?  512,968 individuals have selected a plan as of January 2015.[xvii]

How many of the state’s uninsured population are eligible for Medicaid? 785,000 of uninsured New York residents (43%) are eligible for Medicaid; 580,000 of them are adults, as of January 2015.[xviii]                                   

Is New York a Medicaid health home state?  Yes, link to information on health homes in New York[xix]

Who are the health committee chairs in the state legislature?

House: Assemblyman Richard N. Gottfried (D-District 75) chairs the Health Committee.

Senate: Sen. Kemp Hannon (R-District 6) chairs the Health Committee. [xx]

 

Other Related Information and Links for New York

Link to information on the New York Department of Corrections and Community Supervision [xxi]

Link to the New York State Office of Alcoholism and Substance Abuse Services[xxii]

Link to the New York Office of Mental Health[xxiii]

Link to the New York Association of Alcoholism and Substance Abuse Providers, New York State Conference of Local Mental Hygiene Directors, Coalition of Behavioral Health Agencies, New York State Coalition for Children’s Mental Health Services, or New York State Council for Community Behavioral Healthcare to get information about New York’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 New York [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, New York, last viewed on January 2, 2015, at 1:35 p.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/hawaii.html.

[ii] See Medicaid.gov, Medicaid by Sate, New York, last viewed at December 15, 2014, at 1:00 p.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/new-york.html.

[iii] See Medicaid.gov, Medicaid by Sate, New York, last viewed at December 15, 2014, at 1:00 p.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/new-york.html.

[iv] See nystateofhealth, last viewed at December 15, 2014, at 1:31 p.m., https://nystateofhealth.ny.gov/.

[v] See New York State Department of Health, Medicaid in New York State last viewed at December 15, 2014, at 1:23 p.m., http://www.health.ny.gov/health_care/medicaid/.

[vi] See New York State Department of Health, last viewed at December 14, 2014, at 7:36 p.m., http://www.health.ny.gov/.

[vii] See New York State Department of Health, Local Departments of Social Services, last viewed at December 15, 2014, at 1:34 p.m., http://www.health.ny.gov/health_care/medicaid/ldss.htm.

[viii] See New York State Department of Health, Local Departments of Social Services, last viewed at December 15, 2014, at 1:34 p.m., http://www.health.ny.gov/health_care/medicaid/ldss.htm.

[ix] See New York State Department of Health, Medicaid in New York State, last viewed at December 15, 2014, at 1:48 p.m., http://www.health.ny.gov/health_care/medicaid/#qualify.

[x] See New York State Department of Health, New York State Medicaid State Plan, last viewed at December 15, 2014, at 1:50 p.m., https://www.health.ny.gov/regulations/state_plans/.

[xi] See New York State Department of Health, Medicaid in New York State, last viewed at December 15, 2014, at 1:52 p.m., http://www.health.ny.gov/health_care/medicaid/#services.

[xii] See New York State, Phone Directory – Organizational Listing, last viewed at December 15, 2014, at 2:06 p.m., http://phonedirectory.ny.gov/telecom/phones/orgSearch.do?agencyId=52.

[xiii] See eMedNY, Provider Manuals, last viewed at December 15, 2014, at 2:08 p.m., https://www.emedny.org/providermanuals/.

[xiv] See nystateofhealth, last viewed at December 15, 2014, at 2:45 p.m., https://nystateofhealth.ny.gov/.

[xv] See nystateofhealth, last viewed at December 15, 2014, at 2:49 p.m., http://info.nystateofhealth.ny.gov/resources.

[xvi] See The Henry Kaiser Foundation, State Health Facts, Health Insurance Coverage of the Total Population, December 15, 2014, at 2:40 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-new-york/.

[xvii] See CMS, Medicaid & CHIP: June 2014 Monthly Applications, Eligibility Determinations and Enrollment Report August 8, 2014, last viewed at December 15, 2014, at 2:42 p.m., http://www.medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Downloads/June-2014-Enrollment-Report.pdf.

[xviii] See The Henry Kaiser Foundation, State Health Facts, State Profiles: How Will the Uninsured Fare Under the Affordable Care Act?, last viewed at December 15, 2014, at 2:43 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-New York/.

[xix] See The Henry Kaiser Foundation, State Health Facts, Health Home State Plan Option, last viewed at December 15, 2014, at 3:14 p.m., http://kff.org/medicaid/state-indicator/health-home-state-plan-option/; Medicaid.gov, Medicaid State Plan Amendments, last viewed at December 15, 2014, at 3:14 p.m., http://www.medicaid.gov/State-Resource-Center/Medicaid-State-Plan-Amendments/Medicaid-State-Plan-Amendments.html?filterBy=New%20York.

[xx] See the New York State Senate, Health Committee, last viewed at December 15, 2014, at 3:16 p.m., http://www.nysenate.gov/committee/health.

[xxi] See  New York Department of Corrections and Community Supervision, last viewed at December 15, 2014, at 3:17 p.m., http://www.doccs.ny.gov/.

[xxii] See New York State Office of Alcoholism and Substance Abuse Services, last viewed at December 15, 2014, at 3:36 p.m., http://www.oasas.ny.gov/.

[xxiii] See New York Office of Mental Health, last viewed at December 15, 2014, at 3:36 p.m., https://www.omh.ny.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=NY.

[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/.

xxxi  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

xxxii 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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