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 North Carolina

North Carolina has not chosen to expand its Medicaid program, as of January 2015.[i]  Medicaid and CHIP (Children’s Health Insurance Plan) are safety net health benefit programs available in North Carolina.[ii]

Health Insurance Exchange Information North Carolina has a Federally-facilitated Marketplace (FFM). People can visit the Federally-facilitated Marketplace (FFM) to compare health plans that can be purchased on the exchange and to take advantage of federal tax subsidies that may apply.

Eligibility and 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 North Carolina can see if they meet eligibility requirements and apply for or enroll in these benefits:

1) They can contact North Carolina’s State Medicaid agency.  For a link to the application: http://www.ncdhhs.gov/dma/.[iii]

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

 

North Carolina Medicaid and Health Insurance Links

For a link to the state Medicaid agency website[v]

Link to important contact information and the Medicaid helpline number[vi]

Link to location and contact information for the nearest district Medicaid office.[vii]

Link to a summary of North Carolina’s basic eligibility guidelines[viii]

Link to information on North Carolina’s Medicaid State Plan http://www.ncdhhs.gov/DMA/plan/index.htm.[ix]

Link to information on what is covered by North Carolina Medicaid[x]

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

Link to the Medicaid provider manual[xii]

 

Where do you apply for coverage on North Carolina’s health insurance exchange?  North Carolina is not currently operating its own health insurance exchange.  To apply, visit Healthcare.gov. [xiii]

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

 

State Health Information

How many people in North Carolina are eligible to participate?  According to the Kaiser Foundation State specific data, in 2013, 42% of North Carolina’s uninsured population is eligible to participate.[xv]

How many are enrolled so far? 1,118,773.[xvi]

How many of the state’s uninsured population are eligible for Medicaid? 20% of uninsured North Carolina residents are eligible for Medicaid.[xvii]                                  

Is North Carolina a Medicaid health home state?  No.

Who are the health committee chairs in the state legislature? 

House: Rep. Brian Brown (R- District 9) chairs the Health Committee.

Senate: Sen. Senator Ralph Hise (R-District 47) chairs the Health Care Committee.[xviii]

 

Other Related Information and Links for North Carolina

Link to information on the North Carolina Department of Corrections [xix]

Link to North Carolina’s Division of Mental Health, Developmental Disabilities and Substance Abuse Services[xx]

Link to North Carolina’s Mental Health Services for Adults[xxi]

Link to the North Carolina Substance Abuse Providers Association and the North Carolina Council of Community Programs to get information about North Carolina’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 North Carolina[xxii]

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

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

 

Government websites that offer useful information on health reform:

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

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

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

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.[xxviii]

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.[xxix]

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.[xxx]

 

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, North Carolina, last viewed at December 15, 2014, at 4:32 p.m., https://www.healthcare.gov/medicaid-chip/eligibility/.

[ii] See Medicaid.gov, Medicaid by Sate, North Carolina, last viewed at December 15, 2014, at 4:36 p.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/north-carolina.html .

[iii] See North Carolina State Department of Health and Human Services, NC Division of Medical Assistance, last viewed at December 15, 2014, at 4:38 p.m., http://www.ncdhhs.gov/dma/.

[iv] See HealthCare.Gov, Apply for health coverage, last viewed at December 15, 2014, at 4:45 p.m., https://www.healthcare.gov/apply-and-enroll/how-to-apply/.

[v] See North Carolina State Department of Health and Human Services, NC Division of Medical Assistance, last viewed at December 15, 2014, at 4:38 p.m., http://www.ncdhhs.gov/dma/.

[vi] See North Carolina State Department of Health and Human Services, Medicaid Contacts, last viewed at December 15, 2014, at 4:54 p.m., http://www.ncdhhs.gov/dma/medicaid/contacts.htm.

[vii] See Directory of North Carolina County Departments of Social Service, Last Viewed at December 15, 2014 at 5:00 p.m., at   http://www.ncdhhs.gov/dss/local/docs/directory.pdf.

[viii] See North Carolina Department of Health and Human Services, Who is Eligible for Medicaid, last viewed at December 23, 2014, at 4:21 p.m., http://www.ncdhhs.gov/dma/medicaid/who.htm.

[ix] See North Carolina Department of Health and Human Services, Medicaid State Plan, last viewed at December 23, 2014, at 4:24 p.m., http://www.ncdhhs.gov/DMA/plan/index.htm.

[x] See North Carolina Department of Health and Human Services, What is Medicaid, last viewed at December 23, 2014, at 4:24 p.m., http://www.ncdhhs.gov/dma/medicaid/index.htm.

[xi] See North Carolina Department of Health and Human Services, DHHS Announce Dr. Robin Gary Cummings Will Lead Efforts to Transform Medicaid Operations, last viewed at December 23, 2014, at 4:36 p.m., http://www.ncdhhs.gov/pressrel/2014/2014-02-11_dr_cummings_DMA.htm.

[xii] See North Carolina Department of Health and Human Services, Medicaid & N.C. Health Choice Clinical Coverage Policies and Provider Manuals, last viewed at December 23, 2014, at 4:38 p.m., http://www.ncdhhs.gov/dma/mp/.

[xiii] See HealthCare.gov, Get Coverage, North Dakota, last viewed at January 4, 2015, at 3:13 p.m., https://www.healthcare.gov/get-coverage/.

[xiv]See HealthCare.gov, Get Answers, last viewed at January 4, 2015, at 3:13 p.m., https://www.healthcare.gov/get-answers/.

[xv] See The Henry Kaiser Foundation, State Health Facts, Health Insurance Coverage of the Total Population, December 23, 2014, at 4:55 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-north-carolina/.

[xvi] See CMS, Medicaid & CHIP: June 2014 Monthly Applications, Eligibility Determinations and Enrollment Report August 8, 2014, last viewed at December 23, 2014, at 4:57 p.m., http://www.medicaid.gov/AffordableCareAct/Medicaid-Moving-Forward-2014/Downloads/June-2014-Enrollment-Report.pdf.

[xvii] 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-North Carolina/.

[xviii] See the North Carolina General Assembly, Health and Human Services, last viewed at December 23, 2014, at 5:38 p.m.,

http://www.ncleg.net/gascripts/committees/Committees.asp?sAction=ViewCommittee&sActionDetails=House+Standing_26.

[xix] See  North Carolina Department of Public Safety, last viewed at December 23, 2014, at 5:40 p.m., http://www.doc.state.nc.us/.

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

[xxi] See North Carolina Department of Health and Human Services, Division of Mental Health, Developmental Disabilities and Substance Abuse Services, last viewed at December 23, 2014, at 6:00 p.m., http://www.ncdhhs.gov/mhddsas/.

[xxii] 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=ND.

[xxiii] 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/.

[xxiv]  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/.

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

[xxvi]  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/.

[xxvii] 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.

[xxviii]  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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