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 Pennsylvania

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

Health Insurance Exchange Information:  Pennsylvania has a Federally-facilitated Marketplace (FFM).[iii]  People can use the FFM to compare plans, purchase low-cost insurance, and take advantage of federal tax subsidies that apply.

Eligibility and Enrollment: People in Pennsylvania 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 two ways see if they meet eligibility requirements and apply for or enroll in these benefits:

1) They can use Pennsylvania’s online application for free or low cost health benefits.[v]

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

 

Pennsylvania Medicaid and Health Insurance Links

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

Link to important contact information and the Medicaid helpline number (1-800-692-7462, TTY/TTD 1-800-451-5886, Mon. through Fri. 8:30 a.m. – 4:45 p.m.)[viii]

Link to a map with locations and contact information for the nearest County Assistance Office[ix]

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

PA is transitioning to a “traditional Medicaid expansion.”  Link to more information about Healthy Choices PA

Link to information on Pennsylvania’s Medicaid State Plan for traditionally eligible Medicaid beneficiaries[xi]

Link to the Pennsylvania Medicaid Member Handbook on Covered Services[xii]

Link to an organizational chart of the Pennsylvania Department of Health

Link to contact information for the state Medicaid director

Link to information for Medicaid providers  [xiii]

 

Where do you apply for coverage on Pennsylvania’s health insurance exchange? To apply, visit Healthcare.gov.

Where can you find help to enroll in health coverage and other resources?  Link to enrollment help[xiv]

State Health Information

How many people in Pennsylvania are eligible to participate?  According to the Kaiser Family Foundation, 9.7% of Pennsylvania’s population (1,222,405) was uninsured in 2013.  The estimated number of potential marketplace participants is 899,000. [xv]

How many are enrolled so far?  438,488 individuals have selected a plan as of January 2015.[xvi]

How many of the state’s uninsured population are eligible for Medicaid?  586,000 of Pennsylvania’s uninsured (43%) are eligible for Medicaid; 436,000 of them are adults. [xvii]

Is Pennsylvania a Medicaid health home state?  No.

Who are the health committee chairs in the state legislature?

House: Rep. Matthew E. Baker (R-District 68) chairs the Health Committee.

Senate: Sen. Patricia H. Vance (R-District 31) chairs the Public Health and Welfare Committee. [xviii]

 

Other Related Information and Links for Pennsylvania

Link to information on the Pennsylvania Department of Corrections[xix]

Link to the Pennsylvania Department of Drug and Alcohol Programs[xx]

Link to the Pennsylvania Department of Human Services, Mental Health Services [xxi]

Link to the Rehabilitation and Community Providers Association to get information about Pennsylvania’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 Pennsylvania [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, Pennsylvania, last viewed at January 12, 2015, at 10:26 a.m., https://www.healthcare.gov/medicaid-chip/eligibility/.

[ii] See HealthCare.gov, Find out if you qualify for Medicaid and CHIP, Pennsylvania, last viewed at January 12, 2015, at 10:26 a.m., https://www.healthcare.gov/medicaid-chip/eligibility/.

[iii] See Kaiser Family Foundation, State Decisions on Health Insurance Marketplaces and the Medicaid Expansion, last viewed on December 18, 2014 at 3:52 p.m. http://kff.org/health-reform/state-indicator/state-decisions-for-creating-health-insurance-exchanges-and-expanding-medicaid/.

[iv] See Medicaid.gov, Medicaid by State, Pennsylvania, last viewed at January 5, 2015, at 10:58 a.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/Oregon.html.

[v] See COMPASS Click. Apply. Benefit., last viewed at January 12, 2015, at 10:36 a.m., https://www.compass.state.pa.us/compass.web/cmhom.aspx.

[vi] See HealthCare.gov, How to Apply and Enroll, last viewed at January 12, 2015, at 10:37 a.m., https://www.healthcare.gov/apply-and-enroll/how-to-apply/.

[vii] See Pennsylvania Department of Human Services, Office of Medical Assistance Programs, last viewed at January 12, 2015, at 10:49 a.m., http://www.dhs.state.pa.us/DHSorganization/officeofmedicalassistanceprograms/index.htm.

[viii] See COMPASS Click. Apply. Benefit., Contact Us, last viewed at January 12, 2015, at 10:49 a.m., https://www.compass.state.pa.us/compass.web/MenuItems/ContactUs.aspx?Language=EN.

[ix] See Pennsylvania Department of Human Services, County Assistance Office Contact Information, last viewed at January 12, 2015, at 10:52 a.m., http://www.dhs.state.pa.us/findfacilsandlocs/countyassistanceofficecontactinformation/.

[x] See COMPASS Click. Apply. Benefit., last viewed at January 12, 2015, at 10:57 a.m., https://www.compass.state.pa.us/compass.web/MenuItems/SystemCompatibility.aspx?targeturl=/Compass.RIAClient/Screening/CompassScreening.html?cdn=true&reg=7&language=EN.

[xi] See Pennsylvania Department of Human Services, Medicaid State Plan, last viewed at January 12, 2015, at 11:00 a.m., http://www.dhs.state.pa.us/publications/medicaidstateplan/index.htm.

[xii] See Pennsylvania Department of Human Services, Policy Handbooks and Manual, last viewed at January 12, 2015, at 11:09 a.m., http://www.dhs.state.pa.us/publications/policyhandbooksandmanuals/index.htm.

[xiii] See Pennsylvania Department of Human Services, Welcome Providers, last viewed at January 12, 2015, at 11:23 a.m., http://www.dhs.state.pa.us/provider/index.htm.

[xiv]See Pennsylvania Department of Human Services, Welcome Providers, last viewed at January 12, 2015, at 11:23 a.m., http://www.dhs.state.pa.us/provider/index.htm.

[xv] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in Pennsylvania Fare Under the Affordable Care Act?, last viewed at January 12, 2015, at 11:39 a.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-pennsylvania/.

[xvi] 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 12, 2015, at 11:43 a.m., http://www.medicaid.gov/medicaid-chip-program-information/program-information/downloads/updated-september-2014-enrollment-data.pdf.

[xvii] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in Pennsylvania Fare Under the Affordable Care Act?, last viewed at January 12, 2015, at 11:39 a.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-pennsylvania/.

[xviii] See Pennsylvania House of Representatives, last viewed at January 12, 2015, at 11:48 a.m., http://www.legis.state.pa.us/cfdocs/legis/home/member_information/representatives_ca.cfm.

[xix] See Pennsylvania Department of Corrections, last viewed at January 12, 2015, at 11:48 a.m., http://www.cor.pa.gov/Pages/default.aspx#.VLP7B8lvFoo.

[xx] See Pennsylvania Department of Drug and Alcohol Programs, last viewed at January 12, 2015, at 11:11 a.m., http://www.ddap.pa.gov/portal/server.pt/community/pa_department_of_drug_and_alcohol_programs/20800.

[xxi] See Pennsylvania Department of Human Services, Mental Health Services, last viewed at January 12, 2015, at 11:11 a.m., http://www.dhs.state.pa.us/provider/mentalhealth/hcbehavioralhealthprograminfo/index.htm.

[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=PA.

[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/.

xxix  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

xxx 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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