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 South Dakota

South Dakota has chosen not 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.[ii]

Health Insurance Exchange Information: South Dakota has adopted a State-Federal Partnership model for their health insurance exchange.[iii] People in South Dakota can use 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 apply. ii

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 South Dakota can see if they meet eligibility requirements and apply for or enroll in these benefits:

1) They can use South Dakota’s online application for free or low cost health benefits[iv]

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

 

South Dakota Medicaid and Health Insurance Links

Link to the state Medicaid agency website [vi]

Link to important contact information and the Medicaid helpline number (605-773-4678) [vii]

Link to find locations and contact information for the nearest local Department of Social Services office[viii]

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

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

Link to the Medicaid Member Handbook on Covered Services[xi]

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

Link to the Medicaid provider information[xiii]

 

Where do you apply for coverage on South Dakota’s health insurance exchange? To apply, visit Healthcare.gov. [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 South Dakota are eligible to participate?  According to the Kaiser Family Foundation, 11.3% of South Dakota’s population (93,326) was uninsured in 2013. The estimated number of potential marketplace participants is 101,000.[xvi]

How many are enrolled so far? 18, 554 individuals have selected a plan as of January 2015.[xvii]

How many of the state’s uninsured population are eligible for Medicaid?  13,000 uninsured South Dakotans are eligible for Medicaid; 6,000 of them are adults, as of January 2015.[xviii]

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

Who are the health committee chairs in the state legislature?

House: Rep. Scott Munsterman (R-District 7) chairs the Health and Human Services Committee.

Senate: Sen. Bruce Rampelberg (R-District 30) chairs the Health and Human Services Committee.[xx]

 

Other Related Information and for South Dakota

Link to information on the South Dakota Department of Corrections [xxi]

Link to information about mental health services on the South Dakota Department of Social Services website, Mental Health Services.[xxii]

Link to information about addiction treatment on the South Dakota Department of Social Services website, Addiction Treatment Services[xxiii]

Link to the South Dakota Council of Mental Health Centers to get information about South Dakota’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 South Dakota [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, South Dakota, last viewed at December 15, 2014, at 4:32 p.m., https://www.healthcare.gov/medicaid-chip/eligibility/.

[ii] See HealthCare.gov, Find out if you qualify for Medicaid and CHIP, South Dakota, last viewed at January 10, 2015, at 4:00 p.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 19, 2014 at 1:30 p.m. http://kff.org/health-reform/state-indicator/state-decisions-for-creating-health-insurance-exchanges-and-expanding-medicaid/.

[iv] See South Dakota Department of Social Services, last viewed at January 10, 2015, at 4:16 p.m., https://apps.sd.gov/ss36snap/web/Portal/Default.aspx.

[v] See HealthCare.gov, Get Coverage, South Dakota, last viewed at January 10, 2015, at 4:17 p.m., https://www.healthcare.gov/get-coverage/.

[vi] See South Dakota Department of Social Services, Medical Services, last viewed at January 10, 2015, at 4:20 p.m.,, http://dss.sd.gov/medicalservices/.

[vii] See South Dakota Department of Social Services, last viewed at January 10, 2015, at 4:23 p.m., http://dss.sd.gov/contactus/index.asp.

[viii] See South Dakota Department of Social Services, Local Offices, last viewed at January 10, 2015, at 4:24 p.m., http://dss.sd.gov/offices/index.asp.

[ix] See South Dakota Department of Social Services, Medical Eligibility, last viewed at January 10, 2015, at 4:34 p.m., http://dss.sd.gov/sdmedx/includes/portal/verifyeligibility/index.aspx.

[x] See Medicaid.gov, State Plan, last viewed at January 10, 2015, at 4:40 p.m., http://www.medicaid.gov/State-Resource-Center/Medicaid-State-Plan-Amendments/Medicaid-State-PlanAmendments.html?filterBy=South

%20Dakota.

[xi] See South Dakota Department of Social Services, Covered Services, last viewed at January 10, 2015, at 4:49 p.m., http://dss.sd.gov/contactus/staffdirectory.asp.

[xii] See South Dakota Department of Social Services, Staff and Program Directory, last viewed at January 10, 2015, at 5:00 p.m., http://dss.sd.gov/contactus/staffdirectory.asp.

[xiii] See South Dakota Department of Social Services, Provider Forms, last viewed at January 10, 2015, at 5:06 p.m., http://dss.sd.gov/sdmedx/includes/providers/forms/index.aspx.

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

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

[xvi] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in South Dakota Fare Under the Affordable Care Act?, last viewed at January 10, 2015, at 5:15 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-south-dakota/.

[xvii] 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 10, 2015, at 5:23 p.m., http://www.medicaid.gov/medicaid-chip-program-information/program-information/downloads/updated-september-2014-enrollment-data.pdf.

[xviii] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in South Dakota Fare Under the Affordable Care Act?, last viewed at January 10, 2015, at 5:15 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-south-dakota/.

[xix] See Medicaid.gov, Health Home State Plan Amendments, last viewed at January 10, 2015, at 5:35 p.m., http://www.medicaid.gov/State-Resource-Center/Medicaid-State-Technical-Assistance/Health-Homes-Technical-Assistance/Approved-Health-Home-State-Plan-Amendments.html.

[xx] See South Dakota Legislature, last viewed at January 10, 2015, at 5:38 p.m., http://legis.sd.gov/Legislative_Session/Committees/CommitteeMembers.aspx?Committee=209&Session=2015&cookieCheck=true.

[xxi] See South Dakota Department of Corrections, last viewed at January 10, 2015, at 5:42 p.m., http://doc.sd.gov.

[xxii] See South Dakota Department of Social Services, Community Behavioral Health, last viewed at January 10, 2015, at 5:50 p.m., http://dss.sd.gov/behavioralhealthservices/community/treatmentfacilities.asp.

[xxiii] See South Dakota Department of Social Services, Community Behavioral Health, last viewed at January 10, 2015, at 5:58 p.m., http://dss.sd.gov/behavioralhealthservices/community/.

[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=SD.

[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/.

xxx 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

xxxi 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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