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 Texas

Texas has chosen not to expand its Medicaid coverage to low-income adults, as of January 2015.[i]  Medicaid and CHIP (Children’s Health Insurance Plan) are the safety net health benefit programs available.[ii]

Health Insurance Exchange Information: Texas 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 Texas 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 Texas can see if they meet eligibility requirements and apply for or enroll in these benefits:

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

2) They can contact the Marketplace call center 24 hours a day, 7 days a week (1-800-318-2596, TTY: 1-855-889-4325).

 

Texas Medicaid and Health Insurance Links

For a link to the state Medicaid agency website for information about Medicaid and for application forms you can download and print[v]

Link to important contact information and the Medicaid helpline (1-800-252-8263)[vi]

Link to find the location and contact information of the nearest district Medicaid office[vii]

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

Link to information on Texas’s Medicaid State Plan[ix]

Link to Member Medicaid Information on Covered Services[x]

Link to an organizational chart of the Texas Medicaid agency [xi]

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

Link to information for Medicaid providers[xiii]

 

Where do you apply for coverage on Texas’s health insurance exchange? To apply for coverage visit Heathcare.gov

Where can you find help to enrollment in health coverage and answers to questions? Link to information on finding local assistance [xiv]

 

State Health Information

How many people in Texas are eligible to participate?  According to the Kaiser Family Foundation, 21.1% of Texas’ population (5,748,167) was uninsured in 2013. The total number of potential marketplace participants is 3,061,000.[xv]

How many are enrolled so far?  918,890 have selected a plan as of January 2015.[xvi]

How many of the state’s uninsured population are eligible for Medicaid?  675,000 of uninsured are Texans eligible for Medicaid; 151,000 of them are adults, as of November 2014.[xvii]

Who are the health committee chairs in the state legislature?

Senate: Sen. Charles Schwertner (R-District 5) chairs the Health and Human Services Committee.

House: Rep. Crownover, Myra (R-District 64) chairs the Public Health Committee.[xviii]

 

Other Related Information and Links for Texas

Link to the Texas Department of Criminal Justice[xix]

Link to the Texas Division of Mental Health and Substance Abuse Services[xx]

Link to the Texas Council of Community Centers or Association of Substance Abuse Programs of Texas to get information about Texas’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 Texas [xxi]

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

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

 

Government websites that offer useful information on health reform:

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

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

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

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.[xxvii]

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.[xxviii]

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.[xxix]

 

Click here to return to the map of state profiles: state-by-state healthcare profile map

 

[i] See Medicaid.gov, Medicaid by State, Utah, last viewed on December 15, 2014, at 9:39 a.m., http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/texas.html.

[ii] See HealthCare.gov, Find out if you qualify for Medicaid and CHIP, Texas, last viewed at January 11, 2015, at 12:00 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 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 HealthCare.gov, Get Coverage, Texas, last viewed at January 11, 2015, at 12:17 p.m., https://www.healthcare.gov/get-coverage/.

[v] See Texas Health and Human Services Commission, last viewed at January 11, 2015, at 12:22 p.m., http://www.hhsc.state.tx.us/medicaid .

[vi] See Texas Health and Human Services Commission, Contacting HHSC, last viewed at January 11, 2015, at 12:22 p.m., http://www.hhsc.state.tx.us/about_hhsc/contact/contact.shtml.

[vii] See Texas Health and Human Services Commission; Find an Office, last viewed at January 11, 2015, at 12:28 p.m., https://www.yourtexasbenefits.com/ssp/SSPHome/ssphome.jsp.

[viii] See Texas Health and Human Services Commission, How to Get Help, last viewed at January 11, 2015, at 12:34 p.m., http://yourtexasbenefits.hhsc.texas.gov/programs/health.

[ix] See Texas Health and Human Services Commission, State Plan, last viewed at January 11, 2015, at 12:40 p.m., http://www.hhsc.state.tx.us/medicaid/about/state-plan/.

[x] See Texas Health and Human Services Commission, Medicaid for the Elderly and People with Disabilities Handbook, Texas Medicaid and CHIP, last viewed at January 11, 2015, at 12:49 p.m., http://www.hhsc.state.tx.us/medicaid/managed-care/plans.shtml.

[xi] See Texas Health and Human Services Commission, HHS Organizational Chart, last viewed at January 11, 2015, at 12:52 p.m., http://Texas.gov/humanserv/us.html.

[xii] See Texas Health and Human Services Commission, HHSC Executive Staff, last viewed at January 11, 2015, at 1:00 p.m., http://www.hhsc.state.tx.us/about_hhsc/hhsc_org.shtml.

[xiii] See Texas Health and Human Services Commission, Information for Providers and Vendors, last viewed at January 10, 2015, at 1:06 p.m., http://www.hhsc.state.tx.us/Programs/index.shtml.

[xiv] See HealthCare.gov, Get Coverage, last viewed at January 11, 2015, at 1:19 p.m., https://www.healthcare.gov/get-coverage/.

[xv] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in Texas Fare Under the Affordable Care Act?, last viewed at January 11, 2015, at 1:15 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-Texas/.

[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 11, 2015, at 1:23 p.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 Texas Fare Under the Affordable Care Act?, last viewed at January 11, 2015, at 1:15 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-Texas/.

[xviii] See The Senate of Texas, last viewed at January 11, 2015, at 1:38 p.m., http://www.senate.state.tx.us/75r/senate/commit/c610/c610.htm.

[xix] See Texas Department of Criminal Justice, last viewed at January 11, 2015, at 1:42 p.m., http://www.tdcj.state.tx.us.

[xx] See Texas Department of State Health Services, last viewed at January 11, 2015, at 1:50 p.m., https://www.dshs.state.tx.us/substance-abuse/.

[xxi] 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=TX.

[xxii]  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/.

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

[xxv]  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/.

[xxvi] 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.

[xxvii] 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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