State health care information for the criminal justice system

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This 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 Vermont

Vermont is expanding its Medicaid program to cover low income adults. Medicaid and CHIP (Children’s Health Insurance Plan) are safety net health benefit programs available to low income families and adults in Vermont.[i]

Health Insurance Exchange Information:  Vermont is operating its own state-based health insurance marketplace. Visit the Vermont Marketplace, Vermont Health Connect  to compare health insurance plans that can be purchased on the exchange and to take advantage of federal tax subsidies that apply. [ii]

Eligibility and Enrollment: People in Vermont 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 three ways people in Vermont can enroll or apply for these benefits and see if they meet eligibility requirements:[iii]

1) They can use Vermont’s online application for free or no cost health benefits.[iv]

2) They get free, in-person help. https://portal.healthconnect.vermont.gov/VTHBELand/welcome.action.[v]

3) They can to apply by phone (1-855-899-9600).

 

Vermont Medicaid and Health Insurance Links

Link to the state Medicaid agency website, for more about Medicaid and Green Mountain Care, Vermont’s managed care plan[vi]

Link to the important contact information and the Medicaid helpline number (1-800-250-8427, TDD: 1-888-834-7898 Mon. – Fri. 8 am to 8 pm Sat. 8:00 am to 1 pm)[vii]

Link to a map and contact information for the nearest district Medicaid office.[viii]

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

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

In Vermont, benefits covered are the same for the traditionally eligible Medicaid population and the Medicaid expansion population under the ACA; 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 manual[xiii]

Where do you apply for coverage on Vermont’s health insurance exchange? To apply, visit Vermont Health Connect.[xiv]

Where can you find help to enrollment in health coverage and answers to questions? Call (1-855-899-9600) or link to enrollment help.[xv]

 

State Health Information

How many people in Vermont are eligible to participate?  According to the Kaiser Family Foundation 7.2% of Vermont’s total population (44,904) was uninsured in 2013.[i]   The total number of potential marketplace participants is 45,000. [ii]

How many are enrolled so far?  29,009 individuals have selected a plan as of January 2015.[iii]

How many of the state’s uninsured population are eligible for Medicaid? 18,000 of Vermont’s uninsured are eligible for Medicaid; 13,000 of them are adults as of November 2014.[iv]

Is Vermont a Medicaid health home state?  Yes, link to information on health homes in Vermont.[v]

Who are the health committee chairs in the state legislature?  House: Rep. William J. Lippert (D-Chittenden-4-2) chairs the Health Committee.

Senate: Sen. Claire Ayer (D-Addison) chairs the Health and Welfare Committee. [vi]

 

Other Related Information and Links and for Vermont

Link to information on the Vermont Department of Corrections[vii]

Link to information on Vermont’s substance abuses and mental health services

Link to the Vermont Department of Health, Alcohol and Drug Abuse Programs  [viii]

Link to the Vermont Department of Mental Health[ix]

Link to the Vermont Association of Addiction Treatment Programs and the Vermont Care Partners to get information about Vermont’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 Vermont [x]

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

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

 

Government websites that offer useful information:

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

Healthcare.gov offers links to local enrollment help in Vermont and answers to questions about health benefits.

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

Health Resources and Services Administration (HRSA) offers an online directory of Federally Qualified Health Centers (FQHC) in each state offering free or low cost care.

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.

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.

 

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

 

[i] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in Vermont Fare Under the Affordable Care Act?, last viewed at January 11, 2015, at 4:15 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-Vermont/.

[ii] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in Vermont Fare Under the Affordable Care Act?, last viewed at January 11, 2015, at 4:15 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-Vermont/.

[iii] 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 4:23 p.m., http://www.medicaid.gov/medicaid-chip-program-information/program-information/downloads/updated-september-2014-enrollment-data.pdf.

[iv] See The Henry Kaiser Foundation, State Health Facts, How Will the Uninsured in Vermont Fare Under the Affordable Care Act?, last viewed at January 11, 2015, at 4:15 p.m., http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-Vermont/.

[v] See Medicaid.gov, Health Home State Plan Amendments, last viewed at January 11, 2015, at 4:35 p.m., http://www.medicaid.gov/State-Resource-Center/Medicaid-State-Technical-Assistance/Health-Homes-Technical-Assistance/Approved-Health-Home-State-Plan-Amendments.html.

[vi] See Vermont General Assembly, last viewed at January 11, 2015, at 4:38 p.m., http://le.Vermont.gov/asp/interim/Commit.asp?Year=2015&Com=SSTHHS.

[vii] See Vermont Department of Corrections, last viewed at January 11, 2015, at 4:42 p.m., http://www.doc.state.vt.us/.

[viii] See Vermont Department of Health, Alcohol and Drug Abuse Programs, last viewed at January 11, 2015, at 4:50 p.m., http://healthvermont.gov/adap/adap.aspx.

[ix] See Vermont Division of Substance Abuse & Mental Health, last viewed at January 11, 2015, at 2:50 p.m., http://dsamh.Vermont.gov.

[x] See The Henry Kaiser Foundation, State Health Facts, January 8, 2015 at 1:38 p.m., http://kff.org/state-category/health-reform/?state=WV.

[xi]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/.

[xii] 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/.

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

[xiv] 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.

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