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 Virginia

Virginia is not expanding Medicaid coverage to low-income adults effective January 1, 2015.[i]  Medicaid and FAMIS (Virginia’s Children’s Health Insurance Plan) are safety net health benefit programs available in Virginia.[ii]

Health Insurance Exchange Information: Virginia has adopted a State-Federal Partnership model for their health insurance exchange.[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 can apply for and enroll in Medicaid or FAMIS any time of the 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  and take advantage of federal tax subsidies for which they are eligible though the Federally-facilitated Marketplace (FFM). 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 four ways to see if they meet eligibility requirements and apply for or enroll in these benefits:

1) They can use Virginia’s state benefit CommonHelp application to apply for  Medicaid online.[iv]

2) They print and complete a paper application and mail it to their local Department of Social Services or visit their local office and apply in person.

3) They can use the online application on the Federally Facilitated Marketplace to select and purchase a low cost health plan. [v]

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

 

Virginia Medicaid and Health Insurance Links

Link to Virginia’s Medicaid agency website[vi]

Link to Cover Virginia for Medicaid information and application forms to download and print

Link to contact information and the Medicaid helpline number (1-855-242-8282, TDD: 1-888-221-1590)[vii]

Link to contact information for all local offices of the Virginia Department of Social Services[viii]

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

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

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

Link to an organizational chart of the Virginia Department of Social Services[xii]

Link to contact information for the state Medicaid director’s contact information [xiii]

Link to the Medicaid provider manual[xiv]

 

Where do you apply for coverage on Virginia’s health insurance exchange? Virginia currently does not operate its own health insurance exchange.  Visit Healthcare.gov to apply.

Where can you find help enrolling in health coverage and answers to questions?

Link to information on where to find help enrolling in coverage and in-person assistance

 

State Health Information

How many people in Virginia are eligible to participate?  According to the Kaiser Foundation, 11% (916,800) of Virginia’s total population was uninsured in 2013.[xv]  The total number of potential marketplace participants is 831,000.[xvi]

How many are enrolled so far?  316,584 had selected a marketplace plan, as of January 2015.[xvii]

How many of the state’s uninsured population are eligible for Medicaid? 115,000 of Virginia’s uninsured are eligible for Medicaid or CHIP; 39,000 of them are adults.[xviii]

Is Virginia a Medicaid health home state?  No.[xix]

Who are the health committee chairs in the state legislature?

House: Rep. Robert D Orrock (R-54th District) is chair of the Health Welfare and Institutions Committee.[xx]

Senate: Sen. Stephen H. Martin (R – District 11) is chair of the Education and Health Committee. [xxi]

Other Related Information and Links for Virginia

Link to the Virginia Department of Corrections [xxii]

Link to Virginia’s Department of Behavioral Health and Developmental Services [xxiii]

Link to Virginia’s Substance Abuse Services

Link to Virginia Association of Community Services Boards to get information about Virginia’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 Virginia [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 Medicaid.gov, Medicaid by State, Virginia, last viewed on January 8, 2015, at 9:27 a.m.:

http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/virginia.html.

[ii] See supra at 1.

[iii] See Kaiser Family Foundation, State Decisions on Health Insurance Marketplaces and the Medicaid Expansion, last viewed on January 8, 2015 at 11:53 a.m.:  http://kff.org/health-reform/state-indicator/state-decisions-for-creating-health-insurance-exchanges-and-expanding-medicaid/.

[iv] See Virginia.gov, Common Help, last viewed on January 8, 2015 at 11:20 a.m.: https://commonhelp.virginia.gov/access/.

[v] See Healthcare.gov, Create An Account, last viewed on January 8, 2015 at 11:21 a.m.: https://www.healthcare.gov/marketplace/b/create-account/.

[vi] See Virginia Department of Medical Assistance Services, last viewed on January 8, 2015, at 11:33 a.m.:  http://www.dmas.virginia.gov/.

[vii] See Coverva.org, Contact Us, last viewed on January 8, 2015 at 11:37 a.m.: http://www.coverva.org/main_contact.cfm.

[viii] See Virginia Department of Social Services, Local Departments of Social Services, last viewed on January 8, 2015 at 11:40 a.m.: http://www.dss.virginia.gov/localagency/.

[ix] See CMS, State Medicaid and CHIP Income Eligibility Standards, (For MAGI Groups, based on state decisions as of July 1, 2014), last viewed on January 8, 2015 at 11:42 a.m. (Provides data for all 50 states.)

[x] See Medicaid.gov, State Resources, Medicaid State Plan Amendments, last viewed on January 8, 2015 at 11:42 a.m., http://www.medicaid.gov/State-Resource-Center/Medicaid-State-Plan-Amendments/Medicaid-State-Plan-Amendments.html?filterBy=Virginia (Provides State Plan Amendments and Summaries).

[xi] See Coverva.org, Medicaid Member Handbook, last viewed on January 8, 2015 at 11:45 a.m., http://www.dmas.virginia.gov/Content_atchs/atchs/medbook-eng.pdf.

[xii] See Virginia.gov, Department of Social Services, Organizational Chart, last viewed on January 8, 2015 at 11:48 a.m., http://www.dss.virginia.gov/files/division/orgchart.pdf.

[xiii] See National Association of Medicaid Directors, About Us, State Directors, last viewed on January 8, 2015 at 11:49 a.m.: http://medicaiddirectors.org/about/state-directors (Includes contact information for the State Medicaid Director of all 50 states.)

[xiv] See Virginia Department of Medical Assistance Services, Virginia Medicaid, Provider Resources, Provider Manuals, last viewed at January 8, 2015 at 11:52 a.m.: https://www.virginiamedicaid.dmas.virginia.gov/wps/portal/ProviderManuals.

[xv] See The Henry Kaiser Foundation, State Health Facts, Health Insurance Coverage of the Total Population, last viewed on January 8, 2015 at 1:13 p.m., http://kff.org/other/state-indicator/total-population/?state=VA.

[xvi] See The Henry Kaiser Foundation, State Marketplace Statistics, last viewed on January 8, 2015 at 1:13 p.m.: http://kff.org/health-reform/state-indicator/state-marketplace-statistics/.

[xvii] See The Henry Kaiser Foundation, State Marketplace Statistics, last viewed at January 8, 2015 at 1:14 p.m.: http://kff.org/health-reform/state-indicator/state-marketplace-statistics/.

[xviii] See The Henry Kaiser Foundation, State Health Facts, State Profiles: How Will the Uninsured In Virginia Fare Under the Affordable Care Act?, last viewed on January 8, 2015 at 1:14 p.m., http://kff.org/interactive/uninsured-gap/.

[xix] See The Henry Kaiser Family Foundation, Health Home State Plan Option, last viewed on January 8, 2015 at 1:17 p.m.:  http://kff.org/medicaid/state-indicator/health-home-state-plan-option/.

[xx] See Virginia General Assembly, Committees, House, last viewed on January 8, 2015 at 1:19 p.m.: http://virginiageneralassembly.gov/house/members/members.php?committee=Health%2C+Welfare+and+Institutions&id=H007.

[xxi] Virginia General Assembly, Committees, Senate, last viewed on January 8, 2015 at 1:19 p.m.:  http://lis.virginia.gov/cgi-bin/legp604.exe?151+mbr+S41.

[xxii] See Virginia Department of Corrections, last viewed on January 8, 2015 at 1:20 p.m.: https://vadoc.virginia.gov/.

 

[xxiii] See Virginia Department of Behavioral Health and Developmental Services, last viewed on January 8, 2015 at 1:25 p.m.: http://www.dbhds.virginia.gov/.

[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=VA.

[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/.

xxv  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

xxvi 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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