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 Washington

Washington has expanded Medicaid coverage to low-income adults effective January 1, 2015.[i]  Medicaid and CHIP (Children’s Health Insurance Plan) are safety net health benefit programs available in Washington.[ii]

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

Eligibility and Enrollment: People in Washington 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 to see if they meet eligibility requirements and to apply for or enroll in these benefits:

1) They can use Washington’s marketplace website to apply for free or low cost health benefits.[iv]

2) They can call the helpline at 1-855-923-4633.[v]

 3) They can access free, in-person help. [vi]

 

Washington Medicaid and Health Insurance Links

Link to the state Medicaid agency website for more information on Medicaid and on Apple Health (Washington’s Medicaid managed care program) and application forms to download and print [vii]

Link to important contact information and the Medicaid helpline number (1-800-562-3022, TTY users dial 711 through Washington Relay)[viii]

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

In Washington, benefits covered are largely the same for the traditionally eligible Medicaid population and the Medicaid expansion population under the ACA; link to information on covered benefits for Washington’s Medicaid expansion population and to Washington’s Medicaid State Plan [x]

Link to an organizational chart of the Washington State Healthcare Authority [xi]

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

Link to Medicaid provider manuals and resources [xiii]

Where can you apply for coverage on Washington’s health insurance exchange? To select a plan and apply for coverage visit Healthplanfinder

 

State Health Information

How many people in Washington are eligible to participate?  According to the Kaiser Family Foundation, 11% (776,800) of Washington’s population was uninsured in 2013.[xiv] The total number of potential marketplace participants is 503,000.[xv]

How many are enrolled so far? 107,071 have selected a marketplace plan, as of January, 2015.[xvi]

How many of the state’s uninsured population are eligible for Medicaid?  380,000 of Washington’s uninsured are eligible for Medicaid; 294,000 of them are adults.[xvii]

Is Washington a Medicaid health home state? Yes, link to information about Washington health homes.[xviii]

Who are the health committee chairs in the state legislature?

House: Rep.  Eileen Cody (D-34th District) chairs the Health Care & Wellness Committee. [xix]

Senate: Sen. Randi Becker (R-2nd District) chairs the Health Care Committee.[xx]

Other Related Information and for Washington

Link to the website for the Washington State Department of Corrections [xxi]

Link to information about Washington’s substance abuse services [xxii]

Link to information about Washington’s mental health services [xxiii]

 Link to the Washington Association of Alcoholism and Addiction Programs and the Washington Community Mental Health Council to get information about Washington’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 Washington [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

 

State Health Care Information Profiles for the Criminal Justice System prepared on behalf of the U.S. Department of Justice’s Bureau of Justice Assistance (BJA) by Legal Action Center and Advocates for Human Potential, Inc.

[i] See Medicaid.gov, Medicaid by State, Washington, last viewed on January 8, 2015 at 3:05 p.m.: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/washington.html.

[ii] See supra at 33.

[iii] See The Henry Kaiser Family Foundation, State Health Insurance Marketplace Types, last viewed on January 8: 2015 at 2:04 p.m., http://kff.org/health-reform/state-indicator/state-health-insurance-marketplace-types/.

[iv] See WA Healthplanfinder.org, last viewed on January 8, 2015 at 2:08 p.m.: https://wahealthplanfinder.org.

[v] See supra at 36.

[vi] See WA Healthplanfinder.org, Find a Navigator, last viewed on January 8, 2015 at 2:10 p.m.: https://www.wahealthplanfinder.org/HBEWeb/Annon_DisplayBrokerNavigatorSearch.action?brokerNavigator=NV

[vii] See Washington State Healthcare Authority, Apple Care, last viewed on January 8, 2015 at 2:14 p.m.: http://www.hca.wa.gov/medicaid/Pages/index.aspx.

[viii] See Washington State Healthcare Authority, Apple Care, Contact Us, last viewed on January 8, 2015 at 2:15 p.m.: http://www.hca.wa.gov/medicaid/Pages/contact.aspx.

[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 2:20 p.m. (Provides data for all 50 states.)

[x] See Medicaid.gov, State Resources, Medicaid State Plan Amendments, last viewed on January 8, 2015 at 2:20 p.m., http://www.medicaid.gov/State-Resource-Center/Medicaid-State-Plan-Amendments/Medicaid-State-Plan-Amendments.html?filterBy=Washington. (Provides State Plan Amendments and Summaries).

[xi] See Washington State Healthcare Authority, About Us, Organizational Chart, last viewed on January 8, 2015 at 2:37 p.m., http://www.hca.wa.gov/documents/hca_org_chart.pdf.

[xii] See National Association of Medicaid Directors, About Us, State Directors, last viewed on January 8, 2015 at 2:38 p.m.: http://medicaiddirectors.org/about/state-directors. (Includes contact information for the State Medicaid Director of all 50 states.)

[xiii] See Washington State Healthcare Authority, Provider Services, last viewed at January 8, 2015 at 2:39 p.m., http://www.hca.wa.gov/medicaid/Pages/index.aspx.

[xiv] See The Henry Kaiser Foundation, State Health Facts, Health Insurance Coverage of the Total Population, last viewed on January 8, 2015 at 2:42 p.m. http://kff.org/other/state-indicator/total-population/?state=WA.

[xv] See The Henry Kaiser Foundation, State Marketplace Statistics, last viewed on January 8, 2015 at 2:42 p.m., http://kff.org/health-reform/state-indicator/state-marketplace-statistics/.

[xvi] See The Henry Kaiser Foundation, State Marketplace Statistics,  last viewed at January 8, 2015 at 2:43 p.m., http://kff.org/health-reform/state-indicator/state-marketplace-statistics/.

[xvii] See The Henry Kaiser Foundation, State Health Facts, State Profiles: How Will the Uninsured Fare Under the Affordable Care Act?, last viewed on January 8, 2015 at 2:45 p.m.: http://kff.org/interactive/uninsured-gap/.

[xviii] See Medicaid.gov, Approved Health Home State Plan Amendments, last viewed on January 8, 2015 at 2:50 p.m., http://www.medicaid.gov/state-resource-center/medicaid-state-technical-assistance/health-homes-technical-assistance/downloads/washington-spa.pdf.

[xix] See Washington State Legislature, Committees, House, Healthcare and Wellness Committee, last viewed on January 8, 2015 at 2:52 p.m., http://leg.wa.gov/House/Committees/HCW/Pages/MembersStaff.aspx.

[xx] See Washington State Legislature, Committees, Senate, Healthcare Committee, last viewed on January 8, 2015 at 2:52 p.m., http://leg.wa.gov/Senate/Committees/HLTH/Pages/MembersStaff.aspx.

[xxi] See Washington State Department of Corrections, last viewed on January 8, 2015 at 2:55 p.m., http://www.doc.wa.gov/.

[xxii] See Washington.gov, Department of Social and Health Services, Division of Behavioral Health and Recovery,  Substance Abuse Treatment Services,  last viewed on January 8, 2015 at 2:58 p.m., http://www.dshs.wa.gov/bhsia/substance-abuse-treatment-services.

[xxiii] See Washington.gov, Department of Social and Health Services, Division of Behavioral Health and Recovery, Substance Abuse Treatment Services, last viewed on January 8, 2015 at 2:58 p.m., http://www.dshs.wa.gov/bhsia/division-behavioral-heath-and-recovery/mental-health-services-and-information.

[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=WA.

[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/.

xxxii 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

xxxiii 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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