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 West Virginia

West Virginia has expanded Medicaid coverage to eligible low-income adults as of January 2015.[i]  Medicaid and CHIP (Children’s Health Insurance Plan) are safety net health benefit programs available to low income families and adults in West Virginia.[ii]

Health Insurance Exchange Information: West Virginia has adopted a State-Federal Partnership model for their health insurance exchange. Visit the West Virginia Marketplace to compare health insurance plans that can be purchased on the exchange and take advantage of federal tax subsidies that may apply.

Eligibility and Enrollment: People in West Virginia 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 access West Virginia’s online application for free or low cost health benefits. [iii]

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

3) They can call 1-800-449-8466 (TTY/TTD: 1-800-449-8466) Monday-Friday from 8 am – 8 pm to get help choosing a plan, to select a plan, or request an enrollment packet by mail to fill out and send in.

 

West Virginia Medicaid and Health Insurance Links

Link to the state Medicaid agency website for more information on Medicaid and on Mountain Health (West Virginia’s Medicaid managed care program) and for application forms to download and print[v]

Link to important contact information and the Medicaid helpline number  (888-483-0797 from 8 a.m. to 5 p.m.)[vi]

Link to the West Virginia Department of Health and Human Resources website to find out how to contact the local office that serves each region of West Virginia [vii]

Link to West Virginia’s online application for all state benefits: In Roads[viii]

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

 

In West Virginia, benefits covered are largely the same for the traditionally eligible Medicaid population and the Medicaid expansion population under the ACA; links to a chart comparing covered benefits, information on West Virginia’s Medicaid State Plan[x] for the traditional Medicaid population, and service coverage for West Virginia’s Medicaid expansion population [xi]

Link to an organizational chart of West Virginia’s Department of Health and Human Resources[xii]

Link to important resources and contacts, including the head of state Medicaid[xiii]

Link to the Medicaid provider manual[xiv]

Where can you apply for coverage on West Virginia’s health insurance exchange? To apply for coverage link to West Virginia’s Health Insurance Exchange.[xv]

Where can you find help with enrolling in health coverage and answers to questions? Link to a contact list of in-person assistors by county[xvi]

 

State Health Information

How many people in West Virginia are eligible to participate?  According to the Kaiser Family Foundation, 13 % of West  Virginia’s total population was uninsured in 2013. The total number of potential participants is 106,000.[xvii]

How many are enrolled so far?  The number determined eligible to enroll in a marketplace plan as of 2015 is 27,471; 91% of those eligible for Medicaid and CHIP were participating.[xviii]

How many of the state’s uninsured population are eligible for Medicaid? 126,000 of West Virginia’s uninsured are eligible for Medicaid or CHIP; 112,000 of them are adults.[xix]

Is West Virginia a Medicaid health home state?  Yes, link to information about West Virginia health homes [xx]

Who are the health committee chairs in the state legislature?

House: Rep. Joe Ellington (R – Mercer, 27) is chair of the House Health Committee.[xxi]

Senate: Senator Ron Stollings (D-Boone, ’07) is the chair of the Senate Health and Human Resources Committee.[xxii]

 

Other Related Information and Links for West Virginia

Link to the website for the West Virginia Division of Corrections[xxiii]

Link to the West Virginia Bureau of Behavioral Health website[xxiv]

Link to the West Virginia Division on Alcoholism and Substance Abuse[xxv]

Link to the West Virginia Behavioral Healthcare Providers Association to get information about West 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 West Virginia [xxvi]

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

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

Government websites that offer useful information on health reform:

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

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

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

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.[xxxii]

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.[xxxiii]

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.[xxxiv]

 

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

 

[i]     See Medicaid.gov, Medicaid by State, West Virginia, last viewed on January 8, 2015, at 9:27 a.m.: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/west-virginia.html.

[ii]    See supra at 66.

[iii]   See West Virginia.gov, Department of Medical Assistance Services, Medicaid Portal, last viewed on January 8, 2015, at 11:33 a.m.:  http://www.dhhr.wv.gov/bms/Pages/default.aspx.

[iv]   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/.

[v]   See West Virginia.gov, Department of Medical Assistance Services, Medicaid Portal, last viewed on January 8, 2015, at 11:33 a.m.:  http://www.dhhr.wv.gov/bms/Pages/default.aspx

[vi]   See Contact Us, at West Virginia Medicaid Management Information System, last viewed on January 8, 2015 at 11:37 a.m.:  https://www.wvmmis.com/SitePages/Contact-Us.aspx.

[vii]  See West Virginia Bureau for Medical Services, last viewed on January 8, 2015 at 11:40 a.m.: http://www.dhhr.wv.gov/bms/Pages/EligibleForMedicaid.aspx.

[viii]   See West Virginia Department of Health and Human Resources-InRoads, last viewed on January 8, 2015 at 11:40 a.m.:  https://www.wvinroads.org/selfservice/.

[ix]    See West Virginia Bureau for Medical Services- Eligibility, last viewed on January 8, 2015 at 11:35 a.m.: http://www.dhhr.wv.gov/bms/Pages/EligibleForMedicaid.aspx.

[x]   See West Virginia Bureau for Medical Services – State Medicaid Plan, last viewed on January 8, 2015 at 11:42 a.m.:  http://www.dhhr.wv.gov/bms/smp/Pages/default.aspx or Healthcare.gov.-West Virginia, for plan and a list of amendments:  http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/west-virginia.html.

[xi]  See Your Guide to West Virginia Medicaid, last viewed on January 8, 2015 at 11:45 a.m.: http://www.dhhr.wv.gov/bms/Documents/Guide%20to%20Medicaid%2005152014.pdf.

[xii]  See West Virginia Department of Health and Human Resources, Organizational Chart, last viewed on January 8, 2015 at 11:48 a.m.:  http://www.dhhr.wv.gov/bms/smp/Documents/Searchable/A1/1.2-D.pdf.

[xiii]  See West Virginia Department of Medical Assistance Services, Contact information, last viewed January, 8, 2015: http://www.dhhr.wv.gov/bms/AboutUs/Pages/Contact.aspx.

[xiv]   See West Virginia Department of Medical Assistance Services, Virginia Medicaid, Provider Resources, Provider Manuals, last viewed at January 8, 2015 at 11:52 a.m.:  http://www.dhhr.wv.gov/bms/Pages/ProviderManuals.aspx.

[xv]  See West Virginia Health Insurance Exchange, last viewed January 8, 2015 at 1 p.m.: http://www.healthinsurance.org/west_virginia-state-health-insurance-exchange/.

[xvi] See West Virginia Bureau for Medical Services, last viewed January 8, 2015 at 1:15 p.m.: http://www.dhhr.wv.gov/bms/Pages/EligibleForMedicaid.aspx.

[xvii] 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/state-category/health-coverage-uninsured/?state=WV

[xviii]  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/ and Insured Kids Now, at: http://www.insurekidsnow.gov/professionals/reports/index.html

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

[xx]  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/. For more details, visit: http://www.dhhr.wv.gov/BMS/HH/Pages/default.aspx.

[xxi]  See West Virginia House of Delegates, Committees, last viewed on January 8, 2015 at 1:19 p.m.: http://www.legis.state.wv.us/House/lawmaker.cfm?member=Delegate Ellington.

[xxii] See West Virginia State Senate, Committee Assignments, last viewed on January 8, 2015 at 1:19 p.m.: http://www.legis.state.wv.us/Senate1/lawmaker.cfm?member=Senator Stolling.

[xxiii] See West Virginia Division of Corrections, last viewed on January 8, 2015 at 1:20 p.m.: http://www.wvdoc.com/wvdoc/.

[xxiv]  See West Virginia Department of Health and Human Resources, last viewed January 8, 2015 at 1:35 p.m.: http://www.dhhr.wv.gov/bhhf/Pages/default.aspx.

[xxv]  See West Virginia Department of Health and Human Resources, Division on Alcoholism and Drug Abuse, last viewed January 8, 2015 at 1:35 p.m.: http://www.dhhr.wv.gov/bhhf/sections/programs/ProgramsPartnerships/AlcoholismandDrugAbuse/Pages/default.aspx.

[xxvi] 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=WV.

[xxvii]  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/.

[xxviii]   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/.

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

[xxx]  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/.

[xxxi] 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.

[xxxii] 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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