Medicaid is a program jointly administered by the federal and state government that provides health benefits to eligible individuals. Federal law prohibits Medicaid benefits from being provided to a person who is incarcerated, except for selected inpatient services. State law requires the suspension of Medicaid benefits for a person who is incarcerated, rather than the termination of such benefits. The person must be allowed to apply for suspended Medicaid benefits, regardless of whether the person's release date is known.
Pending approval of necessary state plan amendments or waivers, a person's incarceration status may not affect his or her enrollment in Medicaid prior to 30 days of incarceration in a state or local correctional institution. After incarceration for 30 days or more, the person's Medicaid benefits must be suspended, rather than terminated.
The Health Care Authority may seek any necessary state plan amendments or waivers to implement this requirement.