Indiana's Section 1115 Medicaid Waiver And Interagency Coordination Improve Enrollment For Justice-Involved Adults. 2020

Justin Blackburn, and Connor Norwood, and Dan Rusyniak, and Amy Lewis Gilbert, and Jennifer Sullivan, and Nir Menachemi
Justin Blackburn (jblackb@iu.edu) is an associate professor in the Department of Health Policy and Management at the Indiana University Richard M. Fairbanks School of Public Health, in Indianapolis, Indiana.

Timely access to Medicaid coverage offers many potential benefits to justice-involved adults reentering the community. In 2015 Indiana's Section 1115 Medicaid waiver (the Healthy Indiana Plan [HIP]) expanded eligibility for low-income adults. To expedite coverage for justice-involved adults, Indiana subsequently improved interagency coordination in two ways. First, the Indiana Department of Correction began initiating Medicaid applications for those in custody. Second, Medicaid began temporarily suspending coverage for people while they were incarcerated instead of discontinuing it. Prison release data from the Indiana Department of Correction linked to Medicaid enrollment data indicate that before HIP was implemented, approximately 9 percent of justice-involved adults received Medicaid coverage within 120 days of release. After HIP implementation, coverage rates increased by 9 percentage points. After both interagency coordination policies were implemented, an additional 29-percentage-point increase in coverage occurred. Furthermore, coverage effective within seven days of release increased by 14 percentage points after the interagency coordination policies went into effect. These findings support the notion that policies and procedures encouraging interagency coordination are beneficial in increasing timely access to Medicaid coverage for justice-involved people.

UI MeSH Term Description Entries
D007196 Indiana State bounded on the north by Lake Michigan and Michigan, on the east by Ohio, on the south by Kentucky, and on the west by Illinois.
D008484 Medicaid Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons. Dental Medicaid Program,Medical Assistance, Title 19,Dental Medicaid Programs,Medicaid Program, Dental,Medicaid Programs, Dental,Program, Dental Medicaid,Programs, Dental Medicaid
D004608 Eligibility Determination Criteria to determine eligibility of patients for medical care programs and services. Eligibility Certification,Certification, Eligibility,Certifications, Eligibility,Determination, Eligibility,Determinations, Eligibility,Eligibility Certifications,Eligibility Determinations
D006297 Health Services Accessibility The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others. Access To Care, Health,Access to Care,Access to Contraception,Access to Health Care,Access to Health Services,Access to Medications,Access to Medicines,Access to Therapy,Access to Treatment,Accessibility of Health Services,Availability of Health Services,Contraception Access,Contraceptive Access,Medication Access,Accessibility, Health Services,Contraceptive Availability,Health Services Geographic Accessibility,Program Accessibility,Access to Cares,Access to Contraceptions,Access to Medication,Access to Medicine,Access to Therapies,Access to Treatments,Access, Contraception,Access, Contraceptive,Access, Medication,Accessibilities, Health Services,Accessibility, Program,Availability, Contraceptive,Care, Access to,Cares, Access to,Contraception, Access to,Contraceptive Accesses,Health Services Availability,Medication Accesses,Medication, Access to,Medicine, Access to,Medicines, Access to,Therapy, Access to,Treatment, Access to
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012935 Social Justice An interactive process whereby members of a community are concerned for the equality and rights of all. Food Justice,Common Good,Justice,Obligations of Society,Good, Common,Justice, Food,Justice, Social
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.
D058991 Patient Protection and Affordable Care Act An Act prohibiting a health plan from establishing lifetime limits or annual limits on the dollar value of benefits for any participant or beneficiary after January 1, 2014. It permits a restricted annual limit for plan years beginning prior to January 1, 2014. It provides that a health plan shall not be prevented from placing annual or lifetime per-beneficiary limits on covered benefits. The Act sets up a competitive health insurance market. Affordable Care Act,Affordable Care Act (ACA),Health Care Reform Act,Obamacare,PL 111-148,PL111-148,Public Law 111-148,111-148, PL,Act, Affordable Care,Acts, Affordable Care,Acts, Affordable Care (ACA),Affordable Care Acts,Care Act, Affordable,Care Act, Affordable (ACA),Care Acts, Affordable,PL 111 148,PL111 148,Public Law 111 148
D019458 Insurance Coverage Generally refers to the amount of protection available and the kind of loss which would be paid for under an insurance contract with an insurer. (Slee & Slee, Health Care Terms, 2d ed) Insurance Status,Coverage, Insurance,Status, Insurance

Related Publications

Justin Blackburn, and Connor Norwood, and Dan Rusyniak, and Amy Lewis Gilbert, and Jennifer Sullivan, and Nir Menachemi
October 2019, JAMA network open,
Justin Blackburn, and Connor Norwood, and Dan Rusyniak, and Amy Lewis Gilbert, and Jennifer Sullivan, and Nir Menachemi
April 2024, JAMA psychiatry,
Justin Blackburn, and Connor Norwood, and Dan Rusyniak, and Amy Lewis Gilbert, and Jennifer Sullivan, and Nir Menachemi
October 2015, Texas medicine,
Justin Blackburn, and Connor Norwood, and Dan Rusyniak, and Amy Lewis Gilbert, and Jennifer Sullivan, and Nir Menachemi
December 2014, Issue brief (Commonwealth Fund),
Justin Blackburn, and Connor Norwood, and Dan Rusyniak, and Amy Lewis Gilbert, and Jennifer Sullivan, and Nir Menachemi
January 2020, PloS one,
Justin Blackburn, and Connor Norwood, and Dan Rusyniak, and Amy Lewis Gilbert, and Jennifer Sullivan, and Nir Menachemi
April 2016, Healthcare financial management : journal of the Healthcare Financial Management Association,
Justin Blackburn, and Connor Norwood, and Dan Rusyniak, and Amy Lewis Gilbert, and Jennifer Sullivan, and Nir Menachemi
December 2023, American journal of law & medicine,
Justin Blackburn, and Connor Norwood, and Dan Rusyniak, and Amy Lewis Gilbert, and Jennifer Sullivan, and Nir Menachemi
October 2020, JAMA network open,
Justin Blackburn, and Connor Norwood, and Dan Rusyniak, and Amy Lewis Gilbert, and Jennifer Sullivan, and Nir Menachemi
January 2016, Journal for healthcare quality : official publication of the National Association for Healthcare Quality,
Justin Blackburn, and Connor Norwood, and Dan Rusyniak, and Amy Lewis Gilbert, and Jennifer Sullivan, and Nir Menachemi
August 2022, Journal of health politics, policy and law,
Copied contents to your clipboard!