Maine approved for Medicaid waiver for correctional facilities health care
Maine correctional facilities will soon be able to bill the state’s Medicaid program for medical and behavioral health services provided up to 60 days before an individual’s release, following federal approval granted on Sept. 25. The policy shift, finalized by the U.S. Centers for Medicare and Medicaid Services under Section 1115 of the Social Security Act, alters a federal restriction that barred Medicaid funds from paying for health care for incarcerated people.
- MaineCare can now be billed for pre-release medical and behavioral services up to 60 days before release in adult facilities, and up to 90 days in youth correctional facilities.
- Eligible services under the waiver include medications for opioid use disorder such as buprenorphine and naloxone, alongside case management, HIV and Hepatitis C treatment, and family planning.
- Maine jails spent over $12.6 million on addiction and mental health treatment last year, a financial burden that county administrators expect the waiver to ease.
Federal Approval Under Section 1115
Gov. Janet Mills signed a law in July 2023 directing the Maine Department of Health and Human Services to apply for the re-entry waiver. Following a year-and-a-half application process involving input from all 15 county-run jails, the Maine Sheriffs Association, and the Department of Corrections, federal officials approved the request. Maine joins 21 states and the District of Columbia in securing such a waiver. “This is one of the largest changes in the criminal-legal system in 30 years,” MaineCare medical director Dr. Courtney Pladsen said.
Financial Relief for County Jails and Taxpayers
Federal law previously required correctional facilities to absorb all medical costs for incarcerated individuals. A report published in January by the County Corrections Professional Standards Council revealed that Maine jails spent more than $12.6 million on addiction and mental health treatment in the preceding year. Somerset County administrator Tim Curtis described the federal approval as beneficial to county taxpayers and inmates requiring specific medical coverage. Beyond addiction treatment, the waiver opens funding streams for case management, infectious disease care, and a 30-day supply of prescription medications provided upon release.
Pre-Release Care and Continuity of Treatment
Vikki Wachino, executive director of the Health and Reentry Project, stated that providing health and mental care access reduces the likelihood of reincarceration.
Disclaimer: The information provided in this article is for educational and scientific communication purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider regarding any medical condition, diagnosis, or treatment plan.