Health insurance options available through the Affordable Care Act (ACA) offer new opportunities to enroll individuals involved in the criminal justice system into coverage and provide access to physical and behavioral health services critical to their successful reentry into the community. Many individuals involved in the criminal justice system are now eligible for Medicaid under the ACA, including many young, low-income males who did not previously qualify for Medicaid. With one exception, federal law prohibits using federal Medicaid funds to pay for medical care provided to incarcerated individuals. However, Medicaid enrollment processes can begin prior to an individual’s release from incarceration, as there is no federal prohibition on incarcerated individuals being enrolled in Medicaid and federal law requires states to permit individuals to apply for the program at any time. Drawing on interviews with state officials, this toolkit highlights the efforts of selected states [Colorado, Illinois, New Mexico, Ohio, Rhode Island, Washington, and Wisconsin] to enroll in health coverage individuals involved with the criminal justice system. The toolkit is designed to provide state officials with actionable information about policies and practices available to connect justice- involved individuals to health care coverage through Medicaid." Access is provided to the sections of the Toolkit: the ACA, Medicaid, and justice-involved individuals; policy and process changes; enrollment as part of pre-release planning; post-release outreach; beyond eligibility and enrollment strategies; cross-agency coordination and partnerships; looking forward—future issues to address; state-specific strategies; Webinar: "Corrections and Medicaid Partnerships: Strategies to Enroll Justice-Involved Populations--Efforts in Colorado, New Mexico and Wisconsin"; and links to additional resources. Also presented is the interactive chart "Enrollment Process" which explains where, when, who, how, and whether individuals leave the facility with a Medicaid card. This resource is also available as a PDF chart.
Concerns with the U.S. Preventative Services Task Force's (USPSTF) recommendations for mammogram breast cancer screening and how these could impact prison screening mammography in prisons are explained. Sections of this article cover: what the USPSTF suggested for mammograms; what evidence the USPSTF reviewed; whether other respected organizations came to the similar conclusions after reviewing the evidence as USPSTF did; what the benefit is of screening mammography in women aged 40-49; what the harms of mammography are—false positives and overdiagnosis; types of breast cancers; putting it all together—comparing benefit to harm—women only need to have a screening mammogram every other year starting at age 50 (biennial exams will "reduce the harms of overdiagnosis by 50% but will preserve 80% of the benefits"), yet ultimately leaving the decision to those women under 50; and the complexity of issuing screening mammograms to female inmates.
This program addresses behavior health care services for offenders under community supervision. Topics include: mental illness and its impact on individuals in community corrections; special issues with behavioral managed care in criminal justice; the history and components of managed behavioral healthcare and what has not worked; what constitutes good managed behavioral healthcare; legal issues and liabilities related to behavioral health care and community corrections; collaborative strategies for service providers and community corrections; and the role of the mental health care supervisor.
“Beginning in the late 1990’s, the National Institute of Corrections (NIC) Information Center began scanning social, economic and corrections issues to inform the development of programs and services offered by NIC. This report, now in its 8th edition, has continued to evolve into a popular tool corrections practitioners also use to inform their work in jails, prisons and community corrections. Since there are many issues beyond what is addressed in this environmental scan that potentially will influence corrections, this report is intended to give a broad overview of selected current and anticipated trends and not intended to be comprehensive” (p. 3). Sections of this report are: introduction; international developments; demographic and social trends; the workforce; technology; public opinion; the economy and government spending; criminal justice trends; corrections populations and trends; and the Affordable Care Act (ACA).