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Review
. 2024 Apr;30(13):S94-S99.
doi: 10.3201/eid3013.230742.

Medicaid Inmate Exclusion Policy and Infectious Diseases Care for Justice-Involved Populations

Alysse G Wurcel, Katharine London, Erika L Crable, Nicholas Cocchi, Peter J Koutoujian, Tyler N A Winkelman
Review

Medicaid Inmate Exclusion Policy and Infectious Diseases Care for Justice-Involved Populations

Alysse G Wurcel et al. Emerg Infect Dis. 2024 Apr.

Abstract

The Medicaid Inmate Exclusion Policy (MIEP) prohibits using federal funds for ambulatory care services and medications (including for infectious diseases) for incarcerated persons. More than one quarter of states, including California and Massachusetts, have asked the federal government for authority to waive the MIEP. To improve health outcomes and continuation of care, those states seek to cover transitional care services provided to persons in the period before release from incarceration. The Massachusetts Sheriffs' Association, Massachusetts Department of Correction, Executive Office of Health and Human Services, and University of Massachusetts Chan Medical School have collaborated to improve infectious disease healthcare service provision before and after release from incarceration. They seek to provide stakeholders working at the intersection of criminal justice and healthcare with tools to advance Medicaid policy and improve treatment and prevention of infectious diseases for persons in jails and prisons by removing MIEP barriers through Section 1115 waivers.

Keywords: Medicaid inmate exclusion; correctional health; infectious diseases; justice-involved; linkage to care.

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References

    1. Macalino GE, Vlahov D, Sanford-Colby S, Patel S, Sabin K, Salas C, et al. Prevalence and incidence of HIV, hepatitis B virus, and hepatitis C virus infections among males in Rhode Island prisons. Am J Public Health. 2004;94:1218–23. 10.2105/AJPH.94.7.1218 - DOI - PMC - PubMed
    1. LeMasters K, Brinkley-Rubinstein L, Maner M, Peterson M, Nowotny K, Bailey Z. Carceral epidemiology: mass incarceration and structural racism during the COVID-19 pandemic. Lancet Public Health. 2022;7:e287–90. 10.1016/S2468-2667(22)00005-6 - DOI - PMC - PubMed
    1. Asabor EN, Vermund SH. Confronting structural racism in the prevention and control of tuberculosis in the United States. Clin Infect Dis. 2021;73:e3531–5. 10.1093/cid/ciaa1763 - DOI - PMC - PubMed
    1. Spaulding AC, Rabeeah Z, Del Mar González-Montalvo M, Akiyama MJ, Baker BJ, Bauer HM, et al.; Rollins Investigational Team on STIs in Corrections. Prevalence and management of sexually transmitted infections in correctional settings: a systematic review. Clin Infect Dis. 2022;74(Suppl_2):S193–217. 10.1093/cid/ciac122 - DOI - PMC - PubMed
    1. Snider DE Jr, Hutton MD. Tuberculosis in correctional institutions. JAMA. 1989;261:436–7. 10.1001/jama.1989.03420030110041 - DOI - PubMed