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Questionnaire NameNew York Partnership Plan - Amendment to serve Incarcerated Individuals
DescriptionNew York submitted a request to amend its 1115 demonstration to provide limited transitional coverage for services to incarcerated individuals who are enrolled in Medicaid for the 30 days prior to release from jail or prison. The state's goal is to decrease emergency department visits, hospitalizations, overdoses, and recidivism for recently released offenders who have two or more chronic diseases, HIV/AIDS, or a serious mental illness. The federal comment period will be open from October 21, 2016 through November 20, 2016.
Response FromID: #225677 on Oct 27th 2016 2:55 pm
New York Partnership Plan - Amendment to serve Incarcerated Individuals

New York Partnership Plan - Amendment to serve Incarcerated Individuals

We encourage the public to submit their comments on Medicaid.gov as they relate to demonstrations open for public comments. In support of transparency and open government, all public comments received are immediately posted and are in the public domain. Center for Medicaid and CHIP Services staff will review all public comments posted and we reserve the discretion to delete comments that are generally understood as any of the following: obscene, profane, threatening, or otherwise inappropriate.

Refer to the Application

Open for Public Comment – 10/21/16 – 11/20/16

Please provide your comments here and/or attach below:

October 27, 2016

Mr. Eliot Fishman
Director, Center for Medicaid and CHIP Services (CMCS)
Center for Medicare and Medicaid Services
7500 Security Blvd, Mail Stop S2-01-16
Baltimore, Maryland 21244-1850

Dear Mr. Fishman,

I am the Advocacy Director at Southern Tier Independence Center (STIC) in Binghamton, NY. STIC serves people of all ages and all disabilities across many counties of the Southern Tier. I am writing to comment on NYSDOH’s request for authorization of federal Medicaid funds (1115) to provide limited and targeted Medicaid services for incarcerated individuals in the thirty day period prior to release. The goals are to establish linkages to health care before the person walks out the door.

When people leave jail or prison, depending upon the length of stay, the existence of family, and any prior relationships with medical or community services, the individuals may be facing (in addition to homelessness) a lack of access to medical, mental health and/or substance abuse services. At our independence center, we have worked with people who are struggling to find the needed supports in order to prevent recidivism. There is a phrase that describes this: “Out on Thursday, back in on Sunday.” For some, the lack of supports results in overdose deaths.

We support this request from NYSDOH and hope that CMS will approve it. If we could add anything, it would be that thirty days may be too short a time to do adequate discharge planning and to set up linkages, as there are waiting lists for services in many counties. We were pleased to see this request, but actually would have preferred it to be for sixty days prior to release. Thank you for the opportunity to comment.

Sincerely,

Susan Ruff
Advocacy Director
Southern Tier Independence Center
135 East Frederick Street
Binghamton, NY 13904
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