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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: #225725 on Nov 2nd 2016 7:09 am
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:

In support of the following:

"NYSDOH is requesting an authorization of federal Medicaid matching funds for limited
and targeted Medicaid services to be provided in the 30-day period immediately prior to release
to incarcerated individuals who are eligible for and enrolled in Medicaid, and are eligible for New
York’s Health Home program (i.e., they have two or more chronic physical/behavioral
conditions, serious mental illness (SMI) or HIV/AIDS). The goals are to establish linkages to
health care prior to release to help ensure individuals can remain healthy and stable in the
community. The Amendment will also facilitate the goals of Delivery System Reform Incentive
Payment (DSRIP) program to reduce avoidable hospitalizations and health care costs, as well
as improve health outcomes."

My thoughts:

The first month to six weeks is when a person who has been incarcerated comes up against the most obstacles. Navigating being back in community, family pressure, finding work, grocery shopping, laundry, changing thought patterns, these and so much more (not having a sense of hope, feeling defeated, lack of a solid support network) creates a great deal of stress for an individual.

Having the following in place before someone is released will create a make easier space of working their way back into their communities, hopefully minimize the stress, avoid re-incarceration and of course improve health care costs:

- Effectively engage with a Health Home care manager to begin to develop an integrated
care plan that identifies medical, behavioral health and social needs to support a stable
and successful community life;
-? Establish relationships with critical community based medical and behavioral health
professionals prior to discharge; and
-? Receive appropriate stabilizing medications prior to release to facilitate maintaining
medical and psychiatric stability while facing the challenges of transitioning back to the
community.

Please amend the 1115 waiver to accommodate these changes.
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