Enrollment Suspension/Reinstatement: Allows Medicaid coverage to be “suspended” rather than terminated when an AHCCCS member enters a jail/prison/detention facility.

• Requires jail/prison/detention facility (or contractor) to have an Enrollment Suspense IGA with AHCCCS. (example of an Enrollment Suspense IGA)
• Requires data exchange with AHCCCS (daily booking/release file) Enrollment Suspension Technical Document

Justice System Reach-In: Allows AHCCCS health plans to identify high risk/high needs inmates and participate in release planning/schedule physical/behavioral health appointments.

• Requires MOU/data sharing agreements between jail/prison/detention facilities and AHCCCS health plans.
• Requires visitation/credentialing agreements with health plan staff/contractors.

Pre-release Inmate Applications: Allows jail/prison/detention staff (or contractor) to apply for Medicaid for inmates prior to release from incarceration and receive an expedited eligibility determination upon release.

• Requires a Community Partner Agreement and HEAplus “Corrections Assistor” training with AHCCCS. Community Partner-Assistor Organization Application

Hospitalized Inmate Applications: Allows jail/prison/detention staff (or contractor) to apply for temporary Medicaid coverage (FFS) for inmates to cover outside hospitalizations during incarceration.

• Requires a Hospitalized Inmate IGA with AHCCCS (example of an Hospitalized Inmate IGA).
• Requires a Community Partner Agreement and HEAplus “Corrections Assistor” training with AHCCCS. Community Partner-Assistor Organization Application

Targeted Investments-Justice:Supports and incentivizes participating providers in moving toward more integrated and coordinated care for the justice-involved population. Contact targetedinvestments@azahcccs.gov for participation information.