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

Alysse G Wurcel, Katharine London, Erika L Crable

    Emerging Infectious Diseases
    |April 2, 2024
    PubMed

    Insights

    States are seeking waivers to the Medicaid Inmate Exclusion Policy (MIEP) to fund transitional care for incarcerated individuals. This aims to improve infectious disease treatment and continuity of care post-release.

    Area of Science:

    • Public Health
    • Health Policy
    • Criminal Justice Health

    Background:

    • The Medicaid Inmate Exclusion Policy (MIEP) restricts federal funding for healthcare services for incarcerated individuals.
    • This exclusion impacts the continuity of care, particularly for infectious diseases, upon release from correctional facilities.

    Purpose of the Study:

    • To explore the use of Section 1115 waivers to overcome MIEP barriers.
    • To improve health outcomes and healthcare access for incarcerated populations, focusing on infectious disease prevention and treatment.

    Main Methods:

    • Analysis of state-led initiatives seeking MIEP waivers.
    • Collaboration between state agencies and academic institutions to develop policy tools.

    Main Results:

    • Over a quarter of states are pursuing MIEP waivers to fund transitional care.
    • Initiatives focus on improving infectious disease care before and after incarceration.

    Conclusions:

    • Section 1115 waivers offer a pathway to remove MIEP barriers.
    • Addressing MIEP is crucial for enhancing infectious disease management in criminal justice settings and improving public health.
    Keywords:
    Medicaid inmate exclusioncorrectional healthinfectious diseasesjustice-involvedlinkage to care

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