Criminal Justice

The New York State Health Home Program is working to address healthcare challenges and disparities faced by persons involved in the criminal justice system. A disproportionate number of individuals under supervision have chronic medical conditions, serious mental illness and/or substance use disorder compared to the general population. Jails and prisons have become a place for shelter, food, and healthcare for those with unmet healthcare needs. Recidivism is a large concern. The Department of Health has partnered with six Health Homes and the criminal justice system to identify eligible incarcerated individuals and engage them in the program. The goal is to reduce recidivism and the utilization of unnecessary high–cost healthcare services through engagement with a Health Home that will provide them with a care manager to coordinate their care through a network of providers

On November 6, 2019, New York State submitted a proposed amendment to its Medicaid Redesign 1115 Demonstration to the Centers for Medicare and Medicaid Services (CMS) requesting authorization of federal Medicaid matching funds for the provision of targeted Medicaid services to eligible justice–involved populations. These Medicaid services are to be provided in the 30–day period immediately prior to release from incarceration in county and State facilities to Medicaid–enrolled individuals who have two or more chronic physical/behavioral health conditions, a serious mental illness, HIV, or opioid use disorder.

  • Medicaid Redesign 1115 Demonstration Amendment Application:
    • Continuity of Coverage for Justice Involved Populations
      • Updated Submission: HTMLPDF – October 2019
      • Original Draft: PDF – August 2019