Medicaid PreRelease Enrollment Program Making Ohio Better OHIO

Medicaid Pre-Release Enrollment Program Making Ohio Better

OHIO DEPARTMENT OF MEDICAID Making Ohio Better Ohio’s Inmate Population • 27 institutions located across the state • There are currently over 50, 000 inmates » 91. 6% male, 8. 4% female » Average age: 37 years » Average stay in prison: 2. 3 years » 18% of inmates are over 50 years of age • High prevalence of chronic care, mental health issues, and history of drug/alcohol addiction Sources: ODRC Fact Sheet, Sept 2016 http: //www. drc. ohio. gov/Portals/0/Reentry/Reports/Monthly/2016/September%202016%20 Fact%20 Sheet. pdf? ver= 2016 -09 -15 -120941 -800 10/22/2021 2

OHIO DEPARTMENT OF MEDICAID Making Ohio Better Medicaid Pre-Release Enrollment Program Partners: » Ohio Department of Rehabilitation and Corrections (ODRC) and Ohio Department of Medicaid (ODM) » Ohio Mental Health and Addiction Services (Ohio. MHAS) and Ohio Department of Health (ODH) » Medicaid Managed Care Plans » Medicaid Consumer Hotline 10/22/2021 3

Making Ohio Better OHIO DEPARTMENT OF MEDICAID Pre-Release Program Goals Access to Health Services Improve Health Outcomes Reduce Recidivism 10/22/2021 4

Making Ohio Better OHIO DEPARTMENT OF MEDICAID Medicaid Enrollment Process Overview Pre-enrollment Class held by by Peer to to Peer Medicaid Guides Enrollment Class **Mustsign Medicaid Authorization, Provide Forwarding. Address, && Releaseof of. Information Form Medicaideligibilityisis determinedand andifif eligible, individualisis enrolledin inaa Managed. Care. Plan Individual successfully transitionsto to healthcareplan uponrelease Medicaidcardisis providedto to Individualupon release Five Plans to Choose from: If an individual chooses to opt-out, reeducated about benefits of applying. If Medicaid is denied, individual can Appeal Medicaid’s decision BUCKEYE HEALTH PLAN, CARESOURCE, MOLINA HEALTHCARE, PARMOUNT ADVANTAGE & UNITEDHEALTHCARE COMMUNITY PLAN 10/22/2021 5

Making Ohio Better OHIO DEPARTMENT OF MEDICAID Pre-Release Care Management: Who is Eligible? » Mental Illness » Substance Abuse » Chronic Condition » HIV Positive » Hepatitis C » Pregnancy Must meet two or more to qualify Qualify automatically 10/22/2021 6

Making Ohio Better OHIO DEPARTMENT OF MEDICAID Pre-Release Care Management: Transition to the Community 30 – 60 Days prior to release • DRC conducts prescreening: Does individual qualify? • MCP care manager assigned & develops transition plan 7 – 14 Days prior to release • MCP care manager and individual review transition plan via teleconference Date of release • Individual receives final copy of transition plan and insurance card Post-Release 10/22/2021 7 Individual accesses health care services and maintains relationship with MCP care manager. 10/22/2021 7

OHIO DEPARTMENT OF MEDICAID Making Ohio Better Accomplishments (September 2014 – Present) • • ODM and ODRC visited 25 of 27 facilities since September 2014 Trained 60 Peer to Peer Medicaid Guides 7, 500+ individuals able to access Medicaid benefits on day of release ~1, 200 individuals received transition assistance from an MCP care manager prior to release. What’s to Come • All facilities activated by January 2017 • Partner with DRC on robust program evaluation • Explore program expansion opportunities 10/22/2021 8

OHIO DEPARTMENT OF MEDICAID Making Ohio Better Care Management – Success Story • Release Challenges » No housing, primary care physician or transportation » Addiction and history of relapse • Care Manager Outreach » Established primary care physician, connected member to a sober living home and mental health resources • Member Success » Referred for Hepatitis C treatment, smoking cessation, mental health and substance abuse treatments » Completed financial aid applications for college and plans to attend the University of Toledo Social Work Program 10/22/2021 9

OHIO DEPARTMENT OF MEDICAID Making Ohio Better Participant Feedback Appreciation for support and regular contact with care manager Renewed sense of hope and determination Strengthened by health plan’s involvement and care managers that stayed connected and followed progress 10/22/2021 10