Wisconsin Department of Health and Family Services |
3.1.9.1 Inmates of State Correctional Institutions
3.1.9.2 State Correctional Institutions
Do not count inmates of public institutions (1.1.2, #4) as members of the household. An inmate of a public institution is a person who is a prisoner in a jail, prison, or other correctional facility, and who does not reside outside of the institution for more than 24 hours at any one time.
If an inmate of a public institution is admitted, as an inpatient, to a medical institution for 24 hours or more, and is otherwise eligible, manually certify him/her for MA from the admission date through the discharge date.
“Public institution” means an institution that is the responsibility of a governmental unit or over which a governmental unit exercises administrative control. The term “public institution” does not include a medical institution (5.8.1), a publicly operated community residence that serves no more than 16 residents, or a child care institution in which foster care maintenance payments are made under title IV-E.
Note: The
following are not publicly operated community residences, even though
they may accommodate 16 or fewer residents:
Residential facilities
located on the grounds of, or immediately adjacent to, any large institution
or multiple purpose complex, or
Correctional or holding facilities for individuals who are prisoners, have been arrested or detained pending disposition of charges, or are held under court order as material witnesses or juveniles.
Procedures for processing inmates of state facilities are covered in 3.1.9.1.
Use the following process for inmates of state correctional institutions:
Department of Corrections ( DOC ) staff submits
a paper application ( HCF
10100 or HCF
10101 ). The
mailing address for the inmate will be the DOC central office. Superintendents
of state correctional facilities ( Wardens ) may sign the application
for the inmate. Refer
to 3.1.9.2 for the list of state correctional
facilities at which the Warden may sign the application.
Process the inmate as a one-person household and
code ANLA with a living arrangement of “01- Independent (Home/Apt/Trlr)”
If the inmate is between the ages of 19 and 64, and is not a pregnant woman, DOC will submit a Medicaid Disability Application ( HCF 10112 ) along with the MA application ( HCF 10100 or HCF 10101 ). Forward the disability application to the Disability Determination Bureau ( DDB ), even if there is no Confidential Information Release Authorization – Release to Disability Determination Bureau form ( HCF 14014 ) signed by the inmate, and pend the MA application in CARES Client Assistance for Re-employment & Economic Support until a disability determination has been made. If the disability determination is not made within the 30-day processing period, send a manual notice to the designated DOC staff person that the MA eligibility determination has been delayed because additional information is needed.
Note: In many cases a Confidential Information Release Authorization – Release to Disability Determination Bureau form ( HCF 14014 ) will not be necessary for DDB to obtain medical information from DOC. If a release is necessary, DDB will obtain it from DOC.
If the client is eligible, close the case in CARES by changing the request on ACPA for MA to “N”. Suppress CARES generated notices for MA and any program the client has not requested. Manually certify the inmate with the appropriate medical status code (see below), from the hospital admission date through the date of discharge. If the client has not yet been discharged, certify the client from the date of admission through the estimated discharge date. Send a manual positive notice to DOC indicating the dates of eligibility.
Note: It is not necessary to provide a ten-day notice of termination for MA when the reason for termination is the return of the inmate to prison.
If the client is ineligible, confirm the denial on CARES, and allow CARES generated notices to be sent to the designated DOC staff person.
Category |
Medical Status Codes |
Minors Under 18
|
|
Income Income is anything you receive in cash or in kind that you can use to meet your needs for food, clothing, and shelter. Below AFDC-Related Categorically Needy Limit
|
38 |
Income Below AFDC-Related Medically Needy Limit |
39 |
18-year-olds
|
|
Income Below AFDC-Related Categorically Needy Limit |
38 |
Pregnant Women |
|
Income Below AFDC-Medicaid Limit
|
31 |
Income Below AFDC-Related Categorically Needy Limit |
38 |
Income Below AFDC-Related Medically Needy Limit
|
39 |
Income Below Healthy Start Categorically Needy Limit
|
PW |
60-day Extension Period E3
|
E3 |
Income Below Healthy Start Medically Needy Limit
|
P1 |
60-day Extension Period
|
E4 |
Elderly |
|
Income and Assets Below SSI-Related Categorically Needy Limit
|
4 |
SSI-Related Medically Needy
|
5 |
Blind |
|
Income and Assets Below SSI-Related Categorically Needy Limit
|
14 |
SSI-Related Medically Needy
|
15 |
Disabled
|
|
Income and Assets Below SSI-Related Categorically Needy Limit
|
22 |
SSI-Related Medically Needy
|
23 |
Undocumented Aliens
|
AE |
Brown
Institutions Green Bay Correctional Institution
Sanger Powers Correctional Institution
Chippewa
Highview Correctional Institution
Stanley Correctional Institution
Columbia
Columbia Correctional Institution
Crawford
Prairie du Chien Correctional Facility ( Division of Juvenile Corrections )
Dane
Oakhill Correctional Institution
Oregon Correctional Institution
Thompson Correctional Institution
Dodge
John Burke Correctional Center
Dodge Correctional Institution
Fox Lake Correctional Institution
Waupun Correctional Institution
Douglas
Gordon Correctional Center
Fond du Lac
McNaughton Correctional Center
Taycheedah Correctional Institution
Grant
Supermax Correctional Institution
Jackson
Black River Correctional Institution
Jackson Correctional Institution
Kenosha
Kenosha Correctional Center
Lincoln
Lincoln Hills School ( Division of Juvenile Corrections )
Milwaukee
Marshall Sherrer Correctional Center
Milwaukee Secure Detention Facility
Milwaukee Women’s Correctional Facility
Felmers O’Chaney Correctional Center
Racine
Robert Ellsworth Correctional Center
Racine Correctional Institution
Racine Youthful Offender Correctional Facility
Southern Oaks Girls School
St. Croix
St. Croix Correctional Center
Sauk
New Lisbon Correctional Center
Sawyer
Flambeau Correctional Center
Sheboygan
Kettle Moraine Correctional Institution
Waukesha
Ethan Allen School ( Division of Juvenile Corrections )
Waushara
Redgranite Correctional Institution
Winnebago
Drug Abuse Correctional Center
Oshkosh Correctional Institution
Winnebago Correctional Center
Wisconsin Resource Center ( Department of Health and Family Services)
This page last updated in Release Number : 05-02
Release Date : 05/10/05
Effective Date : 05/10/05
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