Current through 2024-51, December 18, 2024
Section 144-332-2-9 - INDIVIDUALS RESIDING IN PUBLIC INSTITUTIONSI. Medicaid coverage is authorized for inmates of state prisons, Mountain View Correctional Facility, Long Creek Youth Development Center, and local or county jails, if the individual meets financial and non-financial criteria applicable to non-inmates. Medicaid will only pay for any coverable in-patient service provided to the inmate while they are an in-patient in a hospital, nursing home, Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) or juvenile psychiatric facility.II. Individuals admitted to a medical institution classified as an IMD (Institution for Mental Disease) for over 30 days. Examples of Institutions for Mental Disease are Spring Harbor, Acadia, Riverview Psychiatric Center, and the Dorothea Dix Psychiatric Center. The following applies:A. If over age 20 and under age 65, these individuals are not Medicaid eligible until they are released, conditionally or unconditionally, or are on convalescent leave from the facility. Individuals may apply prior to discharge.B. If under age 21 (through age 20) or age 65 or over, coverage is available for all Medicaid coverable services.10-144 C.M.R. ch. 332, § 2-9