§ 12-29-407 — Medicaid suspension

(a) When an individual who is enrolled in a Medicaid program or the Health Care Independence Program [expired] is incarcerated to the custody of the Division of Correction, the Division of Community Correction, or detained in a county jail, city jail, juvenile detention facility, or other Division of Youth Services of the Department of Human Services commitment, the Department of Human Services shall suspend, to the degree feasible, the individual's coverage during the period of incarceration for up to twelve (12) months from the initial approval or renewal, unless prohibited by law. (b) When an individual with suspended Medicaid eligibility receives eligible medical treatment or is released from custody, the Department of Human Services shall reinstate, to the degree feasible, the individual's coverage for up to twelve (12) months from the initial approval or renewal, unless prohibited by law. (c) The Department of Human Services shall ensure that the suspension and reinstatement process is automated and that protocols are developed to maximize Medicaid reimbursement for allowable medical services and essential health benefits.

Legislative History

Amended by Act 2019, No. 910,§ 809, eff. 7/1/2019. Added by Act 2015, No. 895,§ 12, eff. 9/1/2015.