305.07 Medical Assistance: Inmates (MAM)

SR 19-06 Dated 01/19

Previous Policy

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Inmates in NH Department of Corrections (DOC) Correctional Facilities or inmates in county jails with an approaching release date may apply for Granite Advantage Health Care Program (Granite Advantage) medical assistance while still incarcerated. Additionally, inmates in DOC Correctional Facilities may be retroactively eligible for certain types of medical assistance during any period of time the inmate was incarcerated and an inpatient of a medical facility. See Section 109.09, Application for Retroactive Medical Assistance, for additional information.

Inmates with an Approaching Release Date

DOC or county jail staff initiate the application process for Granite Advantage medical assistance by using the automated process in NH EASY or by completing all necessary forms. DHHS determines eligibility. If the paper process is used, the DOC/county jail staff person must send all information, accompanied by DFA Form 786, Inmate Application Cover Sheet, directly to the District Office for DFA to determine eligibility.

If an inmate is not eligible for Granite Advantage, determine eligibility for Aid to the Permanently and Totally Disabled (APTD), Aid to the Needy Blind (ANB), or Medicaid for Employed Adults with Disabilities (MEAD) medical assistance, requesting additional verification as needed.

Determine eligibility within the timeframes described in policy, but not before the individual is released from prison.

Exception: If an inmate with an approaching release date intends to return to the residence of a specified relative, DOC/county jail staff have the option of completing the application process for the inmate and their family or instructing the inmate to apply for benefits upon release.

Inmates in DOC Correctional Facilities Who Become Inpatients of a Medical Facility

Once the inmate in a DOC Correctional Facility has been released from the medical institution, the DOC initiates the application for retroactive medical assistance by using the automated process in NH EASY or by completing all necessary forms. DHHS determines retroactive eligibility. If the paper process is used, the DOC must send all information, accompanied by DFA Form 786, directly to the District Office for DFA to determine retroactive eligibility.

See DFA SR 08-03 for additional information about medical assistance for inmates.

References: He-W 624.01, 42 CFR 435.1009 - 435.1010