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AJPH First Look, published online ahead of print Aug 30, 2005
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October 2005, Vol 95, No. 10 | American Journal of Public Health 1707-1711
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2004.056259


PUBLIC HEALTH CONSEQUENCES OF IMPRISONMENT

Medicaid Insurance Policy for Youths Involved in the Criminal Justice System

Alison Evans Cuellar, PhD, Kelly J. Kelleher, MD, MPH, Jennifer A. Rolls, MPH and Kathleen Pajer, MD, MPH

Alison Evans Cuellar is with Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY. Kelly J. Kelleher and Kathleen Pajer are with the Department of Pediatrics, Columbus Children’s Research Institute, Ohio State University, Columbus. Jennifer A. Rolls is with the Child & Adolescent Services Research Center, San Diego, Calif.

Correspondence: Requests for reprints should be sent to Alison Evans Cuellar, PhD, Department of Health Policy & Management, Columbia University, 600 W 168th St, 6th Floor, New York, NY 10032 (e-mail: ac2068{at}columbia.edu).

Juvenile justice and Medicaid agencies share an interest in serving delinquent youths, many of whom have a relatively poor health status. However, many state and local Medicaid policies result in these youths having no insurance coverage, making access to needed services difficult. A nationally representative survey of state and community juvenile justice and Medicaid agencies was conducted to assess Medicaid policies.

Evidence from the survey suggests that in some areas delinquent youths are actively disenrolled from Medicaid benefits, and in others little effort is made to connect them to Medicaid coverage. Discrepancies between justice agency and Medicaid agency responses point to poor communication and coordination. Overall, the survey identified several opportunities for policy intervention to enhance access to services for justice-involved youths.




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