470-1     A.  INELIGIBLE INSTITUTIONS

Recipients must live outside of certain institutional settings to qualify for APAAdult Public Assistance benefits.  An individual is not eligible for APAAdult Public Assistance during any full calendar month during which he or she lives throughout the month in:

1. An Alaska Pioneers' Home;

2. A prison or jail;

3. A public or private institution for mental disease, such as the Alaska Psychiatric Institute (APIAlaska Psychiatric Institute); or

4. Any other public institution, except a long term nursing care facility or a hospital.

Note:

Alcohol and substance abuse treatment centers are not ineligible institutions for APAAdult Public Assistance and IAInterim Assistance purposes.  Residents may receive regular APAAdult Public Assistance or IAInterim Assistance benefits while undergoing treatment.

Exception:

Incarcerated adults who have been admitted to a hospital for more than 24 hours may be eligible for Medicaid for only the hospital stay. The hospital will assist the incarcerated individual with completing an application if they are not already receiving Medicaid.  All of the eligibility requirements for Medicaid must still be met to receive this coverage.  If an incarcerated individual no longer falls into an eligible Medicaid category, his or her case will be closed or denied.  Adverse action is not needed to close Medicaid for an incarcerated individual.

When it has been reported that an applicant or recipient is incarcerated, the Medicaid Subtype must be changed to 'incarcerated.'  The Medicaid case will close at the end of the certification period unless it has been reported that the individual is no longer incarcerated.

B.  COMMUNITY RESIDENTIAL CENTERS (HALFWAY HOUSES)

APAAdult Public Assistance eligibility may be available to an individual who is living in a Community Residential Center (aka halfway house) (CRCCommunity Residential Center) if they have the freedom of movement at the CRCCommunity Residential Center.  Community Residential Centers reserve a small number of beds for individuals on probation or parole that may be ordered to live in a structured environment as a condition of their supervision.  

Individuals are considered to have freedom of movement if all three of the following criteria are met:

1. The individual can work outside the CRCCommunity Residential Center in employment available to individuals who are not under justice system supervision; and

2. The individual can use community resources such as libraries, grocery stores, recreation, education, etc. at will; and

3. The individual can seek health care treatment in the broader community to the same or similar extent as other Medicaid recipients.

An incarcerated individual living at a CRCCommunity Residential Center may or may not have freedom of movement.  Do not attempt to verify freedom of movement by calling the CRCCommunity Residential Center directly.  The CRCCommunity Residential Center's are not staffed by Department of Corrections (DOCDepartment of Corrections) employees and only DOCDepartment of Corrections can verify if the inmate is confined or has freedom of movement (furlough placement).

If an individual applies for APAAdult Public Assistance benefits and the application shows a CRCCommunity Residential Center address, the Eligibility Technician must send an email to doc.idodocs@alaska.gov in order to verify if the individual is confined or on a furlough placement.  When sending the email to DOCDepartment of Corrections, the subject line should state CRCCommunity Residential Center Verification for APAAdult Public Assistance/Medicaid and the body of the email must include the individual's name and date of birth.  See ADLTCAged, Disabled and Long Term Care Manual Addendum 6 for CRCCommunity Residential Center's addresses.