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Improving Care for Justice Involved Patients

The Michigan Department of Health and Human Services (MDHHS) funds physical and behavioral health services to millions of Michigan residents through the Medicaid program. Thousands of these beneficiaries are involved with the justice system at the county level. There is often little coordination between payers and providers between health services provided in a justice setting and those outside of a justice setting. This is especially challenging at the county level where there is significant turnover in the population in county jails. The lack of information and care coordination presents challenges to addressing the heath needs of justice involved patients. In addition, it makes addressing the two biggest public health crisis in the state, COVID-19 and the opioid epidemic, more challenging. In addition, there is not a uniform standard across MDHHS county offices for handling incarcerated beneficiaries. By breaking down barriers to the sharing of health records, the Improving Care for Justice Invovled Patients project would allow jails, payers and providers to collaborate more effectively, improve the coordination of care for individuals, and ensure the continuity of coverage for patients.

During this project, the MDHHS Project Team will partner with local MDHHS office staff and staff at local county jails to accomplish the following goals:

Provide local jails with access to CareConnect360, which is a state-owned care coordination platform. Through this platform, jail staff will be able to access health information on Medicaid beneficiaries who are incarcerated in the jail for treatment and care coordination purposes. This project has a phased rollout over several years, with assistance from evaluation partners at Wayne State University's Center for Behavioral Health and Justice. MDHHS will provide training and technical assistance to interested counties following the initial pilot to ensure their success in using CareConnect360.

Develop and implement guidance for local MDHHS staff to coordinate with jails in the timely activation and removal of the incarceration benefit for incarcerated Medicaid beneficiaries. This will help ensure a smooth transition without loss of coverage for the beneficiary.

Questions regarding this initiative may be submitted by email to

Key Collaborative Partners

This project will require collaboration with many stakeholders. MDHHS will reach out to stakeholders from a variety of fields to participate in this project. The stakeholder workgroup will likely include representation from:

  • local law enforcement
  • county governments
  • treatment courts
  • Medicaid Health Plans
  • Prepaid Inpatient Health Plans
  • tribal law enforcement entities
  • prosecuting attorneys
  • Federally Qualified Health Centers
  • local health departments

Key Project Documents
Authorization Form for Disclosure of Eligibility Information
(MDHHS-5930) - The disclosure form should only be used by jail staff within pilot counties. Jail staff within pilot counties should submit the completed form to their respective MDHHS office.