1. ENROLLING JUSTICE INVOLVED POPULATIONS: POLICY IMPLICATIONS LINDSAY NELSON KENTUCKY PRIMARY CARE ASSOCIATION

2. JUSTICE INVOLVED POPULATIONS  Special Enrollment Period upon release  No one was focused on outreach and enrollment with these groups  Large potential impact

3. JUSTICE INVOLVED POPULATIONS  High rates of incarceration for drug charges

4. JUSTICE INVOLVED POPULATIONS  High rates of inmates with mental health problems  High co-morbid mental health and substance use disorders  With insurance:  Diverted to treatment prior to arrest  Access to services immediately upon release

5. Source: National Institute of Corrections  Outreach and enrollment efforts  In select jails upon discharge  State DOC integrating kynect into their reentry classes  Probation and parole  Federal Prisons  Halfway houses

6. MEDICAID TERMINATION  Termination vs Suspension of Medicaid  Educate stakeholders  Presentations  Fact sheet  Face-to-face discussions  Develop champions  Used examples from other states  Isolate policy that needed to be changed  Suspension coming in January 2016 (or earlier)!!

7. Lindsay Nelson Coordinator of Community Development and Outreach Kentucky Primary Care Association Lindsay@kypca.net 502-227-4379