Institutions

Institutions A. An institution is an establishment that provides food, shelter and some treatment or services to four or more persons unrelated to the proprietor. B. A public institution is an institution that is the responsibility of a government unit or over which a governmental unit exercises administrative control including the following: 1. Prisons, local jails, detention facilities operated by or under contract with federal, state, political subdivision of a state or tribal entity for the confinement of persons charged with or convicted of a crime. 2. Penal settings such as boot camps or wilderness camps. 3. Residential Reentry Centers operated by prisons where inmates live while serving a term of incarceration. 4. Correctional facilities organized for the primary purpose of involuntary confinement. 5. Hospitals and medical clinics operated by prisons. C. Institutions that are not considered public institutions for Medicaid purposes include the following. Residents may receive Medicaid benefits if otherwise eligible. 1. Medical institutions such as hospitals, nursing facilities, extended care facilities. 2. Publicly Operated Community Residences that serve no more than sixteen (16) residents and provide food, shelter, social services, assistance with personal living activities or training in socialization. 3. Supervised community residential facilities (half-way houses) that allow the resident freedom to work outside the facility, use community resources and seek healthcare in the community the same as other Medicaid enrollees. 4. Child care institutions licensed by the state that are not operated primarily for the detention of children determined to be delinquent. 5. Public educational or vocational training institutions for the purpose of securing an education or vocation. 6. Public shelters or housing provided to homeless individuals.