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County health staff report Medicaid is covering much inpatient care for jail inmates, easing county costs

Wayne County Health, Human and Veteran Services Committee · November 26, 2025
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Summary

Wayne County Department of Health, Human and Veteran Services presented a report showing inpatient hospital charges for jailed patients have been redirected to Medicaid for fiscal years 2022–23 and 2023–24, reducing burden on the county general fund; presenters said the practice dates to federal policy changes about 15 years ago and was strengthened by Medicaid expansion.

Wayne County health officials presented a report showing that inpatient hospital charges for people registered as Wayne County Jail inmates were redirected to Medicaid for fiscal years 2022–23 and 2023–24, reducing costs for the county general fund.

Kenil Johnson, director of the Department of Health, Human and Veteran Services, said the report had been submitted in advance and that staff would summarize…

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