Act 22, which went into effect on July 1, 2011, caps inpatient hospital care for most county and state inmates at Medicaid rates and outpatient care at Medicare rates. Additionally, the Medical Assistance qualification can result in a portion of the inpatient care being paid by the federal government. Payment of the inpatient hospital bills is handled through the CCAP PIMCC program, providing the Act 22 Service and acting as a liaison between the counties, DPW and DOC.

PIMCC is a medical cost management and education program dedicated to assisting county prisons/jails with the containment of all costs related to prison inmate medical expenses. PIMCC's overall goal is to train, educate, and provide quality managed care, allowing the County to develop a medical cost saving program.

This page was created to educate and inform counties on Act 22. The detail will grow as new questions are asked so please check back. If you don’t see something here that you feel would benefit you or other counties, please contact Christie Ward.