mmpc - National Indian Health Board

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Tribal Consultation for Health Insurance Exchanges Survey Questions Page 3 b. Indian Addendum and Qualified Health Plan (QHP) networks Y/N c. Eligibility and enrollment, including identification of American Indians and Alaska Natives Y/N d. Tribal sponsorship of premiums for individuals in Exchange Y/N e. Payment to I/T/U for services provided to enrolled individuals Y/N f. Design of website Y/N g. Navigators and in-person assisters Y/N h. Call centers Y/N 12. How much do you agree with the following Statements: a. Our State interacts with Tribes as full partners during the design and implementation of the Health Insurance Exchange. Strongly agree/Agree/Disagree/Strongly Disagree/ No Answer b. Tribal consultation on Exchanges has ensured that the Health Insurance Exchange will meet the needs of Tribes in our State. 13. Other comments: Strongly agree/Agree/Disagree/Strongly Disagree/ No Answer Thank you.
Background Analysis of Tribal Consultation Policies For Health Insurance Exchanges Mim Dixon November 11, 2012 On September 14, 2011, Secretary of Health and Human Services (HHS) Kathleen Sebelius sent a letter to each State governor regarding Tribal consultation on all health and human services programs that are supported with federal funding, including Tribal consultation in the development of health insurance exchange under the Affordable Care Act (see Attachment A). The Secretary cited the Executive Order on Tribal Consultation signed by President Obama in 2009, and the HHS Tribal Consultation Policy. The letter states, States must consult with Tribes to ensure the programs that they administer with federal funding meet the needs of the Tribes in that state. Tribes should be considered full partners by states during the design and implementation of programs that are administered by states with HHS funding. The requirement of states to consult with Tribes in the development of the Affordable Insurance Exchanges is an example of how states can proactively include and partner with Tribes during the planning stages of a program that has the potential to benefit Tribal members greatly. While this letter requires States with federal funding to consult with Tribes on the development of Health Insurance Exchanges, it does not actually require that States adopt a Tribal consultation policy for their Exchanges. At an HHS Tribal Consultation on Federally-Facilitated Exchanges held in Washington, DC, on July 26, 2012, a Center for Consumer Information and Insurance Oversight (CCIIO) representative stated that the requirement for Tribal consultation would be considered in the certification process in 2013 when CCIIO decides whether States have the readiness to implement Exchanges. Federal Funding for Exchange Planning Every State except Alaska applied for and received an initial planning grant to consider whether or not they would create an Exchange, with the understanding that the federal government would create exchanges for States that did not create their own Exchanges. States were then able to apply for Establishment Grants to do the work of designing Exchanges. Level 1 and Level 2 Establishment Grants were available to States.
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MEDICARE, MEDICAID, & HEALTH REFORM
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GENERAL INFORMATION TABLE OF CONTEN
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Last Updated: November 12, 2012 2.
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Ref. # 2. Task/Issue Person(s) CMS
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Ref. # II. POLICY Task/Issue Person
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Ref. # Task/Issue Person(s) 9. Stra
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Ref. # Task/Issue Person(s) 15. Eva
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IV. OUTREACH AND EDUCATION MMPC: SU
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Ref. # Task/Issue Person(s) 25. Med
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MMPC October 9, 2012 Teleconference
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To do List: -Myra will have draft b
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Internal Revenue Service Meeting No
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with a “interim/acting”. Can al
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8/7/12 DRAFT COMPANION TO ADDENDUM
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Indian Self-Determination and Educa
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Under federal law, There are privac
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1. Purpose of Addendum; Supersessio
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(1) ISDEAA, 25 USC §450 et seq.; (
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13. Medical Quality Assurance Requi
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edits on documents are due back fro
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d. CCIIO Philosophy - CCIIO is taki
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- I/T/U provider receives their all
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i. CMS rep. commented that an analy
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IHS TRIBAL SELF-GOVERNANCE ADVISORY
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Letter: Dr. Robert Petzel, Under Se
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October 17, 2012 Dr. Robert Petzel,
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A BILL To correct inconsistencies i
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California Rural Indian Health Boar
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As people have changes in employmen
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Indian eligibility determinations,
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v.7, 2012‐09‐23a ACA, (2) the s
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Indian tribe means any Indian tribe
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v.7, 2012‐09‐23a In issuing thi
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(1) to ensure the highest possible
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v.7, 2012‐09‐23a Delays in acc
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v.7, 2012‐09‐23a 1997. The prov
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v.7, 2012‐09‐23a 48 Enacted thr
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Prepared by James Crouch MPH Chair,
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Summary T he Indian Health Service
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Summary providers that were either
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Introduction Reliable determination
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Analysis Groups IHS AIAN Methods Th
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Methods group for the statistical m
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Enrollees with no Payments Methods
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Methods Table 5. Mean Medicaid and
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Restricted Benefits Methods Enrolle
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Age and Sex Methods Medical care pa
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Methods Table 9. Findings for all s
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Methods Map 1. 12 IHS Areas: Contra
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Findings Figure 1. Adjustment of Me
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Findings Payments are Higher for IH
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Findings for Group 3 was $600 and W
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Findings Unadjusted mean payments f
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Findings Table 10. Unadjusted Mean
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Findings Figure 13. Adjusted Mean T
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Analysis Group Compiled Findings fo
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Findings Adjusted Mean Payments for
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Findings Figure 18. Percent differe
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Findings providers for services nee
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Findings Figure 21. Medicaid Altern
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Conclusions and Recommendations pro
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Indian Health Service, 2012. Federa
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Tribal Consultation Policy HHS 1. P
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defined in Sections 8 and 9 of this
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2. Office of Intergovernmental Affa
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will give equal consideration to th
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provide Indian Tribes with a region
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4. Each Operating Division Head/Dep
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Department’s ability to address i
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17. Sovereignty - The ultimate sour
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1. Selection of workgroup co-chairs
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It is unclear if this was just an o
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November 14 -15, 2012 TTAG FACE TO
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AGENDA: Day 2 Thursday - Nov. 15, 2
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Subpart G--Social Services Block Gr
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organization applying for or receiv
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members of a tribe receiving direct
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is at or below the poverty line. (d
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under this part. Grantees that rece
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income home energy assistance progr
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Need for Uniform Operational Guidan
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Dear Tribal Representatives, Octobe
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There is a strong correlation betwe
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Wed. Nov 14 th : SDPI National Call
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Future MMPC Meetings & Conference C
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Regulation Review and Impact Analys
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64. Policy on Conferring with Urban
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