mmpc - National Indian Health Board

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Draft Report: Currently being circulated for Tribal leader and health director review and comment. Please provide comments by October 30, 2012 to Liz Heintzman at the National Indian Health Board at EHeintzman@nihb.org. Task 1: CMS will fully fund the Tribal Technical Advisory Group, including TTAG travel, per diem, communication needs, basic staffing, and other related expenses for face-to-face meetings up to three times per year. TTAG serves as a policy advisory body to CMS, providing expertise on policies, guidelines, and programmatic issues affecting the delivery of health care for AI/ANs. Budget request: $280,000 per year. Funds will be used to support the travel and per diem expenses of TTAG members three times per year, occasional subcommittee meetings, and the ongoing communication and professional technical assistance needed to support TTAG meetings and activities. Task 2: CMS will actively seek to recruit AI/ANs for key policy positions, particularly with regard to Indian health care. CMS will develop a personnel succession plan to ensure consistent and competent TAG staffing with expertise in the Indian healthcare system. The personnel succession plan should include recruitment, training, and promotion strategies, particularly for AI/ANs, including internships, cross-training opportunities for IHS employees, recruitment of AI/ANs to serve as Native American Contacts (NACs) in regional offices, and/or providing executive leadership training for AI/ANs in CMS. Budget request: $25,000 per year for succession planning and recruiting as needed. Task 3: The Tribal Affairs Group at CMS will report quarterly to TTAG activities and funding for implementation of this Strategic Plan. Task 4: CMS will retain at least 7 FTE personnel in their Tribal Affairs Group (TAG) who will provide policy and administrative support to TTAG. CMS will hire and retain Native American Contacts in each of its Regional Office locations. Objective 1d – CMS personnel with the authority to make binding decisions will regularly participate in TTAG meetings, the Annual DHHS Budget Consultation session, and DHHS regional tribal consultation meetings and listening sessions. Task 1: On an annual basis, the CMS Administrator, and/or CMS Center and Office Directors, will participate in at least three face-to-face meetings with TTAG, along with other CMS officials with pertinent expertise in the subject matter at hand. Task 2: Key leadership from CMS Headquarters will attend annual DHHS regional tribal consultation meetings and listening sessions. Objective 1e – CMS will develop a set of standard operating procedures that will be used by the agency to guide administrative decisions regarding Indian health policy. Task 1: In recognition of the United States trust responsibility described in Appendix B (p. 39), TTAG and the CMS Office of External Affairs will work collaboratively to develop a set of standard 13
Draft Report: Currently being circulated for Tribal leader and health director review and comment. Please provide comments by October 30, 2012 to Liz Heintzman at the National Indian Health Board at EHeintzman@nihb.org. operating procedures that can be used by CMS to guide policy formation and Tribal consultation. Such procedures should be based on values and principles that promote the federal trust responsibility for health care and Tribal consultation. Budget request: $40,000 for the first year to develop the standard operating procedures. Funds will be used to support the completion of this task by a qualified consultant or Tribal Organization, and any partner meetings needed to develop mutually agreed upon standard operating procedures. An additional $15,000 per year is requested to monitor compliance and evaluate the effectiveness of the standard operating procedures. Examples of such values and principles include: CMS recognizes that the tribal healthcare delivery system is politically, legally, and culturally unique and that policies developed specifically for Indian healthcare can be designed to apply only to Indian health programs, and will not be considered to set precedent for other types of healthcare delivery system. It is a well-settled canon of construction that federal laws enacted for the benefit of Indian Tribes are to be given a liberal interpretation, and that doubtful expressions are to be resolved in favor of Indian interests. Absent express statutory prohibition, CMS shall engage in Tribal consultation and implement Tribal recommendations made during such consultations, regarding any CMS policies and actions that: 1. Have Tribal implications, or 2. Have substantial direct effects on a. one or more Indian Tribes, or b. the relationship between the Federal Government and Indian Tribes, or c. the distribution of power and responsibilities between the Federal Government and Indian Tribes. CMS will develop enrollment strategies that maximize AI/AN participation in Medicaid, Medicare, and CHIP, and health insurance exchanges, and will work collaboratively with I/T/Us to carry out identified strategies. 14
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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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RRIAR Ref. # 1.c. 8. 9. 13. Short T
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RRIAR Ref. # 20. 23. 26. 28.a. Shor
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RRIAR Ref. # 43. 44. 46. 61. Short
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RRIAR Ref. # 2.c. 2.d. 3.a. Short T
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RRIAR Ref. # 69. 77. 88. Short Titl
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Draft Report: Currently being circu
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