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 4: Training, technical assistance, and funding for systems improvement to the I/T/U to comply with policies on disclosure and auditing. Objective 2g– CMS will facilitate ARRA Section 5006 that authorizes American Indian Medicaid Managed Care Entities. Task 1: Sponsor a meeting on the creation of American Indian Medicaid Managed Care Entities under Section 5006 of ARRA. 0 150,000 150,000 0 0 0 Objective 2h – CMS will create internal processes and funding to facilitate partnerships with Tribes and Tribal organizations to work together on new policies and approaches to better align CMS and I/T/U programs. Task 1: Maintain funding for regulation review. 250,000 250,000 250,000 250,000 250,000 250,000 Task 2: Create better mechanisms to fund cooperative agreements with Tribes and Tribal Organizations. Task 3: The CMS Office of Legislation will work with Tribes on mutually beneficial legislation, including revisions to ACA to clarify the definition of Indian and to address issues related to Medicaid Expansion. Task 4: Move the CMS Tribal Affairs Group from the Office of Public Engagement to the Office of the Administrator. SUBTOTAL 490,000 400,000 400,000 250,000 250,000 250,000 33
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. Goal 3: CMS Improves and expands the development and delivery of Long Term Services and Support (LTSS) throughout Indian communities. Objective 3a - Develop and maintain an interactive data base of current Long Term Services and Supports (LTSS) provided by the Indian Health Service (IHS), tribal health programs, and urban Indian health programs (I/T/U) with contact information for the providers. Develop tool kits to assist other health programs to evaluate options and develop similar programs. In addition, CMS working with IHS and the Administration for Community Living (ACL) in HHS will provide technical assistance to I/T/Us developing and taking advantage of these LTSS programs Task 1: Working with ACL and IHS, CMS will develop and maintain a website that will serve as an AI/AN LTSS portal. Task 2: CMS will work with the TTAG, IHS and ACL to develop technical assistance materials for I/T/U. 125,000 100,000 100,000 0 0 0 Objective 3b - CMS will develop an AI/AN LTSS Delivery Plan and a LTSS Roadmap (formerly Toolkit) for Indian communities to provide information and guidance to I/T/Us wishing to research the possibilities of implementing LTSS programs in their communities. Task 1: Assist I/T/Us to assess their current LTSSs, develop an AI/AN LTSS Service Delivery Plan, and develop recommendations to engage States and CMS for financing LTSS in Indian communities. Task 2: Develop a searchable web tool (LTSS Roadmap) as a part of the website development. 150,000 150,000 150,000 0 0 0 Objective 3c- Throughout the next five years, CMS and TTAG will work collaboratively to educate tribal leaders about long term care program planning and implementation, particularly regarding services that address the needs of elders, veterans, and persons with disabilities. Task 1: Annually review documents for I/T/U that describe principles and talking‐points about the importance of LTSS, controlling costs, and improving quality. 34
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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. # 7.e. 7.f. 7.g. 12.a. S
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RRIAR Ref. # 69. 77. 88. Short Titl
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premium tax credit assistance and c
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Access to this benefit is criticall
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community providers for purposes of
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November 12, 2012 Centers for Medic
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_________ American Indian or Alaska
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November 9, 2012 Page 2 We are comm
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Tribal Consultation for Health Insu
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Background Analysis of Tribal Consu
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