mmpc - National Indian Health Board

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MISSION STATEMENT The Medicare, Medicaid and Health Reform Policy Committee (MMPC) is a standing committee of the National Indian Health Board (NIHB). The committee is chaired by a member of the NIHB Board of Directors. The primary purpose of MMPC is to provide technical support to the Tribal Technical Advisory Group to the Centers for Medicare and Medicaid Services (TTAG). TTAG is a group codified by the American Reinvestment and Recovery Act of 2009 and is composed of formally appointed representatives from each Indian Health Service (IHS) Areas as well as from specific national Indian organizations. TTAG advises the Centers for Medicare and Medicaid Services (CMS) on Indian issues related to Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and any other health care program funded (in whole or part) by CMS. MMPC continues work on the Affordable Care Act (ACA) and Indian Health Care Improvement Act (IHCIA) health policy issues, regulation review and the development of draft positions with the greatest opportunities and highest priority for the Indian Health System. MMPC also acts as a national forum to identify, discuss, advise and act on issues that will improve the health of American Indians and Alaska Natives. In this capacity MMPC has the ability to pool expertise in Indian health care from across the country in order to develop information and recommendations on current issues. Implementation of components of the Indian Health Care Improvement Act and the Patient Protection and Affordable Care Act that are outside the jurisdiction of CMS are examples. Membership in MMPC is open to individuals authorized to represent: a Tribe; Tribal Organization; Urban Indian Program; or Indian Health Service (IHS). For more information or to join the MMPC distribution list please contact Liz Heintzman at lheintzman@nihb.org.
GENERAL INFORMATION TABLE OF CONTENTS MMPC FACE TO FACE AGENDA 1 MMPC ACTION PLAN, TASKS, & ASSIGNMENTS 3 MMPC OCTOBER TELECONFERENCE AGENDA NOTES 16 ACTIVE, NEW & ONGOING MMPC/TTAG ISSUES, STATUS, GOALS & NEXT STEPS IRS SEPTEMBER MEETING NOTES 20 INDIAN ADDENDUM COMPANION PIECE 23 INDIAN ADDENDUM 30 TRIBAL CONSULTATION WITH HHS ON FFE/MEDICAID EXPANSION NOTES 35 NIHB COMMENT TO ALL INCLUSIVE REIMBURSEMENT RATE AGREEMENT 44 TSGAC COMMENT TO ALL INCLUSIVE REIMBURSEMENT RATE AGREEMENT 46 SUMMARY OF INDIAN SPECIFIC BENEFITS AND PROTECTIONS 50 CHART OF INDIAN SPECIFIC HEALTH CARE PROVISIONS 52 WHITE HOUSE LETTER FROM CRIHB & NPAIHB 53 AMENDMENT TO ACA REGARDING AI/AN DEFINITION 56 ENABLING EXCHANGES IMPLEMENT A STREAMLINED APPLICATION PROCESS PAPER 57 MEDICAID REPORT FROM CRIHB 73 DEAR TRIBAL LEADER REGARDING HHS CONSULTATION LETTER 123 TRIBAL CONSULTATION POLICY 124 TTAG FACE TO FACE PREPARATION ___ TTAG AGENDA 134 BEHAVIORAL HEALTH DOCUMENTS ___ HHS BLOCK GRANT REGULATIONS 137 NPAIHB COMMENTS TO IHS NATIONAL BEHAVIORAL STRATEGIC PLAN 150 NPAIHB COMMENTS FOR UNIFORM APPLICATION FOR MENTAL HEALTH BLOCK GRANT 154 NPAIHB COMMENTS ON TRIAL LAW & ORDER ACT OF 2010 158 GO THE EXTRA MILE INITIATIVE ___ EXECUTIVE DIRECTOR LETTER 161 GO THE EXTRA MILE FACT SHEET 162 ADDITIONAL ITEMS ___ LEGISLATIVE ACTION ALERT 165
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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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(1) to ensure the highest possible
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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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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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Analysis of Tribal Consultation Pol
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D. FFE Data Analysis of Tribal Cons
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John O'Brien Director, Healthcare &
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