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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. Appendix D: Common Terms & Acronyms All agencies are in CMS unless otherwise indicated. ACA Patient Protection and Affordable Care Act (P.L. 111-148) AI/AN American Indians and Alaska Natives ACL Administration for Community Living (in HHS) ARRA American Recovery and Reinvestment Act of 2009 (P.L. 111-5) CCIIO Center for Consumer Information and Insurance Oversight CHS Contract Health Services, (IHS program to purchase services) CHIP Child Health Insurance Program CHIPRA Children’s Health Insurance Program Reauthorization Act of 2009 (P.L. 111-3) CMCS Center for Medicaid and CHIP Service CMM Center for Medicare Management CMMI Center for Medicare and Medicaid Innovation CMS Centers for Medicare & Medicaid Services CMSO Center for Medicaid and State Operations DHHS Department of Health and Human Services FFE Federally-facilitated Exchange FMAP Federal Medical Assistance Percentage (for Medicaid) FQHC Federally Qualified Health Centers HHS Department of Health and Human Services 63 I/T/U Health care services operated by the IHS, Tribes and urban Indian clinics IHCIA Indian Health Care Improvement Act (P.L. 94-437) IHS Indian Health Service (federal agency in DHHS) LTSS Long Term Services and Support MA Medicare Advantage (managed care plan) MAM Medicaid Administrative Match MOA Memorandum of Agreement NAC Native American Contact in CMS Regional Offices NIHB National Indian Health Board OGC Office of General Counsel Part A Medicare inpatient coverage Part B Medicare outpatient coverage Part C Medicare managed care plans, also called Medicare Advantage Part D Medicare prescription drug benefit TAG Tribal Affairs Group TTAG Tribal Technical Advisory Group Title XVIII Medicare, Social Security Act Title XIX Medicaid, Social Security Act Title XXI Children’s Health Insurance Program , Social Security Act
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. Acknowledgements This American Indian and Alaska Native Strategic Plan, 2013-2018 was developed by the CMS Tribal Technical Advisory Group (TTAG) with assistance from the Northwest Portland Area Indian Health Board (NPAIHB). Funding for this project was provided by CMS through an Interagency Agreement with the Indian Health Service and a subcontract from the National Indian Health Board (NIHB). This plan was developed over a period of six months, beginning in June 2012. The TTAG Strategic Plan Subcommittee met in-person and by conference call to develop new goals, objectives, and tasks. TTAG’s subcommittees for Tribal Consultation, Long Term Care, Data, and Outreach & Education provided essential input related to their visions for future activities and outcomes. TTAG approved the plan for nationwide tribal comment and review in September 2012. This is the third AI/AN Strategic Plan developed by TTAG. Each plan has built on the work of the preceding plan, although much of the background information in previous plans has been dropped from this version to make it shorter. The first plan, for the period 2005-2010, was developed under the TTAG Strategic Plan Chairmanship of Margaret Terrance, Nashville Area Representative to TTAG, and was staffed by Mim Dixon, consultant. The second plan, for the period from 2010- 2015, was developed under the TTAG Strategic Plan Subcommittee, chaired by the Honorable W. Ron Allen, Chair of the Jamestown S’Klallam Tribe, and Tribal Self-Governance Advisory Committee representative to the TTAG. The staff for the second plan included Craig Carter and Stephanie Craig Rushing from NPAIHB, as well as Kitty Marx and Caitlin Wesaw who were then at NIHB. TTAG would like to thank the many people in CMS who participated in interviews and provided their insights for the development of this plan. While we are keeping their names and comments confidential, we hope they will see the wisdom they shared reflected on these pages. Mim Dixon and Jim Roberts staffed this plan, with assistance from Lisa Griggs (NPAIHB), Tyra Baer (NIHB), and Liz Heintzman (NIHB). Strategic Plan Subcommittee W. Ron Allen, Tribal Chairman, Jamestown S’Klallam Tribe, Strategic Plan Subcommittee Chair Jennifer Cooper, JD, National Indian Health Board Jim Crouch, MPH, California Rural Indian Health Board Valerie Davidson, JD, Alaska Native Tribal Health Consortium 64
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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. # 2.c. 2.d. 3.a. 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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Draft Report: Currently being circu
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