mmpc - National Indian Health Board

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Last Updated: November 12, 2012 Medicare, Medicaid, and Health Reform Policy Committee (MMPC) Face to Face Meeting Tuesday, November 13, 2012 9:00 AM-5:00 PM EST Call in number: NIHB conference line: 1-866-303-3137 Passcode: 414526 AGENDA Purpose: To review and provide updates and detailed discussion of 2012 MMPC Action Plan priorities and assignments. Outcomes: 1. Continue work on the Affordable Care Act (ACA) and the Indian Health Care Improvement Act (IHCIA) health policy issues, regulation review and development of draft positions with the greatest opportunities and highest priority for the Indian health system; 2. Review strategies and process for advancing issues; and identified tasks and timeframes; and, 3. Prepare for TTAG November 14-15, 2012 Face to Face meeting. 9:00 am Welcome Opening Prayer Introductions 9:10 am Review of Agenda, Purpose of Meeting and General Housekeeping Items 9:30 am Regulations Review Update (MMPC Action Plan #5) (also see handout) Review status of proposed comments Upcoming regulations 10:00 am Prepare for Office of Personal Management (OPM) Guest Speaker-John O’ Brien, Director, Healthcare & Insurance, OPM (also see handout) 10:10 am John O’Brien OPM (tentative time) Kaiser Family Foundation/ Barbara Jordan Conference Center 1330 G Street, NW, Washington, DC 20005 Phone: (202) 347-5270; fax: (202) 347-5274 10:50 am Active, New and Ongoing MMPC/TTAG Issues, Status, Goals, and Next Steps (Review of Current MMPC Action Plan and Strategies) 1. Update on IRS Issues (MMPC Action Plan #9) a. Assignment of tax refunds b. Treatment of Indian income under MAGI
Last Updated: November 12, 2012 2. Discussion on CCIIO Policy Issues (MMPC Action Plan # 6) a. Status of internal clearance on Indian Addendum and companion piece b. Timing on response to tribal comments on the Federally-facilitated exchanges. 3. Tribal Hospital EHR Charity Care Calculation (Myra Munson) (MMPC Action Plan #10) 4. Update on VA/IHS Draft Reimbursement Agreement (MMPC Action Plan #11) 5. Single Enrollment Form for Exchanges and Medicaid (MMPC Action Plan #6) a. Request schedule and process for dealing with open issues, including how CMS is dealing with process for vetting with other groups 6. Working with States on Exchanges and Medicaid Expansion (MMPC Action Plan #19) (also see handout) a. Status of letter to Tribes (development of a template from CMS) for outlining process at state level for those Tribes not moving forward with Medicaid Expansion (Jim Roberts) b. Need a process to ensure that Medicaid Expansion is addressed through the ACA Policy Subcommittee; raise this at the TTAG meeting c. State Waivers 7. Standard Operating Procedures (SOP) on the CMS Tribal Consultation Policy (MMPC Action Plan #2) a. needs to be reviewed by the TTAG Consultation Policy Subcommittee 8. Data Issues (MMPC Action Plan #28) 9. Consultation (MMPC Action Plan #2, 3, 4) 12:00 pm Lunch on Your Own 1:00 pm Continue Discussion of Active, New and Ongoing MMPC/TTAG Issues, Status, Goals, and Next Steps 1:50 pm Prepare questions to ask Dr. Yvette Roubideaux 2:00 pm Dr. Yvette Roubideaux Q/A 3:00 pm Break 3:15 pm Prepare for TTAG Face to Face Review TTAG Agenda Prepare TTAG Talking Points 4:30 pm Additional Discussion Topics 5:00 pm Adjourn MMPC Upcoming Calls/Meeting dates Post-Election Need for more active participation on TTAG subcommittee calls Decision to dissolve or keep active/reorganize across state borders and behavior health subcommittees NIHB GO the EXTRA MILE Initiative MMPC Teleconference Call-December 5, 2012, 2:00-4:00 PM EST TTAG Teleconference Call-December 12, 2012, 2:30-4:00 PM EST
Page 1 and 2: MEDICARE, MEDICAID, & HEALTH REFORM
Page 3: GENERAL INFORMATION TABLE OF CONTEN
Page 7 and 8: Ref. # 2. Task/Issue Person(s) CMS
Page 9 and 10: Ref. # II. POLICY Task/Issue Person
Page 11 and 12: Ref. # Task/Issue Person(s) 9. Stra
Page 13 and 14: Ref. # Task/Issue Person(s) 15. Eva
Page 15 and 16: IV. OUTREACH AND EDUCATION MMPC: SU
Page 17 and 18: Ref. # Task/Issue Person(s) 25. Med
Page 19 and 20: MMPC October 9, 2012 Teleconference
Page 21 and 22: To do List: -Myra will have draft b
Page 23 and 24: Internal Revenue Service Meeting No
Page 25 and 26: with a “interim/acting”. Can al
Page 27 and 28: 8/7/12 DRAFT COMPANION TO ADDENDUM
Page 29 and 30: Indian Self-Determination and Educa
Page 31 and 32: Under federal law, There are privac
Page 33 and 34: 1. Purpose of Addendum; Supersessio
Page 35 and 36: (1) ISDEAA, 25 USC §450 et seq.; (
Page 37 and 38: 13. Medical Quality Assurance Requi
Page 39 and 40: edits on documents are due back fro
Page 41 and 42: d. CCIIO Philosophy - CCIIO is taki
Page 43 and 44: - I/T/U provider receives their all
Page 45 and 46: i. CMS rep. commented that an analy
Page 47 and 48: IHS TRIBAL SELF-GOVERNANCE ADVISORY
Page 49 and 50: Letter: Dr. Robert Petzel, Under Se
Page 51 and 52: October 17, 2012 Dr. Robert Petzel,
Page 53 and 54: 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. # 83. 84. 85. 86. Short
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RRIAR Ref. # 2.c. 2.d. 3.a. Short T
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RRIAR Ref. # 4.b. 5. 10.a. 10.b. Sh
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RRIAR Ref. # 11.e. 11.f. 11.g. Shor
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RRIAR Ref. # 22. 24. 25.a. Short Ti
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RRIAR Ref. # 52.a. 52.b. 52.c. 57.
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RRIAR Ref. # 60.b. 60.c. 60.d. Shor
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RRIAR Ref. # 71.b. 72. 73. Short Ti
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RRIAR Ref. # 6.b. 6.c. 7.a. Short T
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RRIAR Ref. # 7.e. 7.f. 7.g. 12.a. S
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RRIAR Ref. # 29. 31.a. 31.b. 31.c.
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RRIAR Ref. # 39. 42. 45. 47. Short
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RRIAR Ref. # 69. 77. 88. Short Titl
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RRIAR Ref. # 92. 35. 36. 74. Short
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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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