mmpc - National Indian Health Board

iv. Suggest that Medicaid/CHIP representative be at the table for
discussion of single application and data elements.
b. Doneg volunteered to take notes at Anchorage and Denver and distribute a
document to Tribes (through TSGAC and MMPC) with new issues that are
identified. Issues identified in Anchorage will be distributed quickly, so that they
can be included in the Denver consultation.
c. Denver Consultation, August 9
i. Diddy will organize a Tribal caucus on the evening of August 8
ii. Jim Roberts will facilitate the Tribal caucus
iii. MMPC and TSGAC will notify Tribes about the caucus date, time,
place.
iv. There is also a 3 hour time slot in the IHS consultation for ACA and the
following topics are recommended:
(1) How will IHS respond to sponsorship opportunity for people in
Direct Service Tribes?
d. Letter to Michael Hash to be sent by NIHB, TSGAC (and possibly TTAG) with
cc to Secretary to cover these topics: 1) referring to AI/AN and Tribes as
“stakeholders” is not consistent with CMS policy; and 2) need for greater
oversight on State Tribal consultation in Exchanges.
e. Second letter to Michael Hash with summary of issues that surfaced in the 3
FFE Tribal Consultation meetings and the Tribal positions on those issues.
6. Points made at the Anchorage and Denver tribal consultations with HHS on
FFE and Medicaid Expansion
a. CMS stated that the new (and ACA-intended mandatory) Medicaid
expansion to adults without dependent children with incomes up to
138% FPL will be considered a “voluntary” expansion group. As with
other voluntary expansion groups under Medicaid --
i. A state is able to cancel the expansion in the future.
ii. AI/AN-specific protections (e.g., ARRA premium and cost-sharing
protections) carry over to the expansion population, including –
- No premiums or cost sharing
- Ability to choose an I/T/U provider that is in plan network
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