mmpc - National Indian Health Board

ii. New Mexico tribes raised concerns about the state’s tribal
consultation held with regard to their pending Medicaid waiver,
and they may wish to request the direct consultation with CMS.
k. IHCIA section 206 and “reasonable charges”
i. CMS and IHS were asked if an I/T/U’s FQHC or IHS all-inclusive
rates would meet the definition of “reasonable charges” under
section 206.
ii. The CMS and IHS reps did not know.
l. Outreach and Education Funding
i. Tribes and tribal organizations are eligible to apply for grants
under the Navigator program.
ii. Funding will be available under the “in-person assistance”
program for assisting individuals to enroll in Exchange and
Medicaid coverage.
- The lead CMS staff member / contact for the in-person
assistance program is Holly Whelan, Consumer Support
Group, CCIIO-CMS, holly.whelan@cms.hhs.gov
iii. Medicaid Administrative Match (MAM) remains an option for
states to be reimbursed by CMS for the costs of tribes
performing enrollment assistance.
- A question was raised as to how funding may be used /
time may be allocated between combined Medicaid and
Exchange eligibility assistance but a specific answer
was not given.
iv. $4 million in CMS CHIPRA funding for AI/AN-specific
education and outreach in 2013.
v. $32 million in CMS CHIPRA funding for general education and
outreach in 2013.
– Tribes and tribal organizations can apply for the
general CHIPRA funds.
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