mmpc - National Indian Health Board

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Ref. # MMPC: SUMMARY OF ISSUES, STRATEGIES & ASSIGNMENTS UPDATED 10/9/12 (RECENT UPDATES IN RED AND HIGHLIGHTED IN YELLOW) Please Note: This Summary of issues, assignments and strategies has been organized to follow the general Goals and Objectives identified in the “draft” 2013-2018 CMS-TTAG AI/AN Strategic Plan. I. CONSULTATION Task/Issue Person(s) 1. Invites/Presentation at MMPC/TTAG November 2012 Face-to-Face meetings NIHB Liz Heintzman Due Date/ Timeline Action(s) Needed Oct 2012 Finalize topics and speakers for CMS Day; plenary and workshops Brief Summary of Next Steps and Follow-up Notes/Comments MMPC November 2012 Meeting: 1. Invite OPM 2. Review Data Report (request copy from Jim Crouch/Carol Korenbrat) TTAG October 2012 Meeting – Additional Agenda Items/Topics: 1. Request updates from CCIIO on (1) status of internal clearance on Indian Addendum and companion piece; and (2) timing on response to tribal comments on the Federally-facilitated exchanges. 2. Request Schedule and Process for dealing with open issues on the Single Enrollment Form for Exchanges and Medicaid including how CMS is dealing with process for vetting with other groups. 3. 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) TTAG November 2012 Meeting: 1. Invite Gary Cohen 2. Invite OIG to report and present on Safe Harbors and Medicaid Collections 3. Take final action on CMS TTAG Strategic Plan 4. Fuller discussion and update on working with States on Exchanges and Medicaid Expansion National Indian Health Board, MMPC Issues, Strategies & Assignments Page 1 of 13 10/9/12
Ref. # 2. Task/Issue Person(s) CMS Consultation Policy 3. State/Tribal Consultation Jim Roberts Myra Munson MMPC MMPC: SUMMARY OF ISSUES, STRATEGIES & ASSIGNMENTS UPDATED 10/9/12 (RECENT UPDATES IN RED AND HIGHLIGHTED IN YELLOW) Due Date/ Timeline Action(s) Needed On-going CMS Policy Finalized November 2011 MMPC On-going Need to engage with States and establish process for Tribal consultation Brief Summary of Next Steps and Follow-up Notes/Comments Final CMS Consultation Policy released November 2011. There are some substantive differences between the originally approved Tribal Consultation Workgroup version and the final copies released by CMS. Talking points of these issues and concerns were drafted for Tribal leaders to use for the all Tribes call hosted by CMS on Friday, December 9th . Draft letter has been developed to CMS on behalf of TTAG Co-Chairs regarding Tribal recommendations on the process & timeline for revising the Consultation policy. To be finalized by April 10, 2012. Letter approved by TTAG and forwarded 4/11/12. Standard Operating Procedures (SOP) being prepared by Kitty on the CMS Tribal Consultation Policy (needs to be reviewed by the TTAG Consultation Policy Subcommittee). 1. Monitor SPA’s 2. Tribes engage in planning efforts with States on Health Exchanges 3. Engage and monitor State legislative action 4. Medicaid Managed Care – Kansas Tribes’ Strategy. 7/24/12 Update: 13 States are going forward with State Exchanges. HHS Secretary directed States to work with Tribes. Only 4 States are actively working with Tribes (OR, RI, WA, and MN) Only 3 States have formal Tribal consultation policies (OR, RI and WA) Next Steps/Recommendations: 1. Have a Tribal TTAG Representative participate on monthly CCIIO calls on State Exchanges. 2. Request updated list of State Exchange contacts. 3. Request CCIIO to report back on which States with establishment grants have Tribal consultation policies. National Indian Health Board, MMPC Issues, Strategies & Assignments Page 2 of 13 10/9/12
Page 1 and 2: MEDICARE, MEDICAID, & HEALTH REFORM
Page 3 and 4: GENERAL INFORMATION TABLE OF CONTEN
Page 5: Last Updated: November 12, 2012 2.
Page 9 and 10: Ref. # II. POLICY Task/Issue Person
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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.; (
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Page 39 and 40: edits on documents are due back fro
Page 41 and 42: d. CCIIO Philosophy - CCIIO is taki
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Page 47 and 48: IHS TRIBAL SELF-GOVERNANCE ADVISORY
Page 49 and 50: Letter: Dr. Robert Petzel, Under Se
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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. # 2.c. 2.d. 3.a. Short T
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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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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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