1 / 7

Aberdeen Area ND and SD Findings

Aberdeen Area ND and SD Findings. December 11 – 15, 2006 Facility visits Centers for Medicare & Medicaid Services (CMS) Tribal Affairs Group. Who is CMS?. Centers for Medicare & Medicaid Services (CMS) Sister Agency to IHS – HHS Administer the Medicare program directly

didina
Download Presentation

Aberdeen Area ND and SD Findings

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Aberdeen AreaND and SD Findings December 11 – 15, 2006Facility visits Centers for Medicare & Medicaid Services (CMS) Tribal Affairs Group

  2. Who is CMS? • Centers for Medicare & Medicaid Services (CMS) • Sister Agency to IHS – HHS • Administer the Medicareprogram directly • Participate financially and establish broad parameters for States in the administration of Medicaid and SCHIP • Exceptions within regulations respective to IHS and Tribal 638 programs.

  3. Meet with Tribal leaders & administrators Why? Operating Income Tribal members hesitant to enroll in Medicare and Medicaid Belief health care is a federal trust responsibility Tribal members should not have to: fill out applications, pay cost sharing, divulge personal information Facility visits

  4. Aberdeen Area • Issues consistent • Mix of IHS and CMS responsibility • General lack of understanding as to CMS

  5. Findings: • Lack of understanding of • Medicare and Medicaid • State Medicaid Plans/services • Need access to mental health services • Payment for CHR services • Long Term Care options • Rx Script refill limited - 30 days

  6. Findings con’t: • Medicaid payments per day • DME – Tribes unaware that IHS can be a DME supplier • Lack of understanding of EMTALA • Poor working relationships with State Medicaid Agencies • Contract Health Services referrals and payments to private hospitals.

  7. Goals: • Provide information in follow-up meeting • Encourage partnerships • Highlight best practices • Foster better: • Working relationships • Understanding of Medicare, Medicaid & SCHIP • Increase Enrollment and Income

More Related