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    Other Resources

    Below you will find a list of archived Affordable Care Act Correspondence and Policy Briefs, sorted by date and subject for reference. If you would like the join the e-mail list to receive these notices click here.

    Date Sent/ReceivedAddressed ToTopic/IssueAction(s) Needed
    Third Party Payments of Premiums..... - Click Here Third Party Payments of Premiums for Qualified Health Plans in the MarketplacesThird Party Payments of Premiums for Qualified Health Plans in the Marketplaces
    Final Comments - TSGAC- CMS-9937-P Benefit and Payment Parameters 2015 - Click Here Final Comments - TSGAC- CMS-9937-P Benefit and Payment Parameters 2015-...Final Comments - TSGAC- CMS-9937-P Benefit and Payment Parameters 2015-...
    HHS ECP List Tip Sheet New HHS ECP List Tip Sheet issued by the Center for Consumer Information and Insurance Oversight (CCIIO). This document outlines the steps to enter and update entries on the HHS ECP List. HHS ECP List Tip Sheet
    UPDATED! -
    6/24/2016
    CLICK HERE (PDF)
    UPDATED! - TSGAC - All Tribes/Indian health care providersUPDATED!
    Applicable Percentages and Thresholds: Indexing Adjustments Related to Certain Affordable Care Act Provisions for 2015, 2016, and 2017
    UPDATED!
    Applicable Percentages and Thresholds: Indexing Adjustments Related to Certain Affordable Care Act Provisions for 2015, 2016, and 2017
    3/18/2016
    CLICK HERE (PDF)
    TSGAC - All Tribes/Indian health care providersIndian Health Service Reimbursement Rates (aka "OMB Rate")
    for 2016.
    Indian Health Service Reimbursement Rates (aka "OMB Rate")
    for 2016.
    3/18/2016
    CLICK HERE (PDF)
    TSGAC - All Tribes/Indian health care providersReview of HHS ECP Lists for Coverage Years 2016, 2017, and 2018Review of HHS ECP Lists for Coverage Years 2016, 2017, and 2018
    1/28/2016
    CLICK HERE (PDF)
    TSGAC Memo - All Tribes/Indian health care providersTSGAC Memo - Federal Poverty Levels for Medicaid and Marketplace Enrollment
    in 2016 and 2017
    Federal Poverty Levels for Medicaid and Marketplace Enrollment
    in 2016 and 2017
    TSGAC MEMO: Oct. 30, 2015 - CLICK HERE (PDF) TSGAC Memo - All Tribes/Indian health care providers (IHCPs)TSGAC Memo - HHS ECP List - Process for Updating EntriesTSGAC Memo - HHS ECP List - Process for Updating Entries
    Webinar: July 29, 2015 - Please Click Here for ROI Template (Instructions)

    Webinar: July 29, 2015 - Please Click Here for ROI Template (Excel File)
    Resource for Tribes/THOs engaged in Tribal premium sponsorshipTribal Premium Sponsorship, Calculation of Return on Investment, Template and InstructionsResource for Tribes/THOs engaged in Tribal premium sponsorship
    July 27, 2015Centers for Medicare and Medicaid ServicesComments on CMS-2390-P, “Medicaid and Children’s Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, Medicaid and CHIP Comprehensive Quality Strategies, and Revisions Related to Third Party Liability: Proposed RulesTSGAC provided a series of substantive comments (26 pages); along with accompanying attachments. The TSGAC comments mirror the model template developed by a team of health care experts from the MMPC/NIHB.
    May 15, 2015Internal Revenue ServiceNotice 2015-16 on Section 4980I — Excise Tax on High Cost Employer-Sponsored Health CoverageTSGAC Comments in Request to Notice from IRS.
    January 14, 2015Ms Tracy Parker Warren
    Office of Public and Intergovernmental Affairs
    OTGR(075F)-VA
    Comments Submitted Response to Notice of TC: Sec 102 © of the Veterans Access, Choice and Accountability Act of 2014Urge the Reports enter into agreements for reimbursement also current agreements be used and expanded where possible to speed up implementation to eligible veterans
    January 12, 2015CCIIO-CMS-DHHSComments on Draft 2016 Letter to Issuers in the Federally-Facilitated MarketplaceWe are available to discuss any of the recommendations contained in the correspondence and attachment on CMS-9944-P
    December 22, 2014DHHS/CMS- Regulations.govComments on CMS-9944-P;Notice of Benefits and Payment Parameters for 2016
    December 19, 2014Ms. Marilyn Tavenner, Administrator, CMSTSGAC-TTAG letter of Request for Information on Contract Offers made by Issuers of Qualified Health PlansResponse received from Marilyn Tavenner, CMMS 2/2/15 to TSGAC letter dated 12/19/14
    November 10, 2014IHS Director,Dr. Y. RoubideauxTribal Consultation on Medicare-like Rates (MLR) Regulations and/or GuidanceRequest Tribal Consultation on MLR before the IHS or CMS publish any notices of proposed rule-making or any guidance on this topic.
    November 7, 2014CMS, Director, Ms Kitty
    Marx
    Reappointment of Primary & Alternate Representative to serve on CMS Tribal Technical Advisory CommitteeAppreciate collective work of the TTAG provide advice and input to the CMS
    October 16, 2014Sylvia Burwell, Secretary DHHS and Jacob Lew, Secretary TreasuryAppreciation for Recent Announcement on Exemption from Tax Penalty for American Indian/Alaska Natives Continued partnership to improve health and welfare for Tribal citizens
    September 19, 2014Dr. Elaine Buckberg, DAS for Policy, Dept of TreasuryAnnouncement Regarding Applying for Exemption through Tax FilingContinued collaboration to improve health and welfare of all tribal members
    August 28, 2014Sylvia Burwell, Secretary, DHHSIHS Tribal Self-Governance Advisory Committee Priorities and Strategic PlanResponse received 12/8/14 from Sylvia Burwell, DHHS re: HHS supports efforts to increase AI/AN enrollment in Medicaid, CHIP and the Marketplace.re;CSC continue to make progress on resolving claims
    August 25, 2014Mary Wakefield, Ph.D. RN ,Administrator
    Health Resources & Services Administration,
    DHHS
    Request for Tribal Consultation on 340B Drug Pricing ProgramConsidered attending Tribal Consultation on this matter
    August 15, 2014Dr. Caroyln Clancy, Interim Under Secretary Health-Veterans Affairs

    IHS Director, Dr. Y.Roubideaux
    Request for VA and IHS to Revisit the VA-IHS Reimbursement AgreementConsidered attending TSGAC Quarterly meeting during Oct 8-9 and discuss recommendations in greater details.
    May 23, 2014DHHS Secretary, The Honorable Kathleen SebeliusDelaying Meaningful Use Electronic Health Record Program-Stage 3Response received 9/12/14 from Marilynn Tavenner, CMS re: HER Incentive Programs, CMS updated the hardship exception application to add another option for extreme circumstances
    May 20, 2014Mandy CohenRequest for Action on Outstanding Issues for AI/AN under ACA Response received 6/13/14 from Mandy Cohen, MD MPH, letter sent by TSGAC dated 5/20/2014 re request for action on issues for AI/AN under ACA
    May 20, 2014DHHS Secretary, The Honorable Kathleen SebeliusRequest for Action on Outstanding Issues for AI/AN under ACA Appeal to reconsider an administrative fix for definition of Indian under ACA
    April 15, 2014IHS Director, Dr. Y.RoubideauxResponse Ltr Interpreting Section 402 of the Indian Health Care Improvement ActOn-Going discussions and provide comments
    March 31, 2014CMS-DHHS
    Attn: CMS Desk Officer
    CMS-3178-P; Comment on Proposed Emergency Preparedness RuleOn-Going collaboration and recommendations provided
    February 25, 2014CCIIO/CMS/DHHSComments on Draft 2015 CCIIO letter to issuers in the Federally-facilitated MarketplacesOn-Going collaboration and further discussions and recommendations
    January 31, 2014IHS Director, Dr. Y. RoubideauxDecember 6, 2013 DTLL on Expanding the Medicare-Like Rate Cape to Non-Hospital ServicesTSGAC Comments
    January 29, 2014DOT, Office of Economic Policy, Dr.Elaine BuckbergFollow-up from January 22,2014 IHS/TSGAC Quarterly MeetingOn-Going collaboration and participation in work groups establish to fashion approach implementing exemption
    January 22, 2014CMS/DHHS Attn: CMS-3288-NComments on CMS-2380-PN; Basic Health Program Proposed Federal Funding Methodology for 2015Recommend CMS modify proposed funding formula in determine amount of federal payment to states for AI/AN enrollees