We want to thank all of you who attended the ACA/IHCIA Training held on June 19-20, 2024 in Portland, OR. As promised, please see below for the related PPT presentations and hand-outs that were discussed during the training. Please feel free to share with others in your Tribe/Organization.
Purpose of Training: The Tribal Self-Governance Advisory Committee (TSGAC) was excited to host an in-person training on the Affordable Care Act/Indian Health Care Improvement Act (ACA/IHCIA) in Portland, OR. The Training was targeted for Tribal leaders, Health Directors and front-line health care staff who would like to learn more about opportunities available under the ACA/IHCIA.
Agenda
Day 1 – June 19
ACA/IHCIA 101 Refresher :
Elizabeth Bailey, Government Relations Advisor, Hobbs, Straus, Dean and Walker- ACA Marketplace Plans – How they work for Indian Country
- Medicaid Expansion and Waiver Opportunities for Indian Country
- IHCIA Improvements to Indian health law
- Click here for the PPT Presentation
- Click here for Indian Provisions in the ACA/IHCIA
- Opportunities to Increase Health Care Revenues
Elliott Milhollin, Partner, Hobbs, Straus, Dean and Walker- Maximize funding opportunities from the IHS and Expanding Your Scope of Work
- Section 105(l) Leases
- Serving and billing non-beneficiaries
- Increasing your Medicaid revenues
- Accessing and Billing Medicare Part B and D
- Obtaining ACA Insurance Coverage for your members and billing those plans for services (Premium Sponsorship)
- Claiming CSC on Third Party Revenue
- Click here for the PPT Presentation
- Click here for Indian Addendum – Medicare Part D Agreement
- Click here for Indian Provisions in the Final Medicaid and CHIP Managed Care Regulations
- Click here for Overview and Model QHP Addendum for Indian Health Care Providers
- Click here for Model QHP Addendum for Indian Health Care Providers (pt. II)
- Click here for 105(l) Lease Checklist
- Overview of Available Resources on the ACA/IHCIA Website
Cyndi Ferguson, SENSE Incorportated, ACA/IHCIA Project Lead
- Tribal Sponsorship: Payment of Marketplace Premiums and Medicare Parts B & D
Doneg McDonough, Health System Analytics, LLC- How to plan for and steps needed to initiate a Tribal Sponsorship Program
- Advantages/Challenges
- Questions and Answers from Participants
- Click here for the PPT Presentation
- Click here for Sample Individual Enrollment Agreement
- Click Here for the TSGAC Issue Brief on Tribal Sponsorship of Medicare Parts B & D
- Active user Insurance Status (NEW)
Day 2 – June 20
- CHAP Overview and Implementation
Christina Friedt, Tribal Community Health Provider (TCHP) Senior Program Director, Northwest Portland Area Indian Health Board (NPAIHB)
Carrie Sampson Samuels, CHAP Program Director, NPAIHB
Lisa Rhine Griggs, TCHP Program Manager, NPAIHB
Miranda Davis, Dental Health Aide Program Director, NPAIHB
Dolores Jimerson, Behavioral Health Aide Program Director, NPAIHB
Stephannie Christian, TCHP Education Programs Director, NPAIHB
Tanya Firemoon, CHAP Certification Board Consultant, Fort Peck Tribes - What is CHAP and how does it support Tribal Self-Determination
- The Components of a CHAP Program (what you need to do to implement CHAP)
- What are the Three Disciplines of CHAP
- Community Health Aide/Practitioner
- Dental Health Aide/Therapist
- Behavioral Health Aide/Practitioner
- Regulatory Infrastructure
- Area Standards and Procedures
- Area Certification Boards
- Federal Infrastructure
- Education/Training programs
- The relationship between Area Standards and Procedures, eHAM, and curriculum
- Approval of education/training programs
- CHAP Advocacy and Education
- Budget
- Federal
- Area
- Tribal/Community
- IHS CHAP TAG
- Federal infrastructure
- Update on Federal implementation and timeline
- Click Here for the PPT Presentation
- The National Association of State Mental Health Program Directors (NASMHPD)
- Link for the Making Relatives video
- Manual: “Making Relatives” A GUIDE FOR HEALING THE SOUL WOUND