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/PostedAddressed ToTopic/IssueAction(s) Needed
12/10/2019: TSGAC Brief - Click Here12/10/2019: TSGAC Brief - Tribal Sponsorship of Medicare Part B and Part D Premiums - December 10, 2019 – REVISED
July
27, 2016 - HHS ECP List Tip Sheet
Click Here
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
July 29, 2015: Webinar - Please Click Here for ROI Template (Instructions)

July 29, 2015: Webinar: - 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, 2015
Click Here
Centers 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.
June 26, 2015
Click Here
TTAG to CCIIO-CMS-DHHSCost Sharing ProtectionsIdentified barriers (and fixes) to AI/ANs accessing Indian-specific cost-sharing protections
May 15, 2015
Click Here
Internal 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, 2015
Click Here
Ms 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, 2015
Click Here
CCIIO-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, 2014
Click Here
DHHS/CMS- Regulations.govComments on CMS-9944-P;Notice of Benefits and Payment Parameters for 2016
December 19, 2014
Click Here
Ms. 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, 2014
Click Here
IHS 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, 2014
Click Here
CMS, 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, 2014
Click Here
Sylvia 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, 2014
Click Here
Dr. 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, 2014
Click Here
Sylvia 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, 2014
Click Here
DHHS 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, 2014
Click Here
DHHS 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, 2014
Click Here
IHS Director, Dr. Y.RoubideauxResponse Ltr Interpreting Section 402 of the Indian Health Care Improvement ActOn-Going discussions and provide comments
March 31, 2014
Click Here
CMS-DHHS
Attn: CMS Desk Officer
CMS-3178-P; Comment on Proposed Emergency Preparedness RuleOn-Going collaboration and recommendations provided
February 25, 2014
Click Here
CCIIO/CMS/DHHSComments on Draft 2015 CCIIO letter to issuers in the Federally-facilitated MarketplacesOn-Going collaboration and further discussions and recommendations
February 7, 2014
Click Here
Final Comments - TSGAC- CMS-9937-P Benefit and Payment Parameters 2015-...Final Comments - TSGAC- CMS-9937-P Benefit and Payment Parameters 2015-...
January 31, 2014
Click Here
IHS Director, Dr. Y. RoubideauxDecember 6, 2013 DTLL on Expanding the Medicare-Like Rate Cape to Non-Hospital ServicesTSGAC Comments
January 29, 2014
Click Here
DOT, 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, 2014
Click Here
CMS/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
Nov. 4, 2013 - 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