Self-Governance Communication & Education Tribal Consortium

Catastrophic Health Emergency Fund Proposed Rule

On January 26, 2016, the Indian Health Service (IHS) proposed a rule to make changes to the the Catastrophic Health Emergency Fund (CHEF).  The proposed rule proposes definitions governing CHEF and establishes that a Service Unit shall not be eligible for reimbursement for the cost of treatment until the episode of care’s cost has reached a certain threshold, a procedure for reimbursement for certain services exceeding a threshold cost, a procedure for payment for certain cases and a procedure to ensure payment will not be made from CHEF if other sources of payment (Federal, state, local, private) are available.

Comments on the proposed rule are due on March 11, 2016.  Comments may be submitted electronically to or postal mail to Betty Gould, Regulations Officer, Indian Health Service, Office of Management Services, Division of Regulatory Affairs, 5600 Fishers Lane, Mailstop: 09E70, Rockville, Maryland 20857.