CMS Division of Tribal Affairs
Important Information for our Tribal partners
SAVE THE DATE
CMS Tribal Affairs Webinars
All Tribes' Call:
Medicaid Managed Care Rules
Date: Thursday, June 25, 2015 Time: 3:00 - 4:00 p.m. ET
Conference number: 1-888-339-3507 Passcode: 583583
On May 26, 2015, CMS issued proposed rules on Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions related to Third Party Liability (CMS -2390-P) to modernize Medicaid and the Children’s Health Insurance Program (CHIP) managed care regulations. The Division of Tribal Affairs will be hosting an All Tribes’ Call to provide an overview of the proposed rules, including the tribal specific provisions. The proposed rule is available at https://www.federalregister.gov/public-inspection and can be viewed at https://www.federalregister.gov starting June 1. The deadline to submit comments is July 27, 2015. We encourage you to submit written comments during the comment period as outlined in the Federal Register notice. Written comments that are submitted during the comment period will become part of the official rulemaking record.
For more information about the proposed rule, please visit http://medicaid.gov/medicaid-chip-program-information/by-topics/delivery-systems/managed-care/managed-care-site.html
NEW CMS Medicaid Estate Recovery Rules and Protections for Indians Brochure
CMS Tribal Affairs is pleased to announce the release of the Medicaid Estate Recovery Rules and Protections for Indians Brochure. Section 5006 of the American Recovery and Reinvestment Act (ARRA) exempts certain Indian income, resources, and property from being subject to Medicaid Estate Recovery. This brochure explains the Medicaid Estate Recovery rules and the exemptions and protections for American Indians and Alaska Natives (AI/ANs). The Medicaid Estate Recovery Rules and Protections for Indians Brochure is now available for downloading at http://www.cms.gov/Outreach-and-Education/American-Indian-Alaska-Native/AIAN/Downloads/MedicaidEstateRecoveryBrochure.pdf
This brochure supports our outreach and education efforts to encourage AI/AN enrollment in CMS programs and was developed with input from the CMS Tribal Technical Advisory Group (TTAG) and our federal partners at Indian Health Service (IHS) and Health & Human Services Intergovernmental and External Affairs (HHS IEA).
For more outreach and education resources for AI/ANs and Indian health providers please visit the CMS AI/AN website: http://go.cms.gov/AIAN-OutreachEducationResources
CMS Funding: Apply for Navigator Grants
A new funding opportunity is available from the Centers for Medicare & Medicaid Services (CMS) to support Navigators in Federally Facilitated Marketplaces (FFM), including State Partnership Marketplaces. Navigators provide objective information about health coverage to consumers to help them make the best possible choice.
The grant is open to eligible individuals, as well as private and public entities, applying to serve as Navigators in states with an FFM. Grantees will be selected for a 3-year project period. A total of up to $67 million is available for the first year of the award.
The deadline to apply is June 15, 2015.
Questions on the Indian Exemption for American Indians and Alaska Natives
Beginning in 2014, all individuals must have health care coverage, have a health care coverage exemption, or pay a fee (tax penalty) if you file a federal income tax return. IRS Form 8965 is the form used to claim or report a health coverage exemption.
Form IRS 8965 can be located at:
- IRS Form 8965 Instructions- http://www.irs.gov/pub/irs-pdf/i8965.pdf
- IRS Form 8965- http://www.irs.gov/pub/irs-pdf/f8965.pdf
If the only health coverage you have is through the Indian Health Services (IHS) and you do not have other insurance, such as through your employer, or through a federal health program such as the Marketplace, Medicare, Medicaid or VA, you will need to file for an Indian Exemption to avoid paying any penalties. An Indian Exemption is available to members of federally recognized Tribes, Alaska Native Claims Settlement Act Corporation shareholders, and individuals eligible to receive services from an Indian health care provider.
For more information about how to claim an Indian exemption, please go to: https://www.healthcare.gov/american-indians-alaska-natives/exemptions/
CMS has developed a more detailed list of Frequently Asked Questions (FAQs) that can be downloaded here: AI/AN Exemption Frequently Asked Questions
NEW CMS Tribal Fact Sheets
Special Protections for AI ANs
AI AN Trust Income and MAGI
CMS Tribal Affairs is pleased to announce the release of two new fact sheets. The first fact sheet explains the Protections for American Indians and Alaska Natives (AI ANs) in the Marketplace, Medicaid and CHIP. The second fact sheet describes Modified Adjusted Gross Income (MAGI) and what that means for AI AN Trust Income. These fact sheets support our outreach and education efforts to encourage AI AN enrollment in CMS programs. The fact sheets were developed with input from the CMS Tribal Technical Advisory Group and our federal partners at IHS and HHS IEA.
Please feel free to distribute further. The fact sheets will be available for downloading on the CMS AI AN website at: http://go.cms.gov/AIAN-OutreachEducationResources
Click on our NEW
Care and a
CMS awards $3.9 million to improve access to quality health care services for American Indian and Alaska Native Children
The Centers for Medicare & Medicaid Services (CMS) awarded $3.9 million for outreach and enrollment efforts aimed at American Indian and Alaska Native children eligible for Medicaid and the Children’s Health Insurance Program (CHIP). The grant awards will fund activities to engage schools and tribal agencies in Medicaid and CHIP outreach and enrollment activities.
CMS awarded grant funds to health programs operated by the Indian Health Services, tribes, tribal organizations and urban Indian organizations located in seven states: Alaska, Arizona, California, Mississippi, Montana, New Mexico and Oklahoma.
“We are very pleased to support efforts that help eligible American Indian and Alaska Native children gain access to affordable health coverage,” said Director of the Center for Medicaid and CHIP Services Cindy Mann. “More people with health coverage also benefits local health care facilities, allowing them to offer more services and improve health care for the whole community.”
Several grantees will receive funds to conduct activities focused on helping eligible teens enroll in coverage. Grantees will work to ensure that eligible children retain coverage for as long as they qualify and will help guide families through the application process for Medicaid and CHIP.
Since 2009, the United States has made substantial progress toward reducing the number of children who remain uninsured, and toward providing health coverage to all children who are eligible for Medicaid and CHIP. Despite this significant progress, serious health coverage disparities persist, particularly for American Indian and Alaska Native children. Research shows that eligible American Indian and Alaska Native children are less likely to participate in Medicaid and CHIP and more likely to be uninsured compared with all children.
These awards, authorized under the Children’s Health Insurance Program Reauthorization Act of 2009 and extended by the Affordable Care Act, will help ensure American Indian and Alaska Native children have opportunities to get quality health care services which may not be available through their local Indian health care provider.
In states with expanded Medicaid, more parents and other adults in the family could be eligible for health coverage than in the past and can apply at any time.
For more information and a complete summary of the current American Indian and Alaska Native Connecting Kids to Coverage Outreach and Enrollment grants, visit http://www.insurekidsnow.gov/professionals/outreach/grantees/ai-an_ckc_grants.pdf
NEW Resource: Information and Tips for Assisters: Working with American Indians/Alaska Natives (AI/AN)
We posted a new resource to our Technical Assistance Resources page. Information and Tips for Assisters: Working with American Indians/Alaska Natives provides background information about existing and new options for AI/ANs related to affordable health coverage. The Marketplace provides certain protections specifically for AI/ANs. The tip sheet highlights these protections, how assisters can help AI/ANs submit their documentation to support Marketplace applications, and other resources.
A new question and answer (Q&A) regarding the Special Enrollment Period for American Indian and Alaska Native families has been posted on healthcare.gov/tribal
The Q&A explains that for those families that apply through the Federal-facilitated Marketplace, if one family member on the application is eligible for the Special Enrollment Period (SEP), all family members who apply on the same Marketplace application would be eligible for the SEP if otherwise eligible to enroll in a QHP. The Q&A explains that for those who enroll in a state based marketplace, you will need to contact your state regarding whether this policy applies.
To read the Q&A, please visit healthcare.gov/tribal or
- DTLL Tribal Consultation 022113 [PDF, 150KB]
- DTLL Tribal Consultation Policy Review 8.2.14 [PDF, 250KB]
- DTLL-2015-Health-Insurance-2-4-14 [PDF, 64KB]
- Navigator DTTL 4_10_2013 [PDF, 36KB]
- ITU Addendum Tribal Leader Letter [PDF, 1MB]
- Tribal Leader Letter 12/5/12 [PDF, 89KB]
- Medicare Part D ITU addendum [PDF, 741KB]
- CMS ICD-10 Industry Email Updates
- Indian Health Service - Opens in a new window
- Administration On Aging (AoA) - Opens in a new window
- ACF Administration For Native Americans - Opens in a new window
- DHHS Intergovernmental Affairs - Tribal Affairs - Opens in a new window
- Health Finder.gov - Opens in a new window
- National Congress Of American Indians - Opens in a new window
- National Indian Council On Aging - Opens in a new window
- National Indian Health Board - Opens in a new window
- Office of Tribal Justice - Opens in a new window
- Urban Indian Health - Opens in a new window
- Page last Modified: 07/07/2015 4:33 PM
- Help with File Formats and Plug-Ins