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CMS Division of Tribal Affairs 

Important Information for our Tribal partners 


Administration for Community Living
2015 Tribal Consultation Session in conjunction with IHS

In coordination with the Indian Health Service (IHS), the Administration for Community Living/Administration on Aging’s (ACL/AoA ) 2015 Tribal Consultation Session will take place at the Mayflower Renaissance Washington DC Hotel, 1127 Connecticut Avenue, NW, Washington, DC 20036 on August 11th from 8:00 a.m. to 12:00 noon.

Dr. Susan Karol, the Chief Medical Officer from IHS and Kathy Greenlee, Assistant Secretary for Aging/Administrator ACL will jointly preside over this Tribal Consultation to respond to issues concerning tribal elders that can be addressed to both agencies.

This Consultation will provide an opportunity for Tribes to share their views and priorities in respect to the Older Americans Act, the Indian Health Care Improvement Act Long Term Services and Support provisions, and disability issues in Indian Country.  Testimony may be given orally or in writing by submitting via E-mail to  There is an opportunity to pre-register for oral testimonies as well as the conference by visiting

The ACL/AoA is committed to meaningful consultation with Tribes and Tribal Organizations administering our Title VI Nutrition and Supportive Services Programs as well as the Native American Caregiver Support Programs.  This consultation will be held in conjunction with our ACL/AoA 2015 Title VI Training & Technical Assistance Conference which will be held from August 10th - 13th.  This conference provides Title VI Directors an opportunity for training on the basic requirements of our programs as well as innovative ideas for our more experienced Directors.  

For more information please contact Cynthia LaCounte, ACL/AoA, Director of the Office for American Indian, Alaskan Native and Native Hawaiian Programs at 202-357-0148 or by email at


CMS Tribal Affairs All Tribes Calls & Webinars



Using Navigators in Native Communities
Wednesday, August 5, 2015

3:00 - 4:00 PM ET 
Call-in Number: (855) 897-8197 
Webinar link:

This webinar will describe the work of Navigators in Native communities, whether on the reservation or in urban environments, who assist American Indians and Alaska Natives to navigate the process of obtaining third party coverage. This coverage may be through Medicaid, CHIP, or a qualified health plan available through the health insurance marketplace. This webinar will provide a forum for Navigators who have worked in Native communities to discuss promising practices they have implemented in their communities and reflect on lessons they have learned in executing initiatives that did not work as planned.


Tinka Duran, Great Plains Tribal Chairmen's Health Board
Monica Marthell, Native American Professional Parent Resource
Ashley Tuomi, American Indian Health and Family Services


Two Part Series
Partnerships with the VA: Reaching & Serving Indian Country’s Veterans

Wednesday, August 5, 2015
Monday, August 24, 2015

1:00 - 2:30 PM ET
Call-in Number: (855) 897-8197
Webinar link:

The Centers for Medicare & Medicaid Services (CMS) Division of Tribal Affairs in partnership with the Veterans Administration(VA) will host a two part webinar for Veterans who have earned access to a broad range of benefits as a result of their service in the armed forces.  This two part series provides listeners with important information necessary to understand benefits Veterans have earned through their service.  

Part I:   Focuses on benefits administered by the Veterans Benefits Administration.  This webinar will provide an overview of service-connected compensation, pension, educational benefits, vocational rehabilitation, employment, other benefits and services.   

Part II: Focuses on how to establish health care reimbursement agreements with the VA. This webinar will provide an overview of how Veterans enroll in the VA healthcare system, the VA medical benefits package, care coordination with local VA resources and highlight the process for current progress made on the VA/IHS/Tribal Health Program (THP) Reimbursement Agreement.

For more information about enrolling in the VA Medical Benefits program and establishing Reimbursement Agreements with the VA please visit: - “Healthcare Benefits Overview 2015”

THP Reimbursement Agreements

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

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:

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:

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: 

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:

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