ACA/IHCIA In-Person Training Session
Tuesday Nov. 19 & Wednesday, Nov 20, 2024
We want to thank all of you who attended the ACA/IHCIA Training held on November 19-20, 2024 at Mohegan Sun in Uncasville, CT.
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) is excited to be hosting an in-person training on the Affordable Care Act/Indian Health Care Improvement Act (ACA/IHCIA) in Uncasville, CT. The Training is 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.
Day 1 – Nov. 19
ACA/IHCIA 101 Refresher
- Elizabeth Bailey, Government Relations Advisor, Hobbs, Straus, Dean and Walker
- Click here for 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
- Click Here for PPT presentation
Overview of Available Resources on the ACA/IHCIA Website
- Cyndi Ferguson, SENSE Incorportated, ACA/IHCIA Project Lead
- See the ACA/IHCIA website
Tribal Sponsorship: Payment of Marketplace Premiums and Medicare Parts B & D
- Doneg McDonough, Health System Analytics, LLC
- Tribal Sponsorship – Mohegan Training- handout slide set 2024-11-19c
- TSGAC Brief – Applicable Percentages Thresholds and Payments for ACA Provisions
- Tribal Sponsorship Tool Kit
- Sample Individual Enrollment Agreement
- Active User Insurance Status – Initial Data Request
- TSGAC Brief – Funding of Tribal Sponsorship of Marketplace Enrollees
- TSGAC Brief – Marketplace Payment and Other Protections for IHCPs
- TSGAC Brief – IHS-OMB Payment Rates for 2024
- TSGAC Brief—Tribal Sponsorship of Medicare Part B and D Premiums
Day 2 – Nov. 20
Overview of IHS/VA Agreement
- Elliott Milhollin, Partner, Hobbs, Straus, Dean and Walker
- Click here for the PPT Presentation
Current ACA/IHCIA Hot Topics
- Increasing health care resources and services through revenue cycle management
- Tihtiyas (Dee) Sabattus, Deputy Director, USET; Marcia Carlson, VP Revenue Integrity and Growth, Tribal Health Innovations
- Marcia Carlson, VP Revenue Integrity and Growth, Tribal Health Innovations
- Click here for the PPT Presentation
Community Health Aid Program (CHAP) Implementation – Updates and Challenges
- Martha Kether, CEO, Owner/Founder of Yona Consulting Services, USET Consultant and Technical Assistance to CHAP TAG
- Click here for the PPT Presentation
Current ACA/IHCIA Hot Topics (continued)
- Elliott Milhollin, Partner, Hobbs, Straus, Dean and Walker
- Implementation of the 4-walls Final Rule
- Expansion of Medicare Part B AIR to all outpatient clinics
- Requiring QHP plans to reimburse at the Medicaid AIR for Tribal Medicaid FQHCs
- Amending Part D Tribal Addendum to require payment from PBMs and other issuers
- Requiring Medicare Advantage plans to pay tribal providers at the AIR
- Reducing Costs to PRC and Tribal Self-Insured Plans through Medicare Like Rates
- Expanding access to tribes for Health Related Social Needs waivers
- Click here for the PPT Presentation
Identifying Top Priorities for the New Administration
- Facilitated by Cyndi Ferguson, SENSE Incorporated, ACA/IHCIA Project Lead
- Click here for the PPT Presentation