ACA/IHCIA In-Person Training Session
Wednesday, June 19 & Thursday June 20, 2024
We want to thank all of you who attended the ACA/IHCIA Training held on June 19-20, 2024 in Portland, OR.
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) was excited to host an in-person training on the Affordable Care Act/Indian Health Care Improvement Act (ACA/IHCIA) in Portland, OR. The Training was 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 – JUNE 19
ACA/IHCIA 101 Refresher
- Elizabeth Bailey, Government Relations Advisor, Hobbs, Straus, Dean and Walker
- ACA Marketplace Plans – How they work for Indian Country
- Medicaid Expansion and Waiver Opportunities for Indian Country
- IHCIA Improvements to Indian health law
- Click here for the 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
- Maximize funding opportunities from the IHS and Expanding Your Scope of Work
- Section 105(l) Leases
- Serving and billing non-beneficiaries
- Increasing your Medicaid revenues
- Accessing and Billing Medicare Part B and D
- Obtaining ACA Insurance Coverage for your members and billing those plans for services (Premium Sponsorship)
- Claiming CSC on Third Party Revenue
- Click here for the PPT Presentation
- Click here for Indian Addendum – Medicare Part D Agreement
- Click here for Indian Provisions in the Final Medicaid and CHIP Managed Care Regulations
- Click here for Overview and Model QHP Addendum for Indian Health Care Providers
- Click here for Model QHP Addendum for Indian Health Care Providers (pt. II)
- Click here for 105(l) Lease Checklist
Overview of Available Resources on the ACA/IHCIA Website
- Cyndi Ferguson, SENSE Incorportated, ACA/IHCIA Project Lead
- Click here for the PPT presentation
Tribal Sponsorship: Payment of Marketplace Premiums and Medicare Parts B & D
- Doneg McDonough, Health System Analytics, LLC
- How to plan for and steps needed to initiate a Tribal Sponsorship Program
- Advantages/Challenges
- Questions and Answers from Participants
- Click here for the PPT Presentation
- Click here for Sample Individual Enrollment Agreement
- Click Here for the TSGAC Issue Brief on Tribal Sponsorship of Medicare Parts B & D
- Active user Insurance Status (NEW)
Day 2 – June 20
CHAP Overview and Implementation
- Christina Friedt, Tribal Community Health Provider (TCHP) Senior Program Director, Northwest Portland Area Indian Health Board (NPAIHB); Carrie Sampson Samuels, CHAP Program Director, NPAIHB; Lisa Rhine Griggs, TCHP Program Manager, NPAIHB; Miranda Davis, Dental Health Aide Program Director, NPAIHB; Dolores Jimerson, Behavioral Health Aide Program Director, NPAIHB; Stephannie Christian, TCHP Education Programs Director, NPAIHB; Tanya Firemoon, CHAP Certification Board Consultant, Fort Peck Tribes
- What is CHAP and how does it support Tribal Self-Determination
- The Components of a CHAP Program (what you need to do to implement CHAP)
- What are the Three Disciplines of CHAP
- Community Health Aide/Practitioner
- Dental Health Aide/Therapist
- Behavioral Health Aide/Practitioner
- Regulatory Infrastructure
- Area Standards and Procedures
- Area Certification Boards
- Federal Infrastructure
- Education/Training programs
- The relationship between Area Standards and Procedures, eHAM, and curriculum
- Approval of education/training programs
- CHAP Advocacy and Education
- Budget
- Federal
- Area
- Tribal/Community
- IHS CHAP TAG
- Federal infrastructure
- Update on Federal implementation and timeline
- Click Here for the PPT Presentation
- The National Association of State Mental Health Program Directors (NASMHPD)
- Link for the Making Relatives video
- Manual: “Making Relatives” A GUIDE FOR HEALING THE SOUL WOUND