Advisory Committee Correspondence

2015 – TSGAC – Interpretation of Duplication Provision in 25 U.S.C. § 450j-1(a)(3)

Letter to to express concern over the Indian Health Service’s recent reinterpretation of the duplication provision found in the Indian Self-Determination and Education Assistance Act (ISDA), 25 U.S.C. § 450 et seq. The agency’s new position that duplication is based on categories of funding, rather than the actual dollars provided in the Secretarial amount, drastically …

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2015- TSGAC Letter: Expediting the Review and Publication of the Final Medicare-Like Rate – November

Letter to Secretary Burwell, HHS, requesting assistance from the HHS regarding expediting the review and publication of the Final Rule related to expanding the Medicare-Like Rate, entitled “Payment for Physician and Other Health Care Professional Services Purchased by Indian Health Programs and Medical Charges Associated With Non-Hospital-Based Care,” 79 Fed. Reg. 72160, originally published on …

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2014- TSGAC Comments: CMS – Third-Party Payments of Premiums for Qualified Health Plans (QHPs) in the Marketplace

On November 4, 2013, the Center for Medicare & Medicaid Service (CMS) issued a frequently asked question (FAQ) related to third party payments of premiums for qualified health plans (QHPs) in the Marketplace. Since then, questions have arisen whether this FAQ applies to payments of premiums and cost sharing made on behalf of QHP enrollees …

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