In 2019, TSGAC recommended that the CMS Tribal Technical Advisory Group urge CMS to consider the following: 1. Individual health plan issuers identified in the report be contacted by CCIIO, informed of the deficiencies in their SBCs, and educated on the need to act rapidly to correct these deficiencies; and 2. Given the amount of …
2019- TSGAC Letter: Re-Review of Summary of Benefits and Coverage Documents Read More »
Excerpt: “TSGAC respectfully requests that IHS provides a full accounting of the reprogrammed and appropriated funds utilized to fulfill all of the FY2018 requests for 105(l) leases. This accounting should include the IHS Services line items that have been impacted, the impact of reprogramming changes by IHS Area, the number of leases requested, and the …
In 2019, TSGAC offered comments to the VA on its Strategic Plan.
TSGAC expressed concern to IHS regarding its practice of reprogramming funds from other IHS accounts or funding intended for inflation costs or other purposes. TSGAC offered the following recommendations: (1) Request supplemental appropriations for FY 2019 105(l) leases. (2) Find other sources of funding for FY 2019 105(l) leases. (3) Convene a technical workgroup to …
Excerpt: “Recommendation: THPs, in particular, work hard to provide a seamless health care experience. Lack of coordination of care for specialty care and other medically necessary care paid by PRC will only create more barriers for our veterans. We recommend that the VA include PRC in the IHS/THP reimbursement agreements so that there is no …
2018- TSGAC Issue Area Summary – Reimbursement for Purchased and Referred Care (PRC) Read More »
