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American Indian and Alaskan Native
Dear Tribal Leader Letters
December 6, 2002 (PDF 38K)
CMS and IHS continue to exempt Tribal programs from OPPS. (Adobe Acrobat
Reader required)
March 14, 2002 (149K)
This letter provides information on the Native American Breast and Cervical Cancer
Treatment Technical Amendment Act of 2001. (Adobe Acrobat Reader required)
August 17, 2001 (258K)
This letter addresses the request of Tribes to more actively participate in the
planning and development of Medicaid and State Children's Health Insurance Program
(SCHIP) waiver proposals and renewals. (Adobe Acrobat Reader required)
August 17, 2001 (240K)
Letter regarding outstationing of trained workers in Tribal facilities and Urban Indian
health care facilities for the purpose of assisting potential Medicaid beneficiaries.
This 17 page document includes references to two State Medicaid Director letters.
(Adobe Acrobat Reader required)
July 11, 2001
Letter Reporting Results of American Indian/Alaskan Native Data Conference of September
2000
March 6, 2001
This letter, originally from the Indian Health Service, conveys information about the
impact of the "Alaskan Native and American Indian Direct Reimbursement Act of 2000".
November 17, 2000
Letter addressing policy direction for and clarification of the Emergency Medical
Treatment and Active Labor Act (EMTALA)
November 3, 2000
This letter concerns cost-sharing imposed on American Indians and Alaskan Natives (AI/AN),
outstationing eligibility workers on or near Tribal lands, and cross-state Medicaid
issues.
Other Tribal Correspondence
June 8, 2001 Internal Memorandum (283K)
This memorandum concerns Medicare Payment for Physician and Nonphysician Services Under
Part B in Certain Indian Providers as a Medicaid Third Party Liable Resource for
Medicare/Medicaid Dual Eligibles. This memo includes a Program Memorandum addressing this
subject and a Questions and Answers document. (Adobe Acrobat Reader required)
June 20, 2001 Internal Memorandum
This document concerns the Alaska Native and American Indian Direct Reimbursement Act of
2000 and includes an Indian Health Service Dear Tribal Leader letter.
The 24 Consultation Issues
Here are issues that were raised to the Health Care Financing Administration during its
consultation meetings with the Tribes in 1999 and through other meetings and requests.
December 23, 1998 Internal Memorandum
Subject: Policy Guidance Regarding Indian Health Care Reimbursement Issues. This memo
clarifies provisions of the Memorandum of Agreement between HCFA and the Indian Health
Service.
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