Tribal State Health Official Letter on 100% FMAP for Service скачать в хорошем качестве

Tribal State Health Official Letter on 100% FMAP for Service

On February 27, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a letter to States and Tribes providing guidance to update our policy regarding the circumstances in which 100 percent federal funding would be available for services furnished to Medicaid-eligible American Indians and Alaska Natives through facilities operated by the Indian Health Service (IHS) or Tribes. A copy of the letter can be found at: https://www.medicaid.gov/federal-poli... Through this letter, CMS is reinterpreting its payment policy with respect to services “received through” an IHS/Tribal facility, and is expanding the scope and nature of services that qualify for this matching rate. As explained in the letter, a service will be considered to be “received through” an IHS/Tribal facility for purposes of 100 percent Federal Medical Assistance Percentage (FMAP) to the extent that the IHS/Tribal facility is authorized to provide the service and the service is covered under the approved Medicaid state plan. That is, 100 percent FMAP will be available for services that are either furnished directly by the facility to a Medicaid-eligible AI/AN patient or by a non-IHS/Tribal provider when the service is provided at the request of an IHS/tribal facility practitioner on behalf of his or her patient and the patient remains in the Tribal facility practitioner’s care in accordance with a written care coordination arrangements. Join CMS Tribal Affairs for an All Tribes’ Call to review this new policy. CMS subject matter experts will be on the call to answer questions. We accept comments in the spirit of our comment policy: http://newmedia.hhs.gov/standards/com... As well, please view the HHS Privacy Policy: http://www.hhs.gov/Privacy.html