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Medicaid Services “Received Through” an Indian Health Service/Tribal Facility: A Request for Comment

The Centers for Medicare & Medicaid Services (CMS) is updating its policy regarding the circumstances in which 100 percent federal funding would be available for services furnished to Medicaid-eligible American Indian and Alaska Native (AI/AN) individuals through facilities of the Indian Health Service (IHS) or Tribes.

On October 27, 2015, CMS issued a Request for Comment (PDF, 94.21 KB) that described the policy options being considered and sought feedback from states, Tribes, and other stakeholders. Below are the comments received through the deadline of November 17, 2015.

Nevada (PDF, 1.05 MB)

Urban Indian Center San Francisco, CA (PDF, 11.43 MB)

Urban Indian Center in Albuquerque, NM (PDF, 1.67 MB)

South Dakota Health Care Solutions (PDF, 166.62 KB)

Urban Indian Center in Great Falls, MT (PDF, 529.72 KB)

Oneida Nation, New York (PDF, 3.17 MB)

Urban Indian Center Tulsa, OK (PDF, 11.95 MB)

Urban Indian Center San Diego, CA (PDF, 8.99 MB)

Urban Indian Center Denver, CO (PDF, 379.59 KB)

AI/AN Beneficiary letters that utilize Urban Indian Center in Denver, CO (PDF, 987.48 KB)

Individual letter from Jim Crouch, MPH (PDF, 2.04 MB)

Native Directions – Urban Indian Center, Manteca, CA (PDF, 1.19 MB)

Wyoming (PDF, 78.52 KB)

CCUIH (PDF, 241.88 KB)

Montana (PDF, 72.21 KB)

Maniilaq Association (tribal) (AK) (PDF, 3.57 MB)

Great Plains Tribal Health Board (PDF, 263.22 KB)

Nebraska (PDF, 132.52 KB)

Tribal Self Governance Advisory Committee (TSGAC) (PDF, 308.43 KB)

SE Michigan Urban (PDF, 143.8 KB)

University of California, San Francisco (stakeholder) (PDF, 3.41 MB)

Sisseton-Wahpeton Oyate of the Lake Traverse Reservation (tribal) (PDF, 1.96 MB)

American Academy of Pediatrics (stakeholder) (PDF, 208.06 KB)

Center on Budget and Policy Priorities (stakeholder) (PDF, 84.91 KB)

CRIHB (PDF, 412.83 KB)

SD Urban (PDF, 332.88 KB)

Sacramento Urban (PDF, 425.75 KB)

Salt Lake City Urban (PDF, 198.77 KB)

Wichita Urban (PDF, 1.85 MB)

TTAG (PDF, 523.67 KB)

NIHB (PDF, 341.65 KB)

Los Angeles Urban (PDF, 1.85 MB)

National Congress of American Indians (PDF, 515.65 KB)

Oglala Sioux Tribe (SD) (tribal) (PDF, 590.1 KB)

Cook Inlet Tribal Council, Inc (PDF, 419.13 KB)

Helena Indian Alliance – Helena MT Urban (PDF, 2.36 MB)

National Association of Medicaid Directors (PDF, 405.83 KB)

Sac and Fox Nation (OK) (Tribal) (PDF, 74.97 KB)

Cheyenne River Sioux Tribe (SD) (tribal) (PDF, 686.61 KB)

Molina Healthcare Inc. (stakeholder) (PDF, 110.67 KB)

Milwaukee Urban (PDF, 2.34 MB)

Rosebud Sioux Tribe (SD) (PDF, 925.47 KB)

Alaska (PDF, 63.23 KB)

Oklahoma (PDF, 72.48 KB)

Pueblo de Cochiti (tribal) (PDF, 59.74 KB)

Chickasaw Nation (tribal) (PDF, 578.55 KB)

Minnesota (PDF, 129.9 KB)

Nebraska Urban Indian Health Coalition, Inc., - Omaha Urban (PDF, 70.24 KB)

Fond du Lac Band of Lake Superior Chippewa (WI) (tribal) (PDF, 58.64 KB)

Arizona (PDF, 103.64 KB)

America’s Health Insurance Plans (stakeholder) (PDF, 29.41 KB)

Georgetown University McCourt School of Public Policy (PDF, 71.68 KB)

Utah (PDF, 395.14 KB)

Colorado (PDF, 145.55 KB)

United South and Eastern Tribes (USET) (Tribal) (PDF, 337.22 KB)

Native Americans for Community Action (PDF, 251.68 KB)

Native Americans for Community Action (PDF, 171.41 KB)

Indian Health Center of Santa Clara Valley (PDF, 124.97 KB)

New Mexico (PDF, 127.87 KB)

Wyoming (PDF, 78.52 KB)

Navajo Nation (PDF, 2.96 MB)

Fresno Urban (PDF, 415.24 KB)

Inter Tribal Association of Arizona (ITAA) (PDF, 369.18 KB)

National Council of Urban Indian Health (NCUIH) (PDF, 321.84 KB)

Chugachmiut (AK) (Tribal) (PDF, 3.97 MB)

Ketchikan Indian Community (AK) (Tribal) (PDF, 1.44 MB)

Southcentral Foundation (AK) (Tribal) (PDF, 7.32 MB)

Alaska Native Tribal Health Consortium (ANTHC) (PDF, 888.12 KB)

Alaska State Hospital and Nursing Home Association (stakeholder) (PDF, 129.22 KB)

California (PDF, 75.79 KB)

Alaska Native Health Board (ANHB) (PDF, 888.12 KB)

Native Health (Urban) (PDF, 361.44 KB)

Kenaitze Indian Tribe (PDF, 70.85 KB)

Native American Rehabilitation Assoc. of the North West (PDF, 1.69 MB)

United Indian Health Services, Inc. (PDF, 2 MB)

Menominee Indian Tribe of Wisconsin (PDF, 5.2 MB)

Cheyenne & Arapaho Tribes (PDF, 6.31 MB)

In addition to receiving individual letters, CMS received several emails providing feedback on our proposed policy change. In order to make these emails publicly available, we have inputted the contents of the received emails into a chart. Comments submitted by email (PDF, 124.64 KB).