Spotlight: Educating tribes on LTSS reimbursement
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Long-term services and supports (LTSS) enable elders across Indian Country to live independently. Although federal Title VI grants are significant funding sources for tribal LTSS programs, participation in state Medicaid home- and community-based service (HCBS) waivers can help ensure program sustainability.
HCBS are types of person-centered care delivered in the home and community. HCBS programs address the needs of people with functional limitations who need assistance with everyday activities, like getting dressed or bathing. HCBS are often designed to enable people to stay in their homes, rather than move to a facility for care.
HCBS programs generally fall into two categories: health services and human services. The programs may offer a combination of both types of services and do not necessarily offer all services from either category.
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Many state Medicaid waiver programs will reimburse tribes for HCBS that fall in the category of human services, such as transportation and home-delivered meals.
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Later this year, the Administration for Community Living will release a newly updated manual to help tribes bill Medicaid for waiver-eligible services.
Titled “Building Tribal Long-Term Care through Title VI Programs: How to Capture Medicaid Reimbursements for Aging Services,” the manual will walk users through:
- The differences between Title VI grants, Medicaid plans, and Medicaid waivers
- The enrollment process for state Medicaid waiver programs
- Basic tribal LTSS provider requirements for Medicaid HCBS waiver programs
- HCBS Medicaid waiver program billing requirements
Additionally, the manual will include a list of services and eligibility requirements for each state’s Medicaid waivers, as listed by CMS. An up-to-date list of each state’s waivers is also available online.
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October: Breast cancer screening
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Share this ad in your newsletter or on your website. Other sizes will be available on CMS’s Outreach and Education Resources page.
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Public service announcements
Share these brief audio clips and videos, available in several Native languages and English, on your local radio station, website, and Facebook page.
 Audio clips
 Videos
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Flyers and fact sheets
Access these resources online at your convenience.
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Early detection of breast cancer
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October is Breast Cancer Awareness Month. And this year, Indigenous Pink Day falls on October 15. Both health observances highlight the importance of mammograms for the early detection of breast cancer.
Mammograms are covered by Medicare, Medicaid, and most health care coverage plans as a preventive health service. Breast cancer is more likely to be treatable when it is caught early. Help save lives by encouraging Native women to take the Indigenous Pink Screening Pledge today.
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New guidance to reduce first responders’ risk for COVID-19
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The Federal Healthcare Resilience Task Force recently published Interim Guidance: COVID-19 and Field Trauma Triage Principles (PDF, 166 KB, 3 pp).
Intended for state, local, tribal, and territorial government first responders, the document helps emergency medical service systems plan for and respond to events requiring triage during the ongoing pandemic.
The document outlines general principles to reduce first responders’ risk for COVID-19. It also lists considerations specific to acute trauma or mass casualty events.
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Emergency preparedness training for CBOs
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The Federal Emergency Management Agency now offers online preparedness training to help food pantries, nonprofits, and other community-based organizations (CBOs) continue operating during disasters.
Titled Organizations Preparing for Emergency Needs, the training walks participants through 10 preparedness actions. It also provides CBOs with a roadmap for developing their own disaster response plans.
The training is available in 2 formats—a self-guided online course for individuals that lasts about 1.5 hours and an instructor-led course for groups that takes about 4.5 hours.
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Luce Indigenous Knowledge Fellowship
Deadline: October 22, 2020
View the Luce Indigenous Knowledge Fellowship funding opportunity The Henry Luce Foundation is offering funds to support Native individuals who are leading efforts to transform their communities. Health professionals, policy makers, and others are encouraged to apply.
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Some events may be cancelled, postponed, or held virtually as public health officials monitor COVID-19 safety measures during this time. Please check the events’ pages for updates on event status.
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Behavioral Health Integration Webinar Series
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Sponsored by the Indian Health Service Tele-Behavioral Health Center of Excellence, this webinar series is intended for social workers, psychologists, counselors, and other health care team members.
Dates/titles of upcoming webinars (all held at 12 pm eastern)
October 15, 2020: Evidence-Based Screeners, Interventions, Programs, and Practices
October 22, 2020: Pediatric Model of Integrated Care
November 5, 2020: Social Determinants of Health: Culturally Adapted for American Indian and Alaska Native Communities
December 3, 2020: Psychotropic Medications in an Integrated Care Setting
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Understanding the Dynamics and Tactics of Intimate Partner Violence through the Lens of Indigenous Survivors
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October 21, 2020, at 3 pm eastern
Register for the Intimate Partner Violence webinar
Sponsored by the National Indigenous Women’s Resource Center, this webinar will highlight the importance of cultural practices in strengthening capacity to advocate effectively for survivors of intimate partner violence.
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NNHRTI Webinar Series
The National Native Health Research Training Initiative (NNHRTI) webinars are opportunities for American Indian and Alaska Native scientists and health professionals to share knowledge that addresses the health needs of Native communities.
Please check NNHRTI’s webinar information page periodically for more information about upcoming webinars.
Dates of upcoming webinars (held at 2 pm eastern)
October 21, 2020
November 18, 2020
December 9, 2020
January 13, 2021
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Contact Us
Do you have news to share? Send it to coveringic@kauffmaninc.com for possible inclusion in an upcoming newsletter. Contact us with other comments or feedback, too.
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About the Newsletter
Covering Indian Country is published by the Centers for Medicare & Medicaid Services (CMS) Division of Tribal Affairs to share resources, success stories, and best practices with the people who connect tribal communities to health care coverage.
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