Covering Indian Country – August 2021

Centers for Medicare and Medicaid Services: Covering Indian Country

August 2021

Spotlight: 2021 SEP deadline and benefits for AI/ANs from the ARP

Image of a man running down a road and the words "Get ready. Get set. Go! Deadline August 15"

August 15, 2021, is the last day of the 2021 Special Enrollment Period (SEP), which is available in states enrolled in the federal Marketplace through HealthCare.gov. To access the SEP, consumers need to complete an application by August 15 and select a plan within 30 days of completing their application.

Since the start of the SEP on February 15, 2021, more than 1.5 million people have enrolled in health coverage at HealthCare.gov, and as of June 30, 2021, more than 7,200 American Indians and Alaska Natives (AI/ANs) have signed up during the 2021 SEP. Additionally, more than 2.5 million current enrollees have returned to the Marketplace to find average savings of more than $40 per month on their premiums.

Under the 2021 SEP, eligible consumers who are not currently enrolled in health care coverage have the opportunity to sign up for a plan that best meets their needs. Thanks to the American Rescue Plan Act (ARP), there are many benefits for new and current enrollees. For example, current enrollees may opt to review their health care coverage application, update their information as needed, submit their application, and either select a new plan or reselect their current plan to receive increased savings. New data show that returning consumers can save, on average, 40% off of their monthly premiums because of enhanced tax credits in the ARP. Since the implementation of the tax credits on April 1, 2021, 34% of new and returning consumers have found coverage for $10 or less per month on HealthCare.gov.

AI/AN consumers who have incomes under 100% of the federal poverty level generally do not qualify for Advanced Premium Tax Credits (APTC), but could qualify for Medicaid or CHIP, or could still qualify for limited cost-sharing for Marketplace plans. Additionally, under the ARP, households with a tax filer who receives unemployment for at least one week during 2021 can be eligible for APTC even with incomes under 100% federal poverty level (FPL), and can qualify for coverage with both increased APTC and zero cost-sharing. So everyone should come back and update their information to see if they can receive increased savings!

Enroll by August 15 at Healthcare.gov!

For certain eligible enrollees who already had APTC applied to their Marketplace plans, but who did not return to actively update their applications themselves since the ARP benefits first became available in April 2021 (and in July for unemployment compensation recipients), the federal Marketplace automatically updated APTC in early August for these enrollees, with an effective date of September 1, 2021. As such, these enrollees can still return to the Marketplace now to adjust the APTC applied to their plans, and check if they qualify for cost-sharing reductions, the latter of which was not automatically updated by the Marketplace in the ARP redetermination process.

Although members of federally recognized tribes, Alaska Native Claims Settlement Act (ANCSA) shareholders, and non-tribal members who apply on the same application can qualify for an SEP at any time, and can change plans up to once a month, households with tribal and non-tribal members whose incomes fall below 300% of the FPL should consider enrolling in separate Marketplace plans during the 2021 SEP to get coverage as soon as possible. While current enrollees can update their applications to receive increased savings under the ARP after the close of the 2021 SEP, non-tribal members may be limited in their ability to change plans and tribal members may have to wait longer for their coverage to start.

For example, one potential advantage of the 2021 SEP is that it provides “accelerated” effective dates, so that coverage starts on the first day of the month following plan selection, regardless of which day during the month the applicant selects their plan. In contrast, consumers who select a plan after the 2021 SEP ends and through the AI/AN SEP will have a coverage start date based on the day of the month they select their plan.

  • Plan selection on or before the 15th of any month will provide coverage that starts on the 1st of the following month. For example, if you select a plan by August 15, your coverage will activate on September 1. (Plan selection on or after the 15th of a month will provide coverage that starts on the first of the next following month. For example, if you apply and select a plan on October 16 through the AI/AN SEP, your coverage will start on December 1.)
  • If one family member on the application is eligible for the AI/AN SEP, all family members who apply on the same Marketplace application are eligible. This is true even if different family members are eligible for different Marketplace plans due to help with cost-sharing that’s based on AI/AN status.

Apply by August 15, 2021! The HealthCare.gov application includes a comparison tool that helps households determine which plans work for them. The tool sorts household members into different enrollment groups based on the household information provided. Applicants then view the plans available for each enrollment group.

August: Back-to-school checklist

The August 2021 PSA features a smiling Native boy. What’s on your back-to-school checklist? New supplies? New clothes? New immunizations? Don't start the year unprepared. Keep their vaccines current with health care coverage. Visit InsureKidsNow.gov or call 1-877-KIDS-NOW. Contact your local Indian health care provider for more information, visit Healthcare.gov, or call 1–800–318–2596.

Share this ad in your newsletter or on your website. For more information, please visit CMS’s Outreach and Education Resources page.

Public service announcements

Share these brief audio clips and videos, available in Native languages and English, on your local radio station, website, and Facebook page.

SoundcloudAudio clips



YoutubeVideos

TwitterTweet it

Is health care coverage on your back-to-school checklist? Sign up today.

https://youtu.be/nb0U7Z8vGZ8

#CMSNativeHealth

Brochures and fact sheets

 A collage of 3 resources: (1) My Health--Children's and Adult Vaccinations (2) Children's Health Checklist (3) Off to College? Don't Forget Your Health Care brochure

Download these resources or order copies on the Tribal Products Ordering Page. Please allow 2 weeks for your order to be completed.

 

Health observances

August is National Immunization Awareness Month

Social media graphic shows a masked Native woman with the words "Vaccinated for the love of our people"

In observance of National Immunization Awareness Month, download and share resources from the Johns Hopkins Center for American Indian Health to promote vaccination of adolescents and adults against COVID-19. Those resources include:

Also, encourage tribal community members to visit For the Love of Our People, where they may access a vaccination conversation guide (PDF, 282 KB, 3 pp), social media graphics, and more.

Opioid Misuse Prevention Day: August 31

Front cover of A Trickster Tale -- Outsmarting Opioids Through Education and Action

In the weeks leading up to Opioid Misuse Prevention Day, share the link to A Trickster Tale – Outsmarting Opioids Through Education and Action (PDF, 2.6 MB, 24 pp).

Published by the Northwest Portland Area Indian Health Board, the booklet includes a list of steps tribal communities can take to prevent opioid misuse.

Additional resources

New book for AI/AN children in grades K–3

Front cover of the book Stars that Connect Us

A new book in the Star Collection, a series for children in grades K–3, is now available online.

Stars that Connect Us (PDF, 5.6 MB, 39 pp) highlights AI/AN children’s connections to each other, caregivers, and community members. The book also encourages young readers to identify people to whom they can turn for support.

The Star Collection series celebrates strong ties to culture and community and promotes safe, stable, and nurturing relationships.

Marisa Erven (Coquille Indian Tribe) wrote and illustrated both books in the series, in collaboration with the National Center for Injury Prevention and Control.

Essential behavioral health services

Image of woman comforting a young girl. For a bit of extra help, know that Medicaid and CHIP have them covered. #Enroll365

Before the COVID-19 pandemic, as many as 1 in 6 U.S. children between the ages of 6 and 17 had a treatable mental health condition.

Since then, pandemic-related disruptions of routines, schooling, and socialization have contributed to increases in anxiety and depression among young people.

Left untreated, behavioral health issues can make it difficult for children and adolescents to concentrate and learn.

That’s why CMS urges outreach workers and enrollment assisters to remind parents and other caregivers that children and adolescents enrolled in Medicaid or CHIP are eligible to receive essential mental and behavioral health services.

InsureKidsNow offers videos, social media messages, and other resources that encourage parents and caregivers to enroll in Medicaid and CHIP for access to important mental health care services.

Additionally, Native Communities Can Heal (PDF, 2.1 MB, 2 pp) provides AI/AN-specific information about essential behavioral health benefits.

Funding opportunities

Center for Indigenous Innovation and Health Equity

Deadline: August 16

View the Center for Indigenous Innovation and Health Equity funding opportunity

The Office of Minority Health plans to award 2 cooperative agreements for the establishment of a Center for Indigenous Innovation and Health Equity. The center will support education, policy development, and research to advance health equity for American Indian and Alaska Native populations. Tribes and tribal organizations are encouraged to apply.

Minority Leaders Development Program

Deadline: August 17

View the Minority Leaders Development Program funding opportunity

The Office of the Assistant Secretary for Health (OASH) is seeking applicants for the Minority Leaders Development Program. Through this opportunity, programs will identify and promote effective approaches for improving health outcomes for racial and ethnic minority populations.

OASH plans to award 3 cooperative agreements of up to $750,000 each. Tribes and tribal organizations are encouraged to apply.

Grants to address chronic disease among urban AI/ANs

Deadline: August 31

View the chronic disease management funding opportunities

The Urban Indian Health Institute will provide a minimum of 6 Sage grants (up to $95,885 each) and up to 4 Sweetgrass grants ($10,000 each) to address chronic disease education, prevention, and management for urban AI/AN populations.

The grants are funded by the Centers for Disease Control and Prevention. Urban Indian organizations as well as urban Native health and human service organizations are encouraged to apply.

Calendar of events

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.

17th Annual Phoenix Area IHS Integrated Behavioral Health Conference

Virtual
Register for the Phoenix Area Indian Health Service (IHS) Integrated Behavioral Health Conference

This year’s Phoenix Area IHS Integrated Behavioral Health Conference will be a series of online trainings offered on Tuesday mornings. Dates and session topics are listed below.

August 17
Eye Movement Desensitization and Reprocessing Therapy
Suicide Prevention: A Community Safety Network

August 24
Historical Healing and Trauma
Interpersonal Violence After the Pandemic Lockdown

August 31
Session topics to be announced at a later date

2021 Circle of Harmony HIV/AIDS Wellness Conference

August 24–26
Virtual
Register for the Circle of Harmony HIV/AIDS Wellness Conference

Plan to attend the 2021 Circle of Harmony HIV/AIDS Wellness Conference, which will address prevention of HIV/AIDS and substance abuse from a Native American perspective. The conference’s theme is “Uplifting Our People: Soaring to New Heights.” Topics include strategies for advancing health equity and the intersection of mental health with HIV prevention and treatment.

9th International Meeting on Indigenous Child Health

September 10–11
Virtual
Register for the International Meeting on Indigenous Child Health

The National Indian Health Board serves on the planning committee for the International Meeting on Indigenous Child Health (IMICH), which will explore programs and strategies to promote the well-being of Indigenous children and youth worldwide. Tribal elders are invited to attend IMICH at no charge.

Logo for 9th International Meeting on Indigenous Child Health
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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.

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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