CMS Division of Tribal Affairs releases new toolkit
On October 30, CMS announced the release of a Tribal Protections in Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Oversight Toolkit (PDF, 5 MB, 45 pp).
The toolkit’s release was also announced November 7, in a Medicaid Managed Care Oversight Center for Medicaid and CHIP Services Informational Bulletin (PDF, 349 KB, 11 pp).
Building on the work of the CMS Tribal Technical Advisory Group and the National Indian Health Board’s Medicaid Managed Care Report (PDF, 15 MB, 52 pp), CMS developed the toolkit to help states, managed care plans, and Indian health care providers (IHCPs) implement the statutory and regulatory Medicaid and CHIP managed care protections for American Indians and Alaska Natives (AI/ANs).
The toolkit expands on the Medicaid Managed Care Report’s recommendations by providing more detail on what states and managed care plans can do to maximize the benefits of Medicaid and CHIP managed care for AI/AN enrollees and IHCPs.
Specifically, the toolkit provides resources and strategies that states, managed care plans, Tribes, and IHCPs can use to:
- Improve state-Tribal relationships in the implementation of Indian protections in Medicaid and CHIP managed care, including Tribal consultation;
- Require managed care plans to maintain a Tribal Liaison position;
- Improve contracting between managed care plans and IHCPs by using the model Medicaid and CHIP managed care contract addendum;
- Develop internal processes to improve understanding of the managed care delivery system for AI/ANs and IHCPs; and
- Partner with Tribes or Tribal organizations to develop an Indian managed care entity.
The toolkit can be found on both the Medicaid and CHIP Managed Care Monitoring and Oversight Initiative page and the Tribal Affairs Guidance & Resources page.
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