FAQS: Federal Funding for Services “Received Through” an IHS/Tribal Facility and Furnished Offsite to Medicaid-Eligible American Indians and Alaska Natives

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On February 26, 2016, the Center for Medicaid and CHIP Services (CMCS) issued a State Health Official letter (SHO) to inform state Medicaid agencies and other state health officials about an update in payment policy affecting federal funding for services received by Medicaid-eligible individuals who are American Indian or Alaska Native (AI/AN) through facilities of the Indian Health Service (IHS), whether operated by IHS or by Tribes.  Today CMS released a set of FAQs to address questions related to the SHO letter about Medicaid coverage, billing and payment arrangements to non-IHS/Tribal providers. Questions related to other provisions of the SHO letter will be addressed in subsequent FAQs.

The FAQs are available on Medicaid.gov at https://www.medicaid.gov/federal-policy-guidance/federal-policy-guidance.html