(NCUIH) Justification Letter for Continued Inclusion on Section 201 of IHCIA

Authors: National Council of Urban Indian Health
Publication Year: 2009
Last Updated: 2016-04-06 12:04:36
Journal: NCUIH
Keywords: Budget, Affordable Care Act, ACA, Justification, IHCIA, Social Security Act, Urban Indians, UIHP's, Medicaid, Medicare, Urban Indian Organizations, UIO's, FQHC, RHC, Federally Qualified Health Center, Urban Indian Health Programs, Indian Health Care Improvement Act, Affordable Care Act, Urban Indian, FMAP

Short Abstract:

Section 201 of the Indian Health Care Improvement Act (IHCIA) amends sections 1911 and 1880 of the Social Security Act. The proposed amendments would allow Indian Health Programs and Urban Indian Health Programs to directly bill Medicaid and Medicare for providing services or items to Indian patients. Due to an unfortunate understanding of the UIHPs third party bill capacity, Urban Indian Organizations have been removed from this provision. The general argument for removing UIOs from this provision is that UIOs already have authority to bill Medicaid and Medicare through the FQHC and RHC provisions. This argument is incorrect on a number of grounds.

Abstract:

Section 201 of the Indian Health Care Improvement Act (IHCIA) amends sections 1911 and 1880 of the Social Security Act. The proposed amendments would allow Indian Health Programs and Urban Indian Health Programs to directly bill Medicaid and Medicare for providing services or items to Indian patients. Due to an unfortunate understanding of the UIHPs third party bill capacity, Urban Indian Organizations have been removed from this provision. The general argument for removing UIOs from this provision is that UIOs already have authority to bill Medicaid and Medicare through the FQHC and RHC provisions. This argument is incorrect on a number of grounds.

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