Tag Archive for: UIHP

Urban FMAP Fix Bill Introduced

November 16, 2017

Contact: Francys Crevier
NCUIH Executive Director


The National Council of Urban Indian Health (NCUIH), which represents 41 urban Indian organizations (UIOs) with Title V contracts across the nation, appreciates the bipartisan legislation to be introduced by Representative Ben Ray Lujan (D-NM-3) and Senator Tom Udall (D-NM) to fix Medicaid for American Indian/Alaska Native (AI/AN) patients who are served by UIOs.

Title V UIOs, which constitute an integral part of the Indian Health Service (IHS), are non-profit corporations which recruit and retain their own staffs in order to provide high-quality, culturally-competent health care to AI/AN people who live off of reservations.

“Medicaid is a vital health care program for AI/AN people,” declared Ms. Ashley Tuomi, NCUIH’s President.  “Congress authorized all three parts of IHS to bill Medicaid for services provided to eligible AI/AN people in order to supplement chronic underfunding of IHS and thus better fulfill the federal government’s Trust Responsibility to provide health care to AI/AN people.”

“In recognition that it would honor the Trust Responsibility to AI/AN and stretch dollars for the Indian health system,” continued Ms. Tuomi, who is also the CEO of American Indian Health & Family Services of Southeast Michigan, in Detroit, MI, “Congress provided that states would be reimbursed by the federal government at a Federal Medical Assistance Percentage (FMAP) of 100.  However, UIOs were not explicitly mentioned in the law, and the Centers for Medicare and Medicaid Services states it lacks the discretion to authorize 100% FMAP for UIOs.”

“That’s why the legislation introduced by Senator Udall and Representative Lujan is so important,” declared Ms. Linda Son-Stone, who is the executive director of First Nations Community Healthsource, in Albuquerque, NM.  “It would simply include UIOs in the FMAP law, so that all three parts of IHS are treated the same with respect to Medicaid reimbursement.  More importantly, it will allow UIOs to provide more high- quality, culturally-competent health care services to urban Indians, who currently experience health care conditions and outcomes that are markedly inferior to their non-Indian counterparts in urban areas.”

“In fact,” continued Ms. Son-Stone, “the two largest UIOs, in Tulsa and Oklahoma City, have been so successful in part because of a legal exception through which their state of Oklahoma already receives 100% FMAP.  We appreciate the strong leadership of Representative Lujan and Senator Udall on this very important issue, which would allow UIO patients in New Mexico and other states to benefit from the same arrangement.”

15 UIHPs awarded IHS Grants to Support Behavioral Health Programming

Contact: (301) 443-3593, newsroom@ihs.gov

IHS Awards $16.5 Million in Grants to Support Behavioral Health Programs

Indian Health Service (IHS) made awards to four behavioral health programs serving American Indians and Alaska Natives across the United States. The four programs are Substance Abuse and Suicide Prevention (SASP) and Domestic Violence Prevention Program (DVPP), as well as Behavioral Health Integration Initiative (BH2I) and the Preventing Alcohol-Related Deaths (PARD), which are both new programs.

“These awards will address the critical behavioral health needs seen in our tribal clinics, hospitals and Native communities,” said Rear Adm. Michael D. Weahkee, acting director of the Indian Health Service. “IHS is committed to providing resources to facilities to provide coordinated community responses, increase access to preventive care, integrate behavioral health with primary care, provide alcohol detoxification services, and incorporate culturally appropriate practices and services to our patients.”

Substance Abuse and Suicide Prevention Program

The SASP funding opportunity provides culturally appropriate prevention and early intervention strategies aimed at reducing suicide and substance use and misuse among Native youth up to age 24. Funded projects work to implement evidence-based, practice-based, and emerging practices to build resiliency, foster positive development, and promote family engagement. IHS awarded $5.6 million to 43 projects.

The following IHS facilities, tribes, tribal organizations and Urban Indian Organizations received funding:

  • Absentee Shawnee Tribe of Oklahoma, $236,407
  • Aleutian Pribilof Islands Association, Inc., $299,828
  • American Indian Health & Services, Santa Barbara, California, $200,000
  • American Indian Health Service of Chicago, Inc., $115,000
  • Anadarko Indian Health Center, Anadarko, Oklahoma, $296,157
  • Bad River Band of Lake Superior Chippewa Indians, Odanah, Wisconsin, $136,919
  • Bay Mills Indian Community, Brimley, Michigan, $100,948
  • Cook Inlet Tribal Council, Alaska, $141,828
  • Copper River Native Association, Copper Center, Alaska, $155,346
  • Council of Athabascan Tribal Governments, Alaska, $100,000
  • Cow Creek Band of Umpqua Tribe of Indians, Roseburg, Oregon, $27,667
  • Eastern Aleutian Tribes, Alaska, $299,038
  • Eastern Shawnee Tribe of Oklahoma, $50,000
  • Gerald L. Ignace Indian Health Center, Milwaukee, Wisconsin, $100,000
  • Grand Traverse Band of Ottawa & Chippewa Indians, Peshawbestown, Michigan, $42,950
  • Ho-Chunk Nation, Black River Falls, Wisconsin, $125,000
  • Indian Health Board of Minneapolis, $51,657
  • Indian Health Care Resource Center of Tulsa, Oklahoma, $107,035
  • Indian Health Center, Inc. Lincoln, Nebraska, $100,000
  • Iowa Tribe of Kansas and Nebraska, $50,000
  • Kenaitze Indian Tribe, Kenai, Alaska, $250,000
  • Kiowa Tribe of Oklahoma, Carnegie, Oklahoma, $152,258
  • Kyle Health Center, Kyle, South Dakota, $144,454
  • Native American Community Health Center (Phoenix), $190,064
  • Northwest Portland Area Indian Health Board, Portland, Oregon, $27,666
  • Norton Sound Health Corporation, Nome, Alaska, $275,858
  • Oklahoma City Indian Clinic, $151,811
  • Orutsaramiut Native Council, Bethel, Alaska, $239,097
  • Passamaquoddy Indian Township, Maine, $25,000
  • Phoenix Indian Center, $197,443
  • Port Gamble S’Klallam Tribe, Kingston, Washington, $132,332
  • Prairie Band of Potawatomi Nation, Mayetta, Kansas, $300,000
  • Pribilof Islands Aleut Community of St. Paul Island, Alaska, $118,500
  • Ramah Navajo School Board, Inc., Pinehill, New Mexico, $50,000
  • Seattle Indian Health Board, $100,000
  • SouthEast Alaska Regional Health Consortium, Juneau, Alaska, $50,000
  • Southern Indian Health Council, Inc., Alpine, California, $50,000
  • Southern Ute Indian Tribe, Ignacio, Colorado, $50,000
  • Taos Pueblo Central Management System, Taos, New Mexico, $50,000
  • White Earth Band of Chippewa Indians, White Earth, Minnesota, $11,750
  • Winnebago Tribe of Nebraska, Winnebago, Nebraska, $90,997
  • Wyandotte Tribe of Oklahoma, Wyandotte, Oklahoma, $102,803
  • Yankton Sioux Tribe Boys and Girls Club, Yankton, South Dakota, $96,193

Domestic Violence Prevention Program

The DVPP funding opportunity expands outreach and increases awareness of domestic and sexual violence, provides victim advocacy, intervention, case coordination, policy development, community response teams, community and school education programs, and forensic healthcare services. IHS awarded $2.9 million to 20 projects.

The following IHS facilities, tribes, tribal organizations and Urban Indian Organizations received funding:

  • California Rural Indian Health Board, Inc., Sacramento, California, $144,000
  • Confederated Tribes of Siletz Indians, Siletz, Oregon, $125,000
  • Crownpoint Health Care Facility, Crownpoint, New Mexico, $200,000
  • Fairbanks Native Association, Fairbanks, Alaska, $200,000
  • Five Sandoval Indian Pueblos, Inc., Rio Rancho, New Mexico, $150,000
  • Kawerak, Inc., Nome, Alaska, $207,341
  • Minneapolis American Indian Center, Minnesota, $100,000
  • Nebraska Urban Indian Health Coalition, Inc., Omaha, Nebraska, $100,000
  • Nevada Urban Indians, Inc., Reno, Nevada, $100,000
  • Nez Perce Tribe, Lapwai, Idaho, $50,012
  • Northwest Portland Area Indian Health Board, Portland, Oregon, $83,000
  • Paiute Indian Tribe of Utah, Cedar City, Utah, $166,321
  • Pawnee Tribe of Oklahoma, Pawnee, Oklahoma, $200,000
  • Phoenix Indian Medical Center, Phoenix, Arizona, $199,997
  • Pine Ridge Indian Hospital, Pine Ridge, South Dakota, $80,000
  • Red Cliff Band of Lake Superior Chippewa, Red Cliff, Wisconsin, $204,000
  • Sisseton Wahpeton Oyate, Agency Village, South Dakota, $200,000
  • Urban Indian Center of Salt Lake, Salt Lake City, Utah, $100,000
  • Utah Navajo Health System, Inc., Montezuma Creek, Utah, $194,500
  • Winnebago Tribe of Nebraska, Winnebago, Nebraska $50,000

Behavioral Health Integration Initiative

The BH2I is a new funding opportunity at IHS and will assist awardees to plan, develop, implement, and evaluate behavioral health integration with primary care. Projects will operate on a 3-year funding cycle. IHS awarded $6 million to 12 projects.

The following IHS facilities, tribes, tribal organizations and Urban Indian Organizations received funding:

  • Choctaw Nation of Oklahoma, Durant, Oklahoma, $500,000
  • Ho-Chunk Nation, Black River Falls, Wisconsin, $500,000
  • Indian Health Board of Minneapolis, Inc., $500,000
  • Indian Health Center of Santa Clara Valley, San Jose, California, $500,000
  • Kodiak Area Native Association, Kodiak, Alaska, $500,000
  • Muscogee Creek Nation, Okmulgee, Oklahoma, $500,000
  • Northern Cheyenne Tribe, Lame Deer, Montana, $500,000
  • Red Lake Hospital, Red Lake, Minnesota, $500,000
  • Rocky Boy Health Board, Box Elder, Montana, $500,000
  • South Dakota Urban Indian Health, Inc., Pierre, South Dakota, $500,000
  • United American Indian Involvement, Los Angeles, California, $500,000
  • Yellowhawk Tribal Health Center, Pendleton, Oregon, $500,000

Preventing Alcohol-Related Deaths

The new Preventing Alcohol-Related Deaths (PARD) grants will increase access to social detoxification, evaluation, stabilization, fostering patient readiness for and entry into treatment for alcohol use disorders and, when appropriate, other substance use disorders. Organizations that qualified for the grant must have a fully operational and staffed social detoxification program that primarily serves Indians. Projects will operate on a 5-year funding cycle. IHS will award $2 million to two projects.

The following tribe and city received funding:

  • City of Gallup, Gallup, New Mexico, $1,500,000
  • Oglala Sioux Tribe, Pine Ridge, South Dakota, $500,000

The IHS Division of Behavioral Health serves as the primary source of national advocacy, policy development, management and administration of behavioral health, alcohol and substance abuse, and family violence prevention programs.