Tribal Protections in Medicaid and CHIP Managed Care Oversight Toolkit
Authors: Centers for Medicare and Medicaid Services
Publication Year: 2024
Keywords: Health Care Access, Medicaid/Medicare, Toolkit, Other
Abstract: This toolkit is a resource for states, managed care plans, and Indian Health Care Providers (IHCP) to assist in implementing the Indian protections in Medicaid and CHIP managed care in their respective states. This toolkit highlights promising practices and strategies that state Medicaid agencies and managed care plans that can use to: (1) improve state-Tribal relationships including Tribal consultation; (2) establish a Tribal liaison position to improve access to care for American Indians and Alaska Natives (AI/AN) and improve claim processing; (3) improve contracting between managed care plans and IHCPs by using the model Medicaid and CHIP managed care contract addendum; (4) develop internal processes to improve understanding of the managed care delivery system for AI/ANs and IHCPs; and (5) partner with Tribes or Tribal organizations to develop an Indian Managed Care Entity.
Type of Resource: Government Toolkit
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