Division of Business Office Enhancement

DBOE serves as the primary focal point for managing the Business Office program within IHS. DBOE provides leadership and consultation to both Headquarters and Area Offices, while also liaising with Tribal organizations and external entities such as the Department of Health and Human Services (HHS) and the Office of Management and Budget (OMB).

DBOE’s key responsibilities include the development, dissemination, and maintenance of policies and procedures related to Business Office operations. It also plays a vital role in ensuring that IHS facilities comply with regulations concerning Medicare, Medicaid, and private insurance reimbursement policies. As the primary liaison to the Centers for Medicare & Medicaid Services (CMS), DBOE handles rate setting and provides guidance on managed care activities, including Medicaid waiver proposals and other healthcare reforms.

In addition, DBOE works to improve local capacity through training, technical assistance, and support for information systems related to patient registration, billing, and collections. DBOE also develops budget materials related to third-party reimbursements and responds to inquiries from Tribal organizations, Congress, and HHS regarding third-party funding issues.