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Email - IHS Director's Blog: Consultation on CHR's and Clarification of Emergency Services

From: Coleman, Travis (IHS/CAL)
Sent: Friday, August 30, 2013 5:18 PM
To: CAO Tribal Leaders; CATAC; CAO Board_Committee_Workgroup; CAO Program Directors
Cc: Kerrigan, Margo (IHS/CAL); CAO EXEC STAFF; Celli, Mona (IHS/CAL)
Subject: Acting IHS Director's Blog, Dear Tribal Leader letters: Consultation on CHR's and Clarification of emergency services at sites outside the IHS system


New Tribal Leader Letters posted on IHS website
Posted on Aug 22, 2013

I sent two letters to Tribes this month. The first letter [Link to IHS PDF - 21 KB] initiates a consultation on IHS' Community Health Representative training with a request for comments on how to provide this training in an effective but cost-efficient manner given the current budget and travel constraints. Comments are due on October 8, 2013.

The second letter [Link to IHS PDF - 25 KB] provides clarification on the order of payment for emergency services at sites outside of the Indian health system. Since the Affordable Care Act makes IHS the payer of last resort, all other alternative resources, including the VA, must be used before IHS for emergency services provided to veterans outside of the IHS or the VA.


Travis A. Coleman
Indian Health Service, California Area Office

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