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Transmittal Notice 97-01

TN 97-01


This is to transmit revisions to the Indian Health Manual (IHM) Part 2, Chapter 3, "Contract Health Services (CHS)."  These revisions address changes to how appeals of CHS denials issued by health programs operated under Title I or Title III of Public Law (P.L.) 93-638, the Indian Self-Determination and Education Assistance Act, as amended, are to be handled by the IHS and tribes and tribal organizations.  This revision is based on a legal opinion by the Office of the General Counsel that states that the IHS CHS program appeals procedures do not apply to tribally administered CHS programs, unless agreed to by the tribes and incorporated into Title I and Title III agreements.

/Michael H. Trujillo, M.D./
Michael H. Trujillo, M.D., M.P.H.
Assistant Surgeon General
Director, Indian Health Service


Indian Health Manual (IHM) IHM Table of Contents, page i; IHM Part 2 Table of Contents; IHM 2-3, "Contract Health Services"; pages 1 & 2 of the Chapter Table of Contents; and pages 33 through 36-B of IHM 2-3.


The IHM Table of Contents, page i, dated, 6/4/97, and IHM Part 2, Table of Contents, dated 5/31/96; page 2 of the IHM 2-3 Table of Contents and pages 34-35 of IHM 2-3, "Contract Health Services," under transmittal notice (TN) 95-12, dated September 28, 1995.


Remove and discard the superseded material from your copies of the IHM and insert the attached replacement pages under this TN.

Log and file this TN 97-01 in sequential order.

Distribution:  PSD 557 (Indian Health Service Mailing Key)
Date:  June 12, 1997