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New Tribal Leader Letters posted on IHS website

I sent two letters to Tribes this month. The first letter [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 [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.