What are Purchased/Referred Care?
Purchased/Referred Care (PRC) is health care purchased by the Indian Health Service (IHS) from non IHS providers and facilities when direct services of care are not available.
PRC is required to operate within appropriated funds. There is no authority to provide payment for services under the PRC program unless funds are available.
Please click on one of the coverage area maps to the right for service delivery information for your location in Kansas, Oklahoma or Texas.
PRC is not:
- An Entitlement Program
- An Insurance Program
Does the Oklahoma City Area's PRC Program have unlimited funds?
No. PRC resources are based on a limited congressional appropriation (or budget).
When are PRC funds used?PRC funds are used in situations where:
- No IHS direct care facility exists.
- The direct care facility cannot provide the required emergency speciality care.
- The direct care facility has an overflow of medical care workload.
PRC is limited to services that are medically indicated within the established medical priorities.
If services are not authorized for payment they will be denied or deferred.
If you have questions regarding PRC or would like to speak to someone regarding PRC, please contact the Oklahoma City Area PRC Office in Oklahoma City at 405-951-6075, or you can contact PRC via email and your question will be routed to the appropriate Oklahoma City Area facility or location.