IHS Office of Urban Indian Health Programs

1
IHS Office of UrbanIndian Health Programs

• National Council of Urban Indian Health
• Annual Conference
• September 20, 2007

2
Introduction

• Introduction of Staff and Presenters
• IHS Division of Regulatory Affairs
• Department of Health and Human Services, Office
  of the General Counsel

3
Concerns Presented by theUrban Indian Health
Programs

• Budget Cuts
• Defining Eligibility
• Consistency among the Programs

4
Response by IHS Office of Urban Indian Health
Program

• Establish consistency in determining eligibility.
• Amendments to current contracts and FY 2008
  contracts.
• Educate the Urban Indian Health Programs, such as
  through monthly conference calls.
• Develop a model contract for the Urban Indian
  Health Programs in order to bring consistency to
  the contracts and the Programs.
• Scheduled for implementation in FY 2009.

5
Defining Eligibility(Contract Amendment 1)

• An Urban Indian eligible for services, as
  codified at 25 U.S.C. 1603(c), (f), (g),
  includes any individual who
• (1) Resides in an urban center, which is any
  community that has a sufficient urban Indian
  population with unmet health needs to warrant
  assistance under Title V, as determined by the
  Secretary of the Department of Health and Human
  Services (HHS) and who
• (2) Meets one or more of the following criteria
• (A) Irrespective of whether he or she lives on or
  near a reservation, is a member of a tribe, band,
  or other organized group of Indians, including
  (i) those tribes, bands, or groups terminated
  since 1940, and (ii) those recognized now or in
  the future by the State in which they reside or
• (B) Is a descendant, in the first or second
  degree, of any such member described in (A) or
• (C) Is an Eskimo or Aleut or other Alaska Native
  or
• (D) Is the descendant of an Indian who was
  residing in the State of California on June 1,
  1852, so long as the descendant is now living in
  said State or1
• (E) Is considered by the Secretary of the
  Department of the Interior to be an Indian for
  any purpose or
• (F) Is determined to be an Indian under
  regulations pertaining to the Urban Indian Health
  Program that are promulgated by the Secretary of
  HHS.
• 1Eligibility of California Indians may be
  demonstrated by documentation that the
  individual
• (1) Holds trust interests in public domain,
  national forest, or Indian reservation
  allotments or
• (2) Is listed on the plans for distribution of
  assets of California rancherias and reservations
  under the Act of August 18, 1958 (72 Stat. 619),
  or is the descendant of such an individual.

6
Defining Eligibility(Contract Amendment 1)
(Cont.)

• This definition will be incorporated into all
  contracts by an amendment that will be effective
  starting FY 2008.
• The contracts will also be amended to clearly
  define the services to be provided and the
  service area
• The contractor shall provide _________ specify
  services to eligible Urban Indians living within
  the urban service area of _________ for the
  period of _________ to _________.
• In addition, the contracts will identify the
  estimated cost of providing the identified
  services to the eligible Urban Indians located in
  the service area.

7
Reporting Requirement(Amendment 2)

• Beginning in FY 2008, the Urban Indian Health
  Program contracts will require a Report on
  Expenditure of Funds
• The contractor shall submit annually a report on
  the amounts and purposes for which funding under
  the contract is expended, including a) the
  number of eligible Urban Indians to whom services
  were provided, and b) the number and type of
  services provided to those eligible Urban
  Indians.
• Supporting documentation for the reports should
  be available for review, a requirement that will
  be incorporated into the Urban Indian Health
  Program Review Manual. Supporting documentation
  of the eligibility of a particular individual
  included on the report may include
• Certificate of Degree of Indian Blood (CDIB)
• BIA Form 4432
• Tribal Membership Card
• Tribal Correspondence
• Birth Certificate(s) (state seal or certified
  copy) to establish descendancy (first or second
  degree)
• Family Documents (e.g. family bible)
• Self-Certification

8
Conclusion

• Questions?