CMS AI/AN Plan

1. CMS AI/AN Plan Introduction

2. Centers for Medicare and Medicaid Services (CMS) • Medicaid, Medicare and SCHIP • Medicare and Medicaid revenue are important and growing portions of Indian health budgets. • CMS policies affect I/T/U

3. Tribal Technical Advisory Group (TTAG) • Official Advisory Committee for CMS • 15 members (and alternates) • Tribal leaders from each IHS Area • NIHB, NCAI, and TSGAC representatives • Meets 3 times per year + monthly teleconferences

4. Medicare and Medicaid Policy Committee (MMPC): • Committee of the NIHB • Any tribe can join • TTAG members and their technical advisors participate • Weekly teleconferences • Develops policy position and consensus among tribes

5. Purpose of CMS AI/AN Plan • Recommendations to CMS Administrator • Strengthen CMS capacity to • Understand Indian health system needs • Analyze impacts of Medicare and Medicaid policies on I/T/U • Serve AI/AN beneficiaries • Develop CMS Tribal Consultation Policy • Improve Outreach and Education on Medicare and Medicaid to Indian country

6. The AI/AN Strategic Plan has three parts

7. Part 1 Contents A. Executive Summary B. Purpose of Plan C. Background D. Recommendations to help CMS identify and analyze AI/AN issues E. Recommendations to implement MMA F. Medicaid reform recommendations

8. Part 1 of the AI/AN Strategic Plan should be completed by April 22, 2005so we can provide input for the FY2007 budget process.

9. Part 2. Contents A. CMS Tribal Consultation Policy B. Recommendations to improve AI/AN access to CMS programs and services C. Outreach and Education Strategies D. Process and timeline to update plan E. Plan Summary F. References

10. Part 3. Contents A. Recommendations for training using CMS satellite communications systems B. Research and evaluation agenda C. Prioritize list of outstanding Tribal/CMS issues and monitor progress

11. Completion Task Date Part 1 April 22, 2005 Part 2 September 15, 2005 Draft plan review & November 30, 2005 Tribal consultation Final Plan (Part 1 & 2) January 30, 2006 Part 3 April 1, 2006 Timetable for Project

12. Organization

13. Plan Subcommittee Members Chair: Margaret Terrance TTAG Members: Jim Crouch, Valerie Davidson, Ed Fox, Kathy Hughes, Bob Newcombe, Mickey Peercy MMPC Members: Carol Barbero, Kris Locke, Myra Munson, Jim Roberts IHS Members: Elmer Brewster and Jessica Imotichey

14. CMS Tribal Consultation Policy Workgroup Chair: Mickey Peercy TTAG Members: Ron Allen, Pearl Capoeman-Baller, Kathy Hughes

15. Staffing • NIHB will provide the staffing for the plan. • Amy Sagalkin is Project Coordinator. • Mim Dixon is Consultant to the Project.

16. What can Tribes do to help? • If you have ideas or suggestions for the plan, please send them to Amy Sagalkin • E-mail: asagalkin@nihb.org • Phone: 202/742-4343 • Participate in CMS workshops at the NIHB Consumer Conference • Phoenix, October 16-19, 2005 • There will be a 60 day review and comment period for Parts 1 and 2 • September 1-November 30, 2005

17. Thank you!