Pueblo of Jemez Strengthening Tribal Healthcare Strengthening - PDF document

9/28/2014 Pueblo of Jemez Strengthening Tribal Healthcare Strengthening Tribal Healthcare • Options under Self-Governance • Opportunities under the IHCIA • Increased Funding Opportunities under Self-Governance • How Healthcare can be used for Economic Development Pueblo of Jemez Journey • Mid 90’s Public Health Nursing Program • 2000-2003 continued to contract various health programs. • 2011 negotiations finalized taking Pueblo of Jemez Health & Human Service from Title I contract to Title V Compact. 1

9/28/2014 Opportunities Under IHCIA • Indian Health Care Improvement Act • Section 206 • Section 813 • CHS • Affordable Care Act • Health Insurance exchanges • Medicaid Expansion and OMB Reimbursement Rate • NM’s Centennial Care Increased Funding Opportunities • 638 Funding • Contract Health Funding • Grant Funding • 3 rd Party Revenue • Medicaid • Medicare • Private Insurance JHHS JHHS Director Health Services Administration Human Services Medical, Dental, Pharmacy, Public Health, Enrollment, Billing, JVR, Social Services, Community Wellness, Contract Health, IT Behavioral Health, Medical Records, Patient Senior Center, & Benefits Transportation 2

9/28/2014 Healthcare is Our Business • Millions Collected in Revenue • Expansion of Services • HRSA Grant Funding 3