Native Americans Sample Clauses
Native Americans. If the Contractor's Enrollee is a Native American and the Enrollee chooses to access primary care services through their tribal health center, the PCP authorized by the Contractor to refer the Enrollee for plan benefits must develop a relationship with the Enrollee's PCP at the tribal health center to coordinate services for said Native American Enrollee.
Native Americans. The CONTRACTOR shall:
i. make documented efforts to contract with the appropriate urban Indian clinics, tribally owned health centers, and IHS facilities for the provision of medically necessary services;
ii. ensure that translation services are reasonably available when needed, both in providers’ offices and in contacts with the CONTRACTOR;
iii. ensure appropriate medical transportation for Native American members residing in rural and remote areas; and
iv. ensure that culturally appropriate materials are available to Native Americans.
Native Americans i. Native Americans shall have the option to participate in managed care and be enrolled with the CONTRACTOR to receive medical care through Indian Health Services (IHS), tribal provider, and/or other non-Native American provider, or to not participate in managed care and continue to receive medical care. If a Native American member voluntarily chooses to enroll with the CONTRACTOR, the enrollment process is initiated.
ii. The CONTRACTOR shall make good faith efforts to contract with the appropriate urban Indian clinics tribally owned health centers, and IHS facilities for the provision of medically necessary services.
iii. The CONTRACTOR shall ensure that translation services are reasonably available when needed, both in providers' offices and in contacts with the CONTRACTOR.
iv. The CONTRACTOR shall ensure adequate medical transportation for Native American members residing in rural and remote areas.
v. The CONTRACTOR shall ensure that culturally appropriate materials are reasonably available to Native Americans.
Native Americans. A significant number of North Dakotans are enrolled Tribal members. To appropriately serve these individuals, the State has convened a Tribal Consultation Group made up of subject matter experts from each tribal nation. This group meets monthly and is focused on what changes to the system could assist in either creating more services for TPMs who reside in reservation communities or could enhance those that already exist. Efforts of this group have led the State to request a change to its Medicaid Waiver and State Plan to include the addition of care coordination to services already offered. Care coordination allows a qualified individual to “walk alongside” a TPM to assist them in such activities as applying for Medicaid and securing HCBS. The State has focused on this initiative on the recommendation of the Tribal Consultation Group and it will be an additional service available to any TPM. Care coordination will allow for additional services to be delivered that can be reimbursed. Planning is underway to provide the training that will be necessary to provide this new service as well as determine how individuals can express interest in and prove they have the necessary qualifications to offer this level of care. Care coordinators will support the work of the 15 HCBS case managers who already work in reservation communities (pg. 20, ND Biannual Report, December 14, 2023 – December 13, 2024). The Tribal Consultation Group will continue to meet monthly and address other topics such as additional appropriate cultural training for case managers and QSPs that work with TPMs from different Tribal nations, and engaging more families in accessing available care. In addition, a long-term support services tribal liaison with the National Resource Center on Native American Aging and the Native Aging in Place Project with the Center for Rural Health at the University of North Dakota works in support of Aging and Adult Services. MFP contracts with Turtle Mountain Band of Chippewa; Home Instead to serve in the south segment of the Mandan, Hidatsa, and Arikara (MHA) Nation, also known as the Three Affiliated Tribes; and North Dakota State University for general tribal liaison support. Turtle Mountain and Home Instead are providing direct care. These are tribal-owned agencies that employ Tribal members to serve Native American elders. The Spirit Lake Tribe also has an active QSP agency – Spirit Lake Okiciyapi. They are a very active agency that established services witho...
Native Americans. Persons having no less than 1/16th percentage origin in any of the Native American Tribes, as recognized by the U.S. Department of the Interior, Bureau of Indian Affairs and as demonstrated by possession of personal tribal role documents.
Native Americans. The CONTRACTOR shall be paid a negotiated rate to provide the transportation and pharmacy benefits to Native American enrollees not currently in Long Term Care services.
Native Americans. Persons having origins in any of the original peoples of North America and the Hawaiian Islands, in particular, American Indians, Eskimos, Aleuts and Native Hawaiians.