• The Indian Health Service (MS) is an agency of the Public Health Service under the US, Department of Health and Human Services. The IHS serves over 900,000 American Indians and Alaska Natives throughout the U.S.
• Through the IHS Contract Health Services (CHS) Program, the IHS can purchase" health services not available in it' s (or Tribal) facilities.
• The U.S. Congress funds the IHSICHS Program each Near. The CHS Program is not:
* An entitlement program (such as Medicare)
* An insurance program
* An established benefit package
• CF-IS payments are authorized based on clearly defined guidelines and eligibility criteria (determined by the referral source) and are subject to availability of funds. The II-IS cannot guarantee that funds are always available.
IP The HIS is the "Payor of Last Resort" and utilizes other alternate resources first to maximize limited health care resources for Native American people before authorizing expenditure of CHS funds.
• Payments for health care in non-II-IS facilities can only be authorized by a CHS Official and such authorization is evidenced by a "Purchase Order." No one else can authorize payments. CHS payments are authorized based on Medical Priority (as determined by the referring Physician or Mid-level Provider), guidelines and eligibility criteria.
• CHS eligible Native Americans must obtain CHS approval for bona-fide emergency services within 72 hours.
• As a Federal purchaser of inpatient health care from the private sector, IHS utilizes a procurement process — Rate Quote Methodology to negotiate purchase agreements with willing hospitals and specialty providers.
• The Rate Quote Methodology process assists IHS with procuring the most favorable rates because the Congressional appropriated CHS funding level has not kept pace with health care inflation costs.
Letter for providers Click here
>CHS Intake Form
>Co-Pay Prescription Assistance Program
> Medication Profile Form (Click here)
>Medical Priorities
>Dental Priorities