Examples of Tribal facility in a sentence
IHS-eligible AI/ANs who are also Medicaid beneficiaries may choose to receive covered services from an IHS facility, a Tribal facility, a UIHP, or from any other provider participating in a state’s Medicaid program.
A covered service will be considered to be “received through” an IHS/Tribal facility not only when the service is furnished directly by the facility to a Medicaid-eligible AI/AN patient, but also when the service is furnished by a non-IHS/Tribal provider at the request of an IHS/Tribal facility practitioner on behalf of his or her patient and the patient remains in the Tribal facility practitioner’s care in accordance with a written care coordination agreement meeting the requirements described below.
The Tribal facility would not be required to report its costs for the purposes of establishing a PPS rate.
Many of the beneficiaries that receive direct care services have no other source of third party coverage.Contract health services (CHS) are services provided outside of an IHS or Tribal facility to an eligible beneficiary (§ 136.23).
These patients should be directly transported to a Level I or Level II facility for treatment but may be stabilized at a Level III, Level IV, or Tribal facility, if needed, depending on location of occurrence and time and distance to the higher-level trauma center.
To support its claim, SCE asserts that the Tribal facility is located in California, an RPS-eligible resource that expects to have its first point of interconnection within the CAISO, a California balancing area, and that pursuant to the Tribal PPA the RECs associated with the electricity from Tribal will be delivered to SCE and not unbundled or transferred to another owner.
Yes for allStage 2Payment may be approved if: a) The health care service that you need is medically necessary-- as indicated by medical documentation provided andb) The service is not available at an accessible IHS or Tribal facility and c) The facility’s PRC committee determines that your case is within the current medical priorities of the facilityUnfortunately, PRC funds often are not sufficient to pay for all needed services.
Division-eligible American Indian members receive behavioral health services through a Regional Behavioral Health Authority (RBHA), a Tribal RBHA (TRBHA), an Indian Health Services (IHS) facility, or a 638 Tribal facility.
Interconnection Status:The Tribal facility will interconnect within the CAISO-control grid at the Mohave Generating Station 500 kV bus in Laughlin, Nevada.
When a Referee or Inspector makes such a decision the second must comply by immediately leaving the area in an orderly manner.