IHS Portland Area Self-Governance Training June 7 – 8

Where: Silver Reef Hotel
4876 Haxton Way
Ferndale, WA 98248
(360) 383-0777

8:00 Welcome & Introductions

8:30 Indian Health Service (IHS) Tribal Self-Governance Program and Office of Tribal Self Governance
Review of the legislative history of the ISDEAA and the Tribal Self-Governance Program.

9:15 Eligibility for the Tribal Self-Governance: Planning, Requests and Audit
Overview of the Tribal Self-Governance program eligibility requirements including the planning phase, requesting participation, and demonstrating financial stability and financial management capability.

9:45 Planning and Preparing for the Tribal Assumption of Healthcare Programs, Services, Functions or Activities - Developing an Action Plan or Project Plan
Examples of how Tribes can prepare for Self-Governance, including examples of best practices for program evaluation, internal management capabilities, legal and budgetary research, and internal government planning.
• Acquiring Technical Assistance through Limited competition ISDEAA grants and cooperative agreements
• Building an Action Project Plan
o Letter of intent required by ISDEAA Title I
o Timelines
o Human Resources

10:30 Break

10:45 Identifying Programs, Services, Functions, and Activities
Review PSFA options for Self-Governance Tribes, best practices in choosing PSFAs, and how to access information available from OTSG.
• System Conversion
• Identifying ISDEAA 106(a)(1) program funding in Federal Contracts (P/RC, services, etc.)

12:00 Lunch (Provided)

1:00 Financial Tables
Tribes have a number of opportunities to maintain capacity during a Self-Governance Transition by retaining talent after assumption of health programs.
• Terminology – Understanding financial terms of art used within the IHS and the financial terms of art used in ISDEAA negotiations.
• Review of funding levels – HQ, Area, Program
• Tribal Shares – calculation
• Types of Funding – Recurring, Non-recurring, x-year
• Table 4F

2:30 Break

2:45 Self-Governance Negotiation Process and Best Practices
Describe the negotiations process and discuss best practices for preparation.
• Negotiation teams
• Common schedule
• Items for negotiation
• Tribal best practices

4:00 Contract Support Costs Overview and Calculation
Understanding Contract Support Costs (CSC) start-up costs, Direct CSC and Indirect CSC; introduction to the annual CSC Calculation (ACC) tool to estimate full CSC requirements, and identifying pass-through and exclusions.

Affordable Care Act (ACA) Training & Enrollment Event
A training presented by the National Indian Health Board

Wednesday, June 8, 2016 | 9:00 am – 12:00 pm
Self-Governance Training
Silver Reef Hotel
4876 Haxton Way
Ferndale, WA 98248

AGENDA

9:00 am Welcome and Introductions

9:30am ACA- 101 & American Indians and Alaska Natives (AI/ANs) Provisions
Dawn Coley, Director of Tribal Health Care Reform Outreach and Education, National Indian Health Board, Washington, DC

10:15 am Questions and Answers

10:30 am Break

10:45 am AI/ANs Exemption Waiver Filing Process
Kristen Bitsuie, Tribal Health Care Reform Outreach and Education Program Associate, National Indian Health Board, Washington, DC

11:00 am Question and Answers
11:15 am Media and Messaging for Affordable Care Act Toolkit
Dawn Coley, Director of Tribal Health Care Reform Outreach and Education, National Indian Health Board, Washington, DC

12:00 pm Lunch