Covering Indian Country – July 2018

Centers for Medicare and Medicaid Services: Covering Indian Country

July 2018

Spotlight: Glen Kishi, MD

An obstetrician-gynecologist, Glen Kishi, MD, has dedicated his career to providing American Indian and Alaska Native (AI/AN) women with the best care possible. He joined the staff of Phoenix Indian Medical Center (PIMC) in 2001, and has served as chief of PIMC’s Department of Obstetrics and Gynecology since 2003.

Glen Kishi, MD

This year, the American College of Obstetricians and Gynecologists (ACOG) voted unanimously to honor Dr. Kishi with the 2018 William H.J. Haffner AI/AN Women’s Health Award. Given each spring during ACOG’s annual meeting, the award recognizes health professionals who have significantly improved the quality of AI/AN women’s health while working within an Indian Health Service or tribal position.

“When I chose medicine as a career, my goal was to devote my practice to underserved populations,” said Dr. Kishi. “It has been a joy, an honor, and a great privilege to have helped in the health care and well-being of the AI/AN patients here at PIMC and at the outlying field clinics, and to be surrounded by so many caring providers and professionals.”

Located in Phoenix, AZ, PIMC offers medical, dental, behavioral health, and wellness services to more than 140,000 patients, who represent two thirds of the federally recognized tribes throughout the United States. Patients seeking medical care at PIMC also have access to case managers and to experts in the areas of nutrition and behavioral health. Other personnel are available to help patients sign up for insurance.

“We see any patient who qualifies for care here at PIMC, regardless of their payer status,” Dr. Kishi explained. “Our patient business department actively assists all patients with insurance enrollment.”

July: Diabetes

The July PSA features the topic of diabetes. Don't let diabetes stop you. With Medicaid, Medicare, or private insurance, you have the tools you need to screen for diabetes, monitor it, and treat it to prevent more serious health problems. The picture shows an older male and female stopping a bike ride to take a selfie.

Share this ad in your newsletter or on your website. Other sizes are available on CMS’s Outreach and Education Resources page.

Public service announcements

Share these informational audio clips and videos on your local radio station, website, and Facebook page.

SoundcloudAudio
English Lakota Navajo Ojibwe Yupik Zuni

YoutubeVideo
English Lakota Navajo Ojibwe Yupik Zuni

TwitterTweet it

Got diabetes? Make sure you have health coverage.
Video

#CMSNativeHealth

Fact sheets and brochures

Collage of threee CMS resources: My Health–Children’s and Adult Vaccinations which shows a nurse, patient, baby, and doctor; Diabetes Care and Health Coverage, which shows a man sitting at a table taking his blood pressure; and Enroll in Medicaid: For yourself, For your family, For your community, which shows a young man standing in front of a wall

New Resource: My Health–Children’s and Adult Vaccinations (PDF, 1.3 MB, 2 pp) includes checklists to help ensure that persons of all ages are getting the vaccines they need.

Diabetes Care and Health Coverage (PDF, 342 KB, 2 pp) provides information on diabetes screening, monitoring, treatment, and management. Many diabetes supplies and services are covered by Medicare and Medicaid.

Enroll in Medicaid: For yourself, For your family, For your community (PDF, 425 MB, 1p) explains who may be eligible for Medicaid or the Children’s Health Insurance Program. It also lists the benefits of health coverage.

Download these files or order copies of these resources on the Tribal Products Ordering Page. Please allow 2 weeks for your order to be completed.

Additional resources

Behavioral health training for law enforcement officers

The Cherokee Nation in Oklahoma has implemented a mental health first aid (MHFA) training program for law enforcement officers, youth workers, and health officials.

The program’s evidence-based curriculum teaches participants how to identify someone in crisis and help that person find appropriate resources. Funding was provided through the Indian Health Service compact and federal grants aimed at reducing suicide and substance abuse through direct services and community prevention.

“The goal is to decrease the stigma regarding mental health and substance abuse,” explained Joni Lyon, Cherokee Nation Behavioral Health Clinic Administrator. “We also hope that decreasing the stigma will increase the likelihood of persons accessing services.”

“All who complete the course will be able to respond appropriately in a non-biased and genuine manner.”

– Joni Lyon, Cherokee Nation Behavioral Health Clinic Administrator

The current focus is on the education of tribal communities within Cherokee Nation’s jurisdiction. However, free trainings are also provided outside the jurisdictional area to other tribes and agencies.

Lyon encourages other tribes to offer MHFA training. “It is vital for tribes to play a role in educating their communities because we have to provide the support for our brothers and sisters, our fellow tribal citizens.”

Cherokee Nation Behavioral Health currently has seven staff members and three community coalition members who are certified in MHFA.

Photo of Cherokee Nation Behavioral Health staff in front of Cherokee Nation's seal

Cherokee Nation Behavioral Health staff in front of Cherokee Nation’s seal.

Managing diabetes

According to data from the Centers for Disease Control and Prevention, the prevalence of diagnosed diabetes is highest among American Indian and Alaska Native (AI/AN) adults, compared with adults in other racial and ethnic groups.

Patients can lower their risk for diabetes-related complications by quitting smoking, maintaining a healthy weight, staying physically active, and seeing a provider regularly to monitor their blood pressure, cholesterol, and blood sugar.

You can help by connecting patients to programs that will help them stop smoking. These programs are an essential health benefit covered by Medicare, Medicaid, and private health insurance.

Tip sheet  titled 'Take Care of Your Heart. Manage Your Diabetes.' The National Diabetes Education Program's logo appears at the bottom of the page.

Also, remind patients that insurance often covers diabetes screenings, prevention plans, and treatment supplies.

Finally, check out the National Diabetes Education Program’s resources designed specifically for AI/AN communities.

National Minority Mental Health Awareness Month

July is National Minority Mental Health Awareness Month, an annual observance aimed at improving access to mental health treatment.

NAMI logo

The National Alliance on Mental Illness reports that more than a quarter of American Indian and Alaska Native (AI/AN) adults have a mental health condition. Suicide rates are also higher among AI/AN people than any other racial or ethnic group.

Cultural stigma and lack of insurance make it less likely that a patient will receive behavioral health services. Let your clients know that mental health conditions do not discriminate, and that coverage is available for treatment of those conditions.

Calendar of Events

2018 Novitas Indian Health Service Workshops

Novitas Solutions, Inc., will conduct workshops for patient benefits and billing staff who work in Indian Health Service (IHS) facilities and programs. The sessions will focus on Medicare topics, including provider enrollment requirements, patient screening tools, and billing guidelines. The workshops will offer focused overviews of Part A and Part B services that are referenced in the IHS Training Manual.

Learn more about these workshops.

July 11, 2018
IHS 2018 Workshop
Tuba City, AZ

August 7, 2018
IHS Ask-the-Contractor Webinar

August 9, 2018
IHS 2018 Workshop
Gallup, NM

August 14, 2018
IHS 2018 Workshop
Ada, OK

IHS Direct Service Tribes National Meeting

July 11–12, 2018

Minneapolis, MN

Sponsored by Indian Health Service (IHS), this 2-day event will focus on supporting community wellness. The agenda includes time for an open forum session on Direct Service Tribes’ health priorities, including the opioid crisis in Indian Country, the integration of traditional medicine, Native Veterans, childhood obesity and adolescent wellness, and patient-centered care.

AI/AN National Behavioral Health Conference

July 25–27, 2018

Washington, DC

The theme of this year’s conference is “Promoting Connections Between Culture and Purpose.” Consider attending if you are a tribal behavioral health expert, public health professional, federal employee, advocate, researcher, or community-based provider. For more information, view the agenda. This conference is sponsored by the National Indian Health Board.

Image of a native woman in traditional colorful clothes. American Indian/Alaska Native National Behavioral Health Conference, June 25-27 hosted by the National Indian Health Board

AI/AN Tribal Data Symposium

July 26, 2018

Washington, DC

Image of the National Indian Health Board's Save the Date for the American Indian and Alaska Native Tribal Data Symposium on Thursday, July 26, 2018. The image features a person's feet dancing in regalia moccasin boots

Tribal, state, and federal leadership and staff should consider attending this National Indian Health Board symposium, which will be held at the Barbara Jordan Conference Center. Topics include a review of data on health coverage, health outcomes, and delivery system changes for tribal health care. View the agenda, and email registration@nihb.org to register.

2018 Indian Health Service Partnership Conference

July 31–August 2, 2018

Phoenix, AZ

The Indian Health Service (IHS) Office of Information Technology and Office of Resource Access and Partnerships are hosting the 2018 IHS Partnership Conference. The event will provide valuable information for federal, tribal, and urban health care administrators, managers, and front-line staff who work in information technology (IT), health IT, business office and purchased/referred care programs, and health information management departments.

National Native Health Research Training Conference

August 8–10, 2018

Prior Lake, MN

The theme of this second annual conference is “Indigenous Research: Native Approaches to Sustainable Health.” Launched by Indian Health Service, the National Native Health Research Training (NNHRT) Initiative promotes tribally driven research activity through educational and training activities.

National Tribal Health Conference

September 17–20, 2018

Oklahoma City, OK

The National Indian Health Board will hold its 35th Annual National Tribal Health Conference at the Cox Convention Center. More details will be available soon.

Save the Date. September 17-20, 2018. National Indian Health Board's 35th Annual  National Tribal Health Conference. Collage of four images include a city skyline, flowers, a drum, and a sculpture.
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About the Newsletter

Covering Indian Country is published by the Centers for Medicare & Medicaid Services (CMS) Division of Tribal Affairs to share resources, success stories, and best practices with the people who connect tribal communities to health insurance.


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