Tribal Services for Aging and Disability Support
Explore the availability of Long-Term Services and Supports (LTSS) and Home and Community-Based Services (HCBS) for Elders and adults with disabilities within Tribal communities. Discover the funding sources, service comparisons, and eligibility criteria for providing essential care and assistance.
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This Photo by Unknown Author is licensed under CC BY-SA Medicaid claiming; a resource for building Aging and disability supports in your community Tribes Serving Tribal People
DOES YOUR TRIBE PROVIDE LTSS/HCBS SERVICES? This Photo This Photo by Unknown Author is licensed under CC BY-SA CC BY-SA
What is Long Term Care? Long Term Care is any service that helps Elders and adults (aged 18 and older) with disabilities stay in their own home or community. Instrumental Activities of Daily Living (IADL) Activities of Daily Living (ADL) Aging In Place
DOES YOUR TRIBE PROVIDE LTSS/HCBS SERVICES? This Photo This Photo by Unknown Author is licensed under CC BY-SA CC BY-SA
START WHERE YOU ARE This Photo by Unknown Author is licensed under CC BY-NC-ND
Knowing Whats Billable: Title VI vs. Medicaid Sample Comparison Using Minnesota Waivers and Rates Title VI Can Assist In Drafting One for You & Your State Title VI Provided (Y/N) Tribal Department Medicaid Waiver State Rate Home Delivered Meals Title VI All MN Waivers $6.67 Y Chore Worker Case Management Transit Housing MN CAC & TBI Waivers All MN Waivers All MN Waivers $3.96/Unit* ($15.84/Hr.) $24.37/Unit* ($97.48/Hr.) $1.05/Mile* Y Clinic Y CHR Y
Two sources of funds that can work together for Tribes Title VI Medicaid Federal grant paid directly to the Tribe at the start of each program cycle Federal and State partnership program that pays a provider after service is given Must have at least 50 Elders to participate Anyone who meets the State financial or functional requirements can participate, regardless of age Funding only counts Elders age 60 and older Tribe determines eligibility and which services they will provide Tribe determines what services they would like to provide*
Other Departments and Leadership Tribal Housing Human/Social Services Elder Services Community Health & CHRs Transportation Health Center/Clinic Leadership
Medicaid Provider Enrollment Update Your 638 Tribally Provided Medicaid LTSS NPI and Taxonomies State Requirements Fee for Service vs. Managed Care
Financial Assessments & Functional Screens Tribal Members Participating In Medicaid Release of Information and other HIPAA State level of knowledge (Special Provisions for Tribes and Members) Case Planning and Approvals
Things to consider What services you provide that are part of your state s waivers Know For special requirements for providers in the state plan and how to educate the state on possible federal provisions for Tribes Plan Functional screens and the Medicaid enrollment process with your Elders, disabled adults and their families Discuss Hold talking sessions to educate staff and community members about Medicaid programs and how they can work with Tribal programs Listen This Photo by Unknown Author is licensed under CC BY-NC-ND
Quick Ideas to Get Started Get assistance from Title VI to make a list of your Tribe s services for Elders and those with disabilities Visit CMS website and State Medicaid site(s) to review the plans and services for your State Match your services to Title VI and Medicaid programs Determine cost of services and compare to Medicaid rates Meet with other departments and Leadership Review state Medicaid Waiver requirements Plan your billing process Help your community get enrolled in Medicaid programs
CMS AI/AN LTSS Technical Assistance Center https://www.cms.gov/Outr each-and- Education/American- Indian-Alaska- Native/AIAN/LTSS-TA- Center/index.html List of State Medicaid Waivers https://www.medicaid.gov/ medicaid/section-1115- demo/demonstration-and- waiver-list/index.html Resources Title VI AoA (AGID) https://agid.acl.gov/Custo mTables/NA/Year/ (Tribal specific data)
Aniwahya Consulting Services Website: http://www.aniwahya.com Office Phone: 608.301.5197 http://www.aniwahya.com TEAM Elaina Seep, CEO and Project Lead Email: Elaina.Seep@Aniwahya.com Elaina.Seep@Aniwahya.com Benjamin Gonzales, Director of Marketing Email: Benjamin.Gonzales@Aniwahya.com Benjamin.Gonzales@Aniwahya.com Para Bradshaw, Project Manager Email: Para.Bradshaw@Aniwahya.com @Aniwahya.com Christian Radziwon, Policy Analyst & Social Work Lead Email: Christian.Radziwon@Aniwahya.com
