2021-2022 OHCA Tribal Partnership Action Plan

Action Item: Elder Care

Purpose: To keep elders at home and in the community - less institutionalized

Strategy

Conditions that favor success

Objective

What does success look like?

Activities

What will happen?

Resources

What will partners contribute?

Update

Medicaid programs to support tribal elders to live safely in their home and community. 

1. Increase the number of AI/ANs enrolled into Home and Community Based Services (HCBS) Waiver programs.
2. Increase from 1 to 4 the number of tribal Money Follows the Person Tribal Initiative grantees.
3. Review other HCBS waivers in other states with tribal populations, to identify best practices.

1. OHCA will provide continued outreach and technical assistance to tribal partners and individuals interested in enrolling HCBS waiver programs
2. OHCA will support the MFP-TI grant by applying for and securing additional federal funding.
3. Review other HCBS waivers in other states with tribal populations, to identify best practices.
   1. OHCA will recruit and provide technical assistance to tribal partners in becoming MFP-TI grantees
   2. Tribal partners will participate in MFP-TI as a grantee to identify
4. OHCA will contact state partners with MFP-TI grants and will meet regularly.

OHCA: Utilize administrative agency resources for technical assistance to tribal partners

OHCA: Utilize administrative agency resources to facilitate between OHCA, tribal partners, and external partners.

Tribal Partners: Commit to resources necessary to execute an agreement with MFP-TI grant deliverables.

OHCA staff to attend and facilitate external collaborations efforts.

OHCA applied for and was awarded an MFP capacity building grant with a dedicated amount for tribal outreach.

OHCA conducted an online presentation to tribal partners about LTSS programs including MFP-TI.

As of Nov. 2021; five tribal partners have expressed interest in becoming a grantee.

Action Item: SoonerCare Education and Linkage

Purpose: Effectively Connect Tribal Communities to the SoonerCare Program 

Strategy

Conditions that favor success

Objective

What does success look like?

Activities

What will happen?

Resources

What will partners contribute?

Update

Tribal communities are aware of how to access SoonerCare coverage without experiencing barriers, by having a positive association with OHCA and tribal enrollment partnerships.

1. OHCA policy for all new Medicaid populations to include federal and state status exemptions for AI/AN.
2. Increase by % OHCA and tribal outreach strategies, including events, presentations, enrollment, and co-branded materials.

1. OHCA to conduct tribal consultation when considering policy changes to garner tribal partner input for inclusion.
2. OHCA and tribal partners will develop and disseminate culturally appropriate co-branded outreach materials.
   1. Tribal partners will invite OHCA to community events.
   2. OHCA to be available to support tribal community activities as needed.

OHCA: Utilize administrative agency resources.

Tribal Partners: To participate in tribal consultation, and resources dedicated to outreach.   

During March 2021 tribal consultation, OHCA presented policy to provide coverage the new adult expansion population.

Action Item: Alternative payments

Purpose:  To support I/T/U and maximize reimbursement

Strategy

Conditions that favor success

Objective

What does success look like?

Activities

What will happen?

Resources

What will partners contribute?

Update

Reimbursements to I/T/Us will optimize the federally published OMB rate and leverage the 100% fmap.

1. Proposed or existing services to be reimbursed at the OMB rate.
2. State budget reductions will exclude all payments made to I/T/Us at 100% fmap.

1. OHCA and Tribal partners will research current payment rates for all services provided at I/T/Us.
   1. OHCA will convene tribal consultation on any new services or proposed rate changes.
2. Tribal partners will engage with OHCA during consultation and provide data as needed.
   1. Tribal partners will engage with CMS, to discuss their concerns.

OHCA: Will utilize administrative agency resources.

Tribal Partners: To participate in tribal consultation.

Action Item: I/T/U Patient Centered Medical Homes (PCMH)

Purpose:   Different primary care model for I/T/Us addressing unique health care delivery system.

Strategy

Conditions that favor success

Objective

What does success look like?

Activities

What will happen?

Resources

What will partners contribute?

Update

A model for all I/T/Us that serve SoonerCare members with a successful medical home.

A model developed with input from all I/T/U providers that addresses their capabilities and best practices for member care.

OHCA will convene a tribal workgroup and develop a draft for input from tribal partners.  

Tribal partners will engage in the workgroup and provide expertise and feedback.

OHCA: Will utilize administrative agency resources.

Tribal Partners: To participate in workgroup.

Withdrawn from CMS consideration.