The American Recovery and Reinvestment Act of 2009, Public Law 111-5, Section 5006 of the Recovery Act provides premiums and cost-sharing protection for Indians in Medicaid and the Children’s Health Insurance Program (CHIP).
Members of federally recognized Indian tribes and individuals who are otherwise eligible for services from an Indian health care provider have the following Medicaid and CHIP protections from cost sharing:
- Medicaid premiums and enrollment fees are waived if the member is eligible to receive care from an Indian health care provider or through referral to a non-Indian provider - such as Purchased/Referred Care (PRC).
- Cost sharing, such as deductibles, coinsurance, or copayments are waived for any Medicaid service from any Medicaid provider if the member has ever received a service or referral from and Indian health care provider.
- Children who are American Indian or Alaska Native cannot be charged any premium, enrollment fee, copayment, coinsurance, or deductible in CHIP.
NCTracks is a source of information regarding member eligibility for Indian Health Service (IHS) benefits. Please note that some IHS members are eligible only for a limited time, such as until they turn 19 or during pregnancy. NCTracks is a source of information regarding member eligibility for Indian Health Service (IHS) benefits. Please note that some IHS members are eligible only for a limited time, such as until they turn 19 or during pregnancy.
Contact
NC Medicaid Contact Center, 888-245-0179