Question: May Indian Health Programs function as Primary Care Providers (PCP) for American Indians and Alaskan Natives (AI/AN)?
Answer: Yes. In accordance with the American Recovery and Reinvestment Act of 2009, the Division of Health Care Financing and Policy (DHCFP) supports AI/AN Nevada Medicaid and Check Up recipients in selecting an Indian Health Service, Tribal Organization, or Urban Indian Organization (I/T/U) health care program as their PCP. These recipients may select an I/T/U as their PCP, regardless of whether they are enrolled in Managed Care (MC) or Fee-for-Service (FFS). I/T/Us that become PCPs for eligible recipients do not have to be, but may be, enrolled with either of the Managed Care Organizations (MCOs). Services which are referred out by PCPs must follow the service limitation and prior authorization requirements set forth by the applicable benefit plan (i.e., MC or FFS). If you have any questions or concerns, please contact Shannon Sprout, State-Tribal Liaison, at (775) 684-3732.