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About Siletz news / (Siletz, OR) 199?-current | View Entire Issue (Oct. 1, 2003)
TRIBAL PROGRAM NEWS CHS Current Priority (Funding) Level Mission Statement: To ensure services are available at the end of the calendar year, CHS (Contract Health Services) manages money by fluctuating services to stay within the budgeted level of funds. You may experience your care being deferred due the level of spending occurring in CHS. Priority I: Emergent/Acutely Urgent Care Services Definition: Diagnostic or therapeutic services that are necessary to prevent the immediate death or serious impairment of the health of the individual and which, because of the threat to the life or health of the individual, necessitate the use of the most accessible health care available and capable of furnishing such service. Diagnosis and treatment of injuries or medical conditions that, if left untreated, would result in uncertain but potentially grave outcomes. Priority II: Preventive Care Services Definition: Primary health care that is aimed at the prevention of disease or disability. This includes services proven effective in avoiding the occurrence (primary prevention) of a disease or disability and services proven effective in mitigating the consequences of an illness or condition (secondary prevention). Level II services are available at most IHS or tribal facilities. Priority III: Primary and Secondary Care Services Definition: Inpatient and outpatient care services that involve the treatment of prevalent illnesses or conditions that have a significant impact on morbidity and mortality. This involves treatment CTSI Jobs CTSI Employment Job Line 541-444-8296 or 1-800-922-1399, ext. 296 Visit our Web site at http://ctsi.nsn.us for conditions that may be delayed without progressive loss of function or risk of life, limb, or senses. It includes services that may not be available at many IHS facilities and/or may require specialty consultation. Priority IV: Chronic Tertiary and Extended Care Services Definition: Inpatient and outpatient care services that (1) are not essential for initial/emergent diagnosis or therapy, (2) have less impact on mortality than morbidity, or (3) are high cost, are elective, and often require tertiary care facilities. These services are not readily available from direct care IHS or tribal facilities. Careful case management by the CHS Gatekeeping Review Commit tee is a requirement, as is monitoring by the medical officer or his/her designee. Depending on cost, the referral may require concurrence by the clinical/medical director. The Siletz CHS Program cur rently is approving services at Level II. CHS Limits Services Until Jan. 1,2004 Effective Aug. 1,2003, CHS limits dental exams for relief of pain only. Visits will be approved on a case-by- case basis, the 40-mile restriction still applies. Appointments may still be scheduled at Siletz, Grand Ronde, or Chemawa clinics for dental treatment. Vision exams and dispensing of glasses and contacts are being deferred until Jan. 1, 2004. This service is available at the Siletz, Grand Ronde, and Chemawa clinics. Note: “Open Until Filled” vacancies may close at any time. The tribe’s Indian Preference policy will apply. Tribal government will not discriminate in selection because of race, creed, age, sex, color, national origin, physical handicap, marital status, politics, membership or non-membership in an employee organization. October USDA Distribution Dates Child Care Assistance Program Expands Siletz Warehouse Beginning Oct. 1,2003, the income limits for the CTSI Child Care Assistance Program will increase to 85 percent of the median income for the state of Oregon. This increase in the income limit should result in more families being eligible to receive assistance for their child care. To qualify for this program, families must reside within the 11-county service area and must be working, going to school, or attending training or wellness activities, and their children must be tribal members. Eligibility for assistance begins on the day we receive your application, which must include income verification. If you’re interested in applying for this program, please call your local area office or the CTSI Child Care Assistance Program at 1-800-922-1399, ext. 363, or 541 -444-8363 to request an application. Thanks! Monday, Oct. 6 Tuesday, Oct. 7 Wednesday, Oct. 8 Thursday, Oct. 9 Friday, Oct. 10 9 a.m. - 3 9 a.m. - 3 9 a.m. - 3 9 a.m. - 3 9 a.m. - 3 p.m. p.m. p.m. p.m. p.m. Salem Warehouse Monday, Oct. 20 Tuesday, Oct. 21 Wednesday, Oct. 22 2 p.m. - 7 p.m. 9 a.m.-7 p.m. 9 a.m. - 5 p.m. Join Spokesperson Training Tribal Court Spokesperson training will be held on two weekends this month. The first training is Oct. 10-11 and the second is Oct. 17-18. Applicants can take advantage of this year’s spokes person training, provided in part by Siletz Tribal Court judges. Tribal Court’s grant project coordinator recruited a list of applicants. Currently, there are nine enlisted spokespersons. These individuals are asked to serve only a minimum of six hours per year, depending on the case represented. Applications are accepted continuously at the Siletz Tribal Court office. For participation in the training provided by our grant, the application deadline was Sept. 30,2003. The chief judge will determine trainees from their applications received by the deadline. The training will be videotaped and any approved applicants who missed this training can view it by appointment. Tribal Court encourages all interested Siletz Tribal members or other federally recognized tribal members living on Siletz reservation lands to apply. Call 1 -800-922-1399, ext. 250, or 541-444-8250 at Tribal Court and ask for Julie, or write to Confederated Tribes of Siletz Indians, Attn: Tribal Court Project Coordinator, P.O. Box 549, Siletz, OR 97380-0549. Home Improvement Loans Available The Siletz Tribe Revolving Credit Program currently offers loans to tribal members for home improvements. Tribal members can use these loans for such things as a new roof, new siding, new carpeting, room additions, a new furnace, and new appliances. For more information about the Home Improvement Loan Program, call Dave Litchy at the Siletz Tribe Finance Office in Salem, Ore., at 503-304-4064 or 1-888-870-9051 (toll-free). October 2003 □ Siletz News □ 5
