Page 10
Spilyay Tymoo, Warm Springs, Oregon
Health care:
(Continued from page 1)
In the past, when a pa-
tient was referred to an off-
reservation provider, Man-
aged Care would not hear
back from the provider as
to the service provided, di-
agnosis, future treatment,
etc. In order to get this in-
formation, Managed Care
would have to rely on the
patient: This would involve
the patient providing a re-
lease of information, for
instance.
The situation was incon-
venient, requiring additional
and at times unnecessary
contact with the patient.
The new Care Coordina-
tion Agreement now allows
Managed Care and the
clinic to hear directly from
the provider without the
need of inconveniencing the
patient, or creating addi-
tional hurdles for Managed
Care.
The billing for the off-res-
ervation services will also
be streamlined. Billing for
patients covered by Medic-
aid can now be covered di-
rectly and 100-percent by
the federal program. In the
past the Oregon Health Plan
was a partial payer, and
would then seek reimburse-
ment from the federal pro-
gram. The new agreement
creates the more direct bill-
ing option.
In the end the goal of the
agreement is to improve
care for tribal patients of
the clinic, said Michael
Collins, director of Man-
November 6, 2019
Agreement with St. Charles
aged Care.
The Care Coordination
Agreement was about three
years in the making, with the
finalization coming together
over the past several weeks.
On hand for the signing
at the Joint Health Commis-
sion was Joseph Sluka, presi-
dent and chief executive
officer of the St. Charles
Health Care System. “We’re
privileged to have this agree-
ment, and to ser ve the
Warm Springs community,”
Mr. Sluka said.
Other business
In some other business
from the Joint Health Com-
mission meeting:
The commission elected
the officers. Heather Crow-
Martinez was nominated
and approved to continue as
chairwoman. Caroline Cruz
will continue as secretary;
and the vice chairwoman is
Michelle Miller, acting clinic
director. Ms. Miller will
serve as vice chair until the
new permanent clinic direc-
tor is on board in a few
weeks.
The new director,
Chippewa tribal member, is
moving to Warm Springs
from North Dakota, and
will be here in mid Decem-
ber, Michelle reported.
She said there will be two
new nurses, and a new den-
tal assistant starting also in
December.
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