APRIL 1, 2000
COMMUNITY PUBLIC NOTICE - OPEN FOR COMMFNT
Health care patients: proposed pharmacy changes
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Effective as of May 15, 2000, pre
scription drugs and medical sup
plies provided by the Grand Ronde
Health and Wellness Center will be
provided as a Contract Health Ser
vice benefit on a cost-reimbursement
basis. This means that drugs and
medical supplies will no longer be
provided as a free service to members
of Indian tribes other than the Con
federated Tribes of Grand Ronde,
except for those members of other
tribes who are determined to be eli
gible for Contract Health Services as
having close social and economic ties
with the Confederated Tribes of
Grand Ronde, or members of the
Siletz Tribe under reciprocity ar
rangement with the Siletz Tribal
Clinic.
For those Native patients who have
a third party payer resource, such as
the Oregon Health Plan or medical in
surance with prescription coverage
that the Pharmacy accepts assign
ment for, the Pharmacy will bill that
resource on the patient's behalf at the
allowable reimbursement rate. Co
payments and deductibles will be
waived for Native patients with third
party payer coverage. Patients are
urged to provide information regard
ing third party payer resource to the
Pharmacy in advance, which will help
keep waiting time to a minimum.
For those Native patients who do not
have third party payer coverage, but
who are eligible for the Grand Ronde
Contract Health Service Program, the
Pharmacy will bill the Contract Health
Service Program at acquisition cost of
the drugs and medical supplies. Eli
gibility for the Contract Health Ser
vice Program requires that a person
be a Grand Ronde enrolled member
and reside in the designated five
county Contract Health Service De
livery Area, or be a member of an
other tribe who has established and
maintains close social and economic
ties with the Grand Ronde Tribe and
resides within the Contract Health
Service Delivery Area.
Those Native patients who do not
have a third party payer resource for
which the Pharmacy accepts assign
ment and are not eligible for the
Grand Ronde Contract Health Ser
vice Program will be required to pay
Confederated Tribes of Grand Ronde
Health & Wellness Center
Pharmacy Service Eligibility & Payment Policy
If Patient Is: Contract Health Eligible Third Party Payer Coverage Drug Cost Service Fee
Yes No Yes No
Grand Ronde Tribal Member X X Billed to third party Billed to third party
Grand Ronde Tribal Member X X Billed to CHS No Charge
Grand Ronde Tribal Member X X Billed to third party Billed to third party
Grand Ronde Tribal Member X X No Charge No Charge
Unenrolled Grand Ronde Descendant Under 1 8 X X Billed to third party Billed to third party
Unenrolled Grand Ronde Descendant Under 18 X X Billed to CHS No Charge
Unenrolled Grand Ronde Descendant Over 18 X X Billed to third party Billed to third party
Unenrolled Grand Ronde Descendant Over 18 X X No Charge ' No Charge
Member of Other Tribe With Close Social & . . . ... . I . . . .. . .
Economic Ties to Grand Ronde Tribe X X Billed to third party Billed to third party
Member of Other Tribe Without Close Social & v ...... . . .
Economic Ties to Grand Ronde Tribe X X Billed to third party Billed to third party
Member of Other Tribe Without Close Social & .
Economic Ties to Grand Ronde Tribe X X Patient pays No Charge
Member of Siletz Tribe under reciprocity . ...... . ...... .
arrangement with Siletz Tribal Clinic X X Billed to third party Billed to third party
Member of Siletz Tribe under reciprocity i, u
arrangement with Siletz Tribal Clinic X X No Charge No Charge
Non-Indian of Grand Ronde Community X X Billed to third party Patient copayment
Non-Indian of Grand Ronde Community X X Patient pays Patient pays
Eligibility by close social and economic ties requires that a member of another tribe be employed by the Grand Ronde Tribe,
or a business entity owned by the Tribe, or be married to a member of the Grand Ronde Tribe.
for prescriptions at the Pharmacy's
acquisition cost at the time the pre
scription is provided. The pharmacy
accepts Visa, MasterCard, debit card,
cash or in-state checks.
Pharmacy services which are cur
rently provided to non-Native medi
cal clinic patients on a full cost reim
bursement basis from the patient
andor their insurance coverage or
Oregon Health Plan will continue
unchanged.
ADVERTISEMENT FOR PUBLIC COMMENT
ALTERNATIVES FOR THE PROPOSED
ULQ LOGGING UNIT
GRAND RONDE RESERVATION
Free summit for middle school girls
The Natural Resources department
of the Confederated Tribes of Grand
Ronde is soliciting public comment on
the alternatives for the Ulq Timber
Sale. Written comments and re
quests for copies of a detailed descrip
tion of these alternatives should be
addressed to:
Mr. Mike Karnosh, Forester
Confederated Tribes of Grand Ronde
Natural Resources Division
P.O. Box 10
Grand Ronde, Oregon 97347
For further information you can
contact Mike Karnosh at (503)
879-2383. To be considered, writ
ten comments must include:
(1) Your name, address, and tele
phone number;
(2) Name of the timber sale on which
you are commenting;
(3) Specific facts or comments along
with supporting reasons that you be
lieve the NRD should consider.
Comments received by April 5,
2000, will be considered before tak
ing final action.
Healthy relationships, team build
ing, decision-making, and handling
peer pressure are just a few of the
14 topics middle school girls can
choose from when attending the Girl
Summit 2000.
Dubbed Girl Power!, the free, all
day conference on April 15 on the
Western Oregon University campus
also features lighter subjects like color
analysis and wardrobing.
Professionals will share their career
perspectives in fields including culi
nary arts, medicine, firefighting,
modeling, marine biology, general sci
ences, and athletics.
Organizers promise the day will be
unique and rewarding, with presen
tations girls can relate to.
All meals, including two snacks and
lunch will be provided. The girls will
also have mentors from WOU
through out the day to guide them
to their sessions and answer ques
tions about college.
Transportation is available from
central locations for girls whose par
ents are not able to bring them.
"We hope to accommodate each girl
with the first four choices of sessions
she wishes to attend," said Judy
Bowen, one of the summit organizers
and Polk County Department of Hu
man Services Community Partner
ship Team member. "We hope to help
girls boost their self-esteem and get a
small taste of what higher education
is, and how it can lead them to an in
teresting and rewarding career."
For more information, call Judy
Bowen at 623-4366, ext. 245 or
Kathy Wenos at 623-0264.