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About Smoke signals. (Grand Ronde, Or.) 19??-current | View Entire Issue (April 15, 2013)
Smoke Signals 15 APRIL 15,2013 Save our Skookum (SOS) Frequently asked questions Q: What is the point of making members apply for Oregon Health PlanMedicaid or other state coverage? A: To save Tribal dollars. If you are eligible for a state plan, this would become primary and pays claims before Skookum, which saves Tribal funds. Q: Does Tribal Council know you're doing this to the mem bership? A: Yes. This was a directive from Tribal Council. (We are doing this FOR the membership ... to benefit everyone by keeping the plan sustainable.) Q: What information can be submitted to the Skookum Sec ondary Payer Group if I don't qualify for the state cover age? A: Income verification, such as a pay stub or tax information showing you are over the income limits would be acceptable. Q: If I am an Elder receiving the Tribal Elder Pension, single family of one, do I have to apply? A: No, not if you are a single family of one, receiving the Tribal El der Pension. The Skookum Secondary Payer Group will verify your pension information with Member Benefits. Q: If I am a married Elder receiving Tribal Elders Pension, and my spouse is working, do I have to apply? A: If you are a family of two, receiving Tribal Elders Pension, the Skookum Secondary Payer Group will need to verify income informa tion for your household to help determine whether or not you need to apply for OHPMedicaid. Q: If I have a primary insurance, do I have to apply? A: No, not at this time. This will only affect Tribal members using Skookum as their only coverage. Q: Isn't my Skookum Health Program benefit insurance cov erage? A: No, Skookum is not an insurance plan, therefore, it is not consid ered to be insurance by definition. You should not reference Skookum as insurance, as it is not. It is a benefit you receive from the Tribe because you are an enrolled Tribal member. Q: What happens if I do not comply? A: Your claims will be suspended in a pending status at Shasta and not paid until you fulfill your obligation. Once it is confirmed that you have fulfilled your obligation, we will instruct Shasta to process and pay your claims. Q: I might be getting a job soon; if I do, should I drop my Medicaid? A: Keep your Medicaid until you have new coverage in effect and notify Medicaid of your change in status. Q: How do I apply for Medicaid? A: Many states have an online application and eligibility information or you can call the Department of Human Services in your state to learn about what is available to you. Q: Will there be Tribal staff available to answer my questions about applying for Medicaid? A: Yes, there will be Tribal staff available to assist you with ques tions. Q: Am I required to pay for insurance through my employ er? A: We encourage those Tribal members with alternate resources, such as employer sponsored insurance, to enroll in those plans and use Skookum as a secondary coverage to pay for any balances that are patient responsibility. But, at this time, you aren't required to enroll in your employer plan if there is an associated premium that you must pay. (But you may certainly choose to.) B Thank you to everyone that has responded to this effort and or provided necessary documentation. We look forwarding to hearing from you! Please call with your questions. Skookum Health Plan Secondary Payer Team Barbara Steere 503-879-2487; Tauni McCammon 503-879-1406; Erica Mercier 503-879-2080; Melody Baker 503-879-2011; Tresa Mercier 503-879-2008; Jim Holmes 503-879-2221. Save Our Skookum Grand R oir.de Gaming Commission positions The Grand Ronde Gaming Commission is seeking applications for two positions for three-year terms which will expire June 2016. The Grand Ronde Gaming Commission regulates all gaming-related activities associ ated with Spirit Mountain Casino. The Tribal Gaming Ordinance requires both positions to be filled by Tribal members. Applicants must be at least 21 years of age. Commissioners may not hold elective or managerial Tribal positions, and may not be employed in or own any interest in or gamble in a gaming operation authorized by the Tribal Gaming Ordinance. Com missioners are independent contractors and expend approximately 30-40 hours per month to fulfill their responsibilities. The Commission gener ally meets on the second and third Fridays of each month. Appointment is contingent upon successful completion of a background investigation. Applications may be obtained by calling Kathy Doane at 503-879-2393. Closing date is April 30, 2013, by 5 p.m. Notice to Interested Persons REQUEST FOR QUALIFICATIONS Grand Ronde Tribal Cultural CenterMuseum Project The Confederated Tribes of Grand Ronde (CTGR) is seeking proposals from licensed and qualified general contractors for the renovation of the former Willamina Middle School into the Tribe's Cultural CenterMuseum located in Grand Ronde, Ore. CTGR in tends to select contractors based on their qualifications and experi ence. Selected contractors will be requested to submit competitive bids for the project at a later date. Project Address 8720 Grand Ronde Road Grand Ronde. Oregon 97347 Interested persons wishing to receive a copy of the Request for Qualifications please send an electronic request for a RFQ packet to Jesse White, jesse.whitegrandronde.org. Sealed proposals must be received at the Confederated Tribes of Grand Ronde Tribal Governance Center located at 9615 Grand Ronde Road, Grand Ronde, OR 97347 before 3 p.m. Mondayr May 6. 2013. Additional information regarding this request may be obtained by submitting electronic written requests to Jesse White at jesse. whitegrandronde.org, or by calling 503-879-2404. Questions and answers will be e-mailed to all proposers. The Nun WctlnrH Imttaiw Prmcnu QVETERAN'S SUMMIT 'mm' f mm Save The Date! JULY )- VI. VMV.i GRAND KONDUOK. Dru and Alcohol Free Event Workihop. Talking Cutlet AA Meeting! Health and Denial Care UtiUraA RvrWrt IrnWmation and Coordination Healing Village Traditional Oama FREE TO AIX VETERANS, FAMILIES OF VETERANS, AND SERVICE PROVIDERS CAMPING AVAILABLE MEALS PROVIDED MORE INFORMATION FORTHCOMING T c? "J? in mm aaaaaaVaaaaaaaawpMnj-y m in I iiLiiiWiMaaaaaaaaMaaaa La. jjil Us Mssjmv sjAp Am 4antfMtaVvJll fttS tod aMl6 M MbM.
