SIP Tribal Services
Tribal entities have a unique and complex set of benefit options, challenges and governmental requirements when it comes to healthcare. SIP Tribal Services was formed to help tribal entities navigate these complexities - from administering benefits to obtaining medicare like rates (MLR) for eligible medical claims.
Complexities of Tribal Healthcare
The Indian Health Service (IHS), an agency within the Department of Health and Human Services, oversees and is responsible for providing federal health services to members of federally recognized tribes including American Indians and Alaska Natives (hereafter referred to as “tribal members”).
Many tribal members receive medical care directly from tribal clinics and health facilities near their place of residence. However, some medical services are not available through tribal clinics.
Offering Clarity & Solutions
At SIP Tribal Services, we understand the complexities you face and are ready to support your efforts to provide tribal members with affordable quality care. The ability to leverage medicare pricing for tribal medical services under Contract Health Services (CHS) provides significant savings to tribal health programs and allows tribal health organizations to extend the "buying" power of their health dollar. There are requirements that must be met before MLR pricing is applicable, but the requirements are reasonable and easy to administer for most tribal entities, especially with the assistance of SIP Tribal Services.
SIP Tribal Services Include:
- Benefits administration for tribal entities
- Tribal medical services under CHS
- Savings opportunities for tribal health programs
- Medicare like pricing of eligible medical claims
SIP Tribal Services provides administrative support and program guidance that enables tribal entities to maximize their healthcare savings opportunities available under CHS.