Contract Health Care Services
Medical Care Notifications
To be eligible for CHS, an individual must meet the eligibility requirements, which must be met by every person needing and applying for CHS assistance.
To ensure the eligibility status, individuals must update the PAO-21 (yellow form) annually or when there are address or other changes. Not having current information may create a delay in processing CHS referrals because the eligibility criteria is not current. The eligibility factors are:
[1] An individual enrolled in a Federal recognized Tribe or of Indian descent and belongs to the Indian community living on the Colville Indian Reservation.
* A non-Indian woman pregnant with an eligible Indian’s child is eligible for CHS during pregnancy through six weeks post partum.
[2] An individual must reside within the IHS Contract Health Service Delivery Area (CHSDA). The CHSDA includes the counties of: Okanogan, Ferry, Stevens, Lincoln, Douglas, Chelan, and Grant. Under Priority 1, only enrolled members of the tribe who reside in the CHSDA are eligible for CHS.
* Children placed in foster care outside the CHSDA by court order must also have their PAO-21 updated by the local Children and Families Program and provide a copy of the court order showing placement from a court of proper jurisdiction.
[3] An individual must apply for and use all alternate resources that are available and accessible, such as Medicare A and B, state Medicaid, state or other federal health program, private insurance, etc. The IHS clinic at Nespelem and Tribal Health Clinics at Keller and Inchelium are also considered a resource, and therefore, CHS funds may not be expended for services accessible and available at these clinics.
[4] Federal regulations require proper notification to the appropriate IHS official before CHS assistance is authorized.
* In non-emergency cases, the patient, or an individual or agency acting on behalf of the patient must get prior approval, prior to the provision of medical care and service in a non-IHS facility. To get prior approval, medical reports must be provided to show medical necessity. All medical reports will be reviewed for approval or denial by the Managed Care Program.
* In emergency cases, an individual, family member, or agency acting on behalf of the patient must notify IHS within 72 hours after the beginning of treatment or after admission to a non-IHS facility. Medical reports will be required to determine if this was a true medical emergency; IHS must receive the reports within 72 hours of notification. The reports will be reviewed by the Managed Care Program, for approval or disapproval.
A referral by an IHS or Tribal physician to a non-IHS provider does not automatically mean that CHS will cover the charges. IHS is not obligated to pay for medical or dental services under the CHS program unless funds are available and authorized. An approved referral is only good for one visit.
Happy New Years From Tribal Health Program
1-888-881-7684
Omak T.H.P. Nespelem T.H.P. Keller T.H.P Inchelium T.H.P Angela Rios Val Vargas-Thomas Dianne Mellon Pam Phillips P.O. Box 3879 P.O. Box 150 P.O. Box 414 P.O. box 291 Omak, WA. 98841 Nespelem, WA. 99155 Keller,WA.99140 Inchelium, WA.99138 509-634-7325 509-722-7019 509-634-7325 509-722-7019
Quit Smoking Action Plan
American Lung Association SiteIntroduction
The American Lung Association developed the Quit Smoking Action Plan under the guidance of a team of experts on cigarette smoking It offers specific recommendations for selecting a personalized plan to free yourself of cigarettes and stay that way.
To help you better understand your options, the material is presented in the following 3 Steps of a Quit Smoking Action Plan, along with charts to guide you through each step.
Step 1 - Preparing to Quit
Step 2 - Using Medications
Step 3 - Staying Smoke-Free
Conclusion
Additional American Lung Association Resources
Webmaster’s Note: The ‘Quit Smoking Action Plan’ was developed prior to the release of Freedom From Smoking® Online. (www.ffsonine.org). FFS Online is a useful tool in quitting smoking and is free to our www.lungusa.org visitors. Please consider this option as well.
A Deadly Combination: Addiction and Behavior
Nicotine is a powerful drug that raises mood, reduces anxiety, and, in those accustomed to it, increases alertness. Over time, it causes changes in smokers’ brains that make them need nicotine. Then, when they try to quit, smokers have unpleasant symptoms such as irritability, craving for cigarettes or difficulty concentrating.
An additional obstacle to quitting is the many daily behavior patterns that smokers may not even realize they have, such as morning or before-bed cigarette routines, or smoking with friends, co-workers or spouses. Each person’s smoking behavior is different, but these established patterns link smoking to many activities of daily life.
People who are fairly dependent on cigarettes need to incorporate multiple sources of help in their quitting plan to maximize their odds of success. Those who are less dependent on cigarettes may be successful by using only a few sources of help. However, the more help you have, the better your chances of quitting and staying smoke-free.
Be a Smart Quitter!
There are many programs to help you quit smoking. The cost of these programs may vary from almost nothing to hundreds of dollars. A higher cost does not guarantee success. Many health plans and worksites provide free quit-smoking programs and some health plans cover the cost of medications to help you quit. Check with your insurance carrier or employer for more information.
Before investing your time or money in a program, ask questions such as:
• Is there a cost to you?
• Is the program convenient for you?
• Is the staff well trained and professional?
• Does the program meet your needs?
• What is the success rate of this program?
A program representative should be able to answer your questions. If they can’t, keep looking. There are no tricks or magic bullets to make you stop smoking. If a program seems too easy, guarantees you will quit, or claims a success rate that sounds unrealistic, look elsewhere.
Examining Your Options
The charts on the next few pages review your options for each of the 3 steps of your Quit Smoking Action Plan. Although there are many sources of help available, it’s best to choose what feels right to you. The more comfortable you are with the methods you use, the better the chances that you will stick with them.
Paschal Sherman Indian School
FACE Program
Openings at the FACE Program; Adult Education –is an opportunity to further your education, goals, a chance to develop and increase life skills. Get out of the rut, and look forward to a new day and way of living. Here you can gain parenting skills, create crafts, and attend field trips with your child. If you are unsure of your math skills, you might be surprised how the teacher can make math easy and fun. Cultural activities are available on a weekly basis. Come join us.
Our Center-based Program prepares the 3-5 year old for Kindergarten. The parent is required to do one hour of parent and child time each day, which is a child lead activity, which parents find themselves having fun. The child learns to be independent and enjoy school. The room is stimulating, with a lot of different centers; drama, music, reading, math, art and play . Computers are used to teach the child technology and cultural activities are part our of the daily lesson plans. We also go on field trips, let us know if you are interested and join us. We attend field trips planned and created by you the family.
Home-base Program; is for pre-natal to 5 years of age in the home, child development, health screening, and referrals if necessary for assistance for services for; Speech, physical therapist, or professional screening or tests.
We work closely with TANF to complete your goals and requirements.
Come in and visit. Check in at the school office for a pass.
You’re invited to visit any time. Thank You.
“Our Future Fried Bread Maker”
Melinda McCraigie is enrolled at our Face Program Pre-School and her mother Cliomat is in our Adult classroom working on her GED here at P.S.I.S. We have monthly family gatherings where all the parents come together and do activities with their children. Melinda is going to carry on our traditions by making fried bread (Yumm-Yumm).
Keller School Alumni
The first Keller School Reunion was approximately 20 years ago. Don’t you think we all need to get together again and reminisce about the good old days?
We are in the planning stages for the next reunion and have tentatively selected the second Saturday in June 2006 at the new Keller School or the Keller Community Center. We welcome any interesting stories or pictures that you would like to share about the Keller School days. We will make copies of the pictures and return to you.
Let’s make this a memorable and fun reunion. If you have any questions, or suggestions, please call or write us. Thank you.
Jeanne Arnold Jerred, PO Box 216, Keller, WA 99140, (509) 634-4376 and Lorretta Alexander Moses, PO Box 274, Elmer City, WA 99124, (509) 633-2661.
First Aid and CPR Classes
First Aid and CPR classes taught by the North Cascades Chapter of American Red Cross will be offered on the following dates: January 2-4 from 6-9 p.m. OR January 21 from 9 a.m. to 4 p.m. OR call 422-3440 for more information.
Owners and Jockeys Association Meeting Notice
December 28, 2005 at 6 p.m.
Nespelem Community Center
The Owners and Jockeys Association will be holding a year end meeting to discuss the year’s events, how to improve next year, give final reports and pass along books to new elected officers. There will be copies of the CMT documentary available for purchase. They did an excellent job!
Please come and show your support.
Wimps need not apply!
New Years Sobriety Pow Wow
Nespelem Community Center
Nespelem Washington
Dec 30th -Jan 1st 06
Grand Entry Fri. Night at 7pm
Sat. Grand Entry at 1pm and 7pm
Sunday 1pm
Contest Dancing in All Age Catergories:
Tiny Tots, Jr Boys & Girls, Teen Boys
& Girls, Mens & Womens, Golden Age
Special-GrassHopper Special Sponsored
By Tim Brooks & Family
Clown Dance II- Sponsored by
the Pow Wow Committee
Saturday Evening A dinner will be served
for Dancers, Drummers and Spectators.
If any other Special will take place
it’ll be announced at the pow wow.
Host Motel-Grand Coulee Dam Motel
$47 Per Nite ask for Pow Wow Rate
1-509-633-2860
For More Information Contact
Faran Sohappy or Teena Paul 509-634-4964
