NCUIH Newsletter | January 13, 2020
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NCUIH Welcomes Intern Julia Wakeford
The National Council of Urban Indian Health is excited to announce that Ms. Julia Wakeford has accepted a six month internship and will serve as a Policy Assistant to the Director of Congressional Relations. Julia is Yuchi and a member of the Muscogee (Creek) Nation of Oklahoma. She has experience working in tribal government and on tribal political campaigns. While in undergrad, she worked in Diversity and Inclusion as well as in Multicultural Admissions. Julia holds a B.A. in Indigenous Socio-Political Studies from Swarthmore College. We look forward to Julia using her talents and becoming a part of our dynamic team as NCUIH continues advocacy efforts on behalf of our members and Urban Indian health care issues.
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2020 Conference Information
Registration information to be announced this week! Stay tuned!
Early Bird Deadline: February 22, 2020
Standard Registration Deadline: March 19, 2020
Onsite Registration: March 25 - 26, 2020
- Member UIHP - $150.00 ($125.00 Early Bird)
- Non-Member UIHP - $175.00 ($150.00 Early Bird)
- Tribal Leader/ Non-Profit - $200.00 ($175.00 Early Bird)
- Community Member/ Other - $225.00 ($200.00 Early Bird)
- Corporation/Government - $250.00 ($225.00 Early Bird)
- Youth 24 and under - $75.00 ($50.00 Early Bird)
- Onsite Registration - $325.00
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Sponsorship Guide
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RFP: Board and Leadership Governance Training Contractor
Scope of Work
To provide learning opportunities and professional development for board members and executive staff of the various Urban Indian Organizations (UIO) [1] through a series of webinars, communities of learning (COL) teleconferences and distance training activities. UIOs are non-profit federally qualified health centers that provide culturally competent health care and services to American Indians and Alaska Natives living in urban settings through the Indian Health Service. There is a need to support executives and their board members with training and best practices to support their sustainability and governance capacity for growth in the healthcare sector. NCUIH strives for healthy American Indians and Alaska Natives living in urban settings, which comprise over 70% of the AI/AN population, supported by quality, accessible health care centers and governed by leaders in the Indian community. NCUIH represents urban Indian Health Organizations receiving grants under Title V of IHCIA and the American Indian and Alaska Natives they serve.
- Deadline: January 31, 2020
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NCUIH Submits Comments to CMS, HHS OIG
On December 31, 2019, NCUIH submitted two sets of comments to the Centers for Medicare & Medicaid Services (CMS) and Department of Health & Human Services Office of the Inspector General (OIG), respectively.
NCUIH's first comment letter was submitted pursuant to CMS's request for information on the Medicare Program: Modernizing and Clarifying the Physician Self-Referral Regulations. In the comments, NCUIH strongly encouraged CMS to create new exceptions to the physician self-referral law that are consistent with the trust responsibility to AI/ANs.
The second comments were on OIG's proposed rule, Medicare and State Healthcare Programs: Fraud and Abuse; Revisions to Safe Harbors Under the Anti-Kickback Statute, and Civil Monetary Penalty Rules Regarding Beneficiary Inducements. In the comments, NCUIH noted, among other things, the importance of care coordination agreements to the I/T/U system and opposed modifications that would effectively make the safe harbor completely unavailable to I/T/U facilities.The OIG proposed modifications to the existing safe harbor for local transportation. In general, transportation is a major challenge for Indian Country, tribes, and AI/AN people no matter where they reside. For Indian health care providers and their AI/AN patients, transportation poses a significant barrier to health care access. NCUIH commented on the proposed increase in the mileage limit and encouraged OIG to eliminate the mileage limit for Indian health programs altogether – or to further expand the limit for our health programs.
Read comments submitted by the CMS Tribal Technical Advisory Group.
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CMS Extends Comment Period on Proposed Medicaid Regulation
On December 30, the Centers for Medicare & Medicaid Services (CMS) extended the public comment period for its proposed Medicaid Fiscal Accountability Regulation by fifteen days -- comments will now be accepted through 5 PM EST on February 1, 2020. In the proposal, CMS seeks to, among other things, establish new reporting requirements for states to provide certain information on supplemental payments to Medicaid providers. The proposal addresses the financing of supplemental and base Medicaid payments through the non-federal share. Comments can be submitted on regulations.gov.
Deadline: February 1, 2020
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Proposed Rule on Community Reinvestment Act Lending
On Thursday, January 9, the Office of the Comptroller of the Currency (OCC) and the Federal Deposit Insurance Corporation (FDIC) published a proposed rule that seeks to modernize the Community Reinvestment Act (CRA) regulations "to better achieve the law's underlying statutory purpose of encouraging banks to serve their communities by making the regulatory framework more objective, transparent, consistent, and easier to understand." The proposal seeks to clarify which activities qualify for CRA credit; update where activities count for CRA credit; create a more transparent/objective method for measuring performance; and provide for more transparent, consistent, and timely CRA-related data collection and reporting. The proposal also includes several specific measures aimed at spurring investments in tribal infrastructure and development projects on tribal lands. You can view the proposed rule here. The OCC and FDIC are accepting comments on the proposal until March 9, 2020, which may be submitted via teh Federal eRulemaking Portal, here.
Deadline: March 9, 2020
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CMS Issues Informational Bulletin on Avoiding 340B Duplicate Discounts in Medicaid
On Wednesday, January 8, the Centers for Medicare & Medicaid Services (CMS) issued an Informational Bulletin for state Medicaid agencies on best practices to avoid billing manufacturers for rebates on 340B prescription drugs. According to the agency, the incidence of duplicate discounts has increased significantly. The bulletin is available online, here.
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Upcoming Events Highlights
- Trainings: HIV & HCV TeleECHO Clinic Schedule for Winter/Spring 2020
- NCUIH Webinar: 2020 Urban Indian Health Legislative Preview (January 22, 2020)
- Webinar: Building an Effective Intimate Partner Violence Examiner Program (Tribal Forensic Healthcare) (January 27, 2020)
- NCUIH Webinar: GPRA Series - Session 3: Suicide Screening (January 29, 2020)
- Webinars: IHS FY 2022 Tribal Budget Formulation and Area Reports (January 29 and January 30, 2020)
- Training: ITU (CMS) (February 5 - 6, 2020 in San Diego, CA)
- NCUIH Community of Learning Grant Writing Series - Session 2 (February 6, 2020)
- FY 2022 National Tribal Budget Work Session (February 13-14, 2020 in Crystal City, VA)
- Webinar: Strategies for Combating Racism in Health Systems (NICHQ) (February, 13, 2020)
- Indian Country PrEP (Pre-Exposure Prophylaxis) ECHO Program (Northwest Portland Area Indian Health Board) (February 14, 2020)
- Meeting: 6th International Meeting on Indigenous Women's Health: Advancing and Advocating for Health in Rural and Urban Communities (ACOG) (February 18-21, 2020 in Albuquerque, NM)
- NCUIH Online Listening Session: Eliminating Hepatitis C and HIV in Indian Country: A Focus on Urban Indian Health of Youth and Elders (February 24, 2020)
- Event: NICWA – 38th Annual Conference (March 29–April 1, 2020 in Denver, CO)
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Trainings: HIV & HCV TeleECHO Clinic Schedule for Winter/Spring 2020
The first Indian Country HIV TeleECHO training of 2020 will occur this Wednesday, January 15 at 12pm - 1pm MT. It will cover Sleep Disorders in People Living With HIV (PLWH). The ongoing series covers HIV, HCV, and TB in Indian Country, and is intended to build a community of learning and practice among the I/T/U providers including physicians, pharmacists, nurses, medical assistants, case managers, community health workers, and other healthcare professionals in a primary care setting. In general, the schedule is as follows:
- Indian Country HCV: 1st and 3rd Wednesday of the month @ 12pm - 1pm MT
- Indian Country HIV: 2nd Wednesday of the month @ 12pm - 1pm MT
- Indian Country TB (Navajo Nation): 3rd Thursday of the month @ 1pm - 2:30pm MT
Full information, including the curricula, case forms, brochures, and personnel, are available online. To access these events, email ihsECHO@salud.unm.edu.
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Webinar: 2020 Urban Indian Health Legislative Preview
Objectives
- Listen to a brief overview of the National Council of Urban Indian Health Legislative Priorities
- Learn about the past and future advocacy work to drive the National Council of Urban Indian Health Legislative Priorities through Congress
Presenters
- Carla Lott, Director of Congressional Relations, NCUIH
- Julia Dreyer, Director of Federal Relations, NCUIH
Audience
- UIO Executive Directors/Chief Executive Officers
- Policymakers and lobbyists
- Federal agency representatives
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NCUIH Contact: Carla Lott (cmlott@NCUIH.org)
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Webinar: Building an Effective Intimate Partner Violence Examiner Program (Tribal Forensic Healthcare)
Presenters:
- Priscilla M. Simms-Roberson, DNP, APRN, NP-C, SANE-A
- Christine N. Foote-Lucero, MSN, RN, CEN, SANE-A, SANE-P
This webinar for medical professionals will discuss the initial steps to develop and implement a successful and effective intimate partner violence examiner program. The presentation will:
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Provide an overview of essential components that should be included in the IPV exam
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Provide an explanation of assessment methods.
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Discuss the nature and impact of IPV including strangulation
Participants will learn how examiner training can expand the healthcare and forensic services.
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Webinars: FY 2022 Tribal Budget Formulation and Area Reports (IHS)
There will be 2 webinars for Tribal Representatives to present a longer version of their Area Reports before the National Tribal Budget Work session. Each Area will have 15 minutes to present, with 6 areas presenting at each Webinar. Those sessions will occur at the following times:
Questions can be submitted via e-mail to IHSHQBudgetformulation@ihs.gov.
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Webinar: GPRA Series - Session 3: Best Practices of Suicide Screening
Presenter
- Pamela End of Horn, MSW, LICSW (Oglala Lakota), National Suicide Prevention Consultant, Indian Health Service, OCPS/Division of Behavioral Health
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Training: ITU (CMS)
An ITU training will be held by the Center for Medicare and Medicaid Services (CMS) to help Indian Health Service (IHS) facilities, Tribal Health Programs, and Urban Indian Programs maximize their ability to access third party resources. This two day training in San Diego will be most helpful for benefits coordinators and patient registration, medical records, contract health services and business office staff. The Agenda includes topics specific to Medicaid, Medicare, Fraud and Compliance, and VA and Disability benefits. The training will offer Continuing Education Units (CEUs) and separate breakout sessions for those that work in outreach and education in addition to billers and coders.
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Community of Learning Grant Writing Series - Session 2
Topics
- How to divide responsibility
- Keeping the team accountable
- Preparing for planning, implementation, and evaluation
- Resources to help you stay accountable to your funders
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Webinar: Strategies for Combating Racism in Health Systems (NICHQ)
There are stark racial disparities in health outcomes for moms and babies; and families of color have shared countless stories that reveal disturbing differences in care. The need to combat racism is undeniable. From Awareness to Action: Strategies for Combating Racism in Health Systems
Outcomes:
• Understand and contextualize the three levels of racism
• Apply a racial equity lens to health improvement using six guiding questions
• Identify key strategies for designing strengths-based approaches
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FY 2022 National Tribal Budget Work Session
The FY 2022 National Tribal Budget Work Session is scheduled for February 13-14, 2020 in Crystal City, VA. Information will be posted on https://www.ihs.gov/ihscalendar/calendar/fy-2022-national-tribal-budget-work-session/.
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Indian Country PrEP (Pre-Exposure Prophylaxis) ECHO Program (Northwest Portland Area Indian Health Board)
The Northwest Portland Area Indian Health Board, Cherokee Nation, and the Southern Plains Tribal Health Board invite healthcare staff to join our Indian Country PrEP (Pre-Exposure Prophylaxis) ECHO program. The 6 session virtual training curriculum provides comprehensive information for clinicians to end the HIV epidemic and effectively integrate and improve PrEP services in Indian Health Service, Tribal, and Urban Indian clinics. Continuing education credits will be provided.
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Meeting: 6th International Meeting on Indigenous Women's Health: Advancing and Advocating for Health in Rural and Urban Communities (ACOG)
The American College of Obstetricians and Gynecologists (ACOG) and The Society of Obstetricians and Gynaecologists of Canada (SOGC) welcomes you for the 6th International Meeting on Indigenous Women’s Health.
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NCUIH Online Listening Session: Eliminating Hepatitis C and HIV in Indian Country: A Focus on Urban Indian Health of Youth and Elders
The National Council of Urban Indian Health will provide a forum and a platform for the Urban Indian Health Programs, Youth and Elders across the United States to express their community’s circumstances, needs, perspective and interests before the Indian Health Service corresponding officials diligently working to support the Eliminating Hepatitis C and HIV in Indian Country Initiative.
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NCUIH Contact: Kimberly Fowler, kfowler@ncuih.org
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Event: NICWA – 38th Annual Conference (March 29–April 1, 2020 in Denver, CO)
The National Indian Child Welfare Association (NICWA) has announced its 38th annual Protecting Our Children Conference, to be held March 29–April 1, 2020. The four-day conference provides over 80 workshops across four programmatic tracks, training over 1,400 attendees in: "Children's Mental Health", "Child Welfare, Foster Care, and Adoption Services", "Youth and Family Involvement", and "Judicial and Legal Affairs". The event provides diverse health, legal, child welfare, and advocacy professionals to come together to create peer-to-peer networks, learn about the latest research, and discuss successful strategies on achieving well-being and permanency for all AI/AN families. Full agenda and registration details are available online.
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Technical Assistance & Research Highlights
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NCUIH Youth Council Highlight: Megan McDermott Competes in International Art Competition - You Can Vote for Her to Win!
NCUIH congratulates 2019 YC Megan McDermott for making it to Seattle’s city-wide art competition finals called ‘Art Battle Seattle’. The best of the best compete with open materials to create their masterpieces in only 20 minutes. The Seattle city-wide champion winner will head to the US National Championships in Texas! All works are auctioned and audience vote (both in-person and virtually) for the SEATTLE Champion to move on to Battle against 14 other national finalists in April. The winner of that event heads to TOKYO to represent the US in October 2020. YC Megan was the Art Battle Champion winner in May of 2019. NCUIH is inspired by the great work that YC Member Megan does in representing Native youth throughout Indian Country and the globe.
Download the Art Battle’s free iPhone app or Android app to vote for NCUIH’s Youth Council Megan McDermott win Art Battle Seattle.
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Resource: Second Issue Release of 'Prevention in our Native American Communities' Addresses Nicotine and Tobacco (Prevention Technology Transfer Center)
The focus of this 'Prevention' newsletter issue from the Prevention Technology Transfer Center (PTTC) is on use of nicotine/tobacco in AI/AN communities. Articles present
- evidence linking secondhand smoke exposure to disease,
- understanding the importance of countering the actions and influence of the tobacco industry,
- how ceremonial use differs from commercial tobacco use, and
- addiction in teens and young adults may be complicated by growing popularity of e-cigarettes
The discussion of culturally appropriate prevention is helpful and online resources are also discussed.
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Resource: Native Youth Count - 2019 State of Native Youth Report (CNAY)
The Center for Native American Youth at the Aspen Institute recently released its 2019 State of Native Youth Report. The report covers current issues in Health and Wellness, Systems involving Youth, Education and Jobs, Scared Sites, Lands, and Waterways, and Citizenship. The report includes input from Generation Indigenous (Gen-I), a group lunched by President Obama in 2014 to provide opportunities and platforms for youth advocacy. Youth 24 and under can join the network, and serve as Gen-I Native Youth Ambassadors.
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Resource: American Indian and Alaska Native Mental Health Research Journal Highlights UIO Research
The Centers for American Indian and Alaska Native Health at the Colorado School of Public Health released volume 26, issue 3 of its American Indian and Alaska Native Mental Health Research Journal that contained several urban Native focused evaluation articles. This included the publication of the community-based participatory research project formed by six Urban Indian Organizations in northern California. The paper focused on the methods and results from Phase 3 of the Culture is Prevention Project where the 29-item Cultural Connectedness Scale (CCS), developed in Canada, was adapted to be appropriate for California’s multi-tribal communities. Descriptions of how to adapt and apply the Cultural Connectedness Scale- California to other urban areas is discussed.
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Call for Intern Applications: Udall Native American Congressional Internship
The Udall Foundation’s Native American Congressional Internship program offers a unique opportunity for American Indian and Alaska Native undergraduate, graduate, and law students to gain professional leadership experience in Washington, D.C. This fully-funded, ten-week summer internship is for those interested in learning more about the Federal legislative process while gaining an insider’s view of the
government’s unique trust relationship with Tribes.
- Deadline: January 31, 2020
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Reminder - Funding: DOJ FY2020 Solicitations Opened
The Office of Justice Programs, Office on Violence Against Women, and Office of Community Oriented Policing Services through the Department of Justice has released several funding opportunities in which UIOs are eligible.
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New Funding: AHRQ - Improving Management of Opioids and OUD in Older Adults (R18)
The Agency for Healthcare Research and Quality (AHRQ) recently released new funding for a Research Demonstration and Disseminations Projects (R18) addressing Opiod Use Disorder (OUD) in older adults. UIOs are eligible to apply, either as lead applicants or in partnership with governments or academic institutions. AHRQ seeks applications to develop, implement, evaluate, and disseminate strategies to improve the management of opioid use and OUD in older adults in primary care settings with large segments of socially at-risk older adults.
Applicants must:
· propose a comprehensive plan,
· use evidence-based interventions and quality improvement strategies,
· submit a letter of intent by January 21, 2020,
· a full application by February 20, 2020.
- Deadline: January 21, 2020 (Letter of Intent)
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Funding: OVW Fiscal Year 2020 Legal Assistance for Victims (LAV) Grant
The Department of Justice's Office on Violence Against Women has released a new funding to support and aid adult and youth victims of domestic violence, dating violence, sexual assault, and stalking by providing funds for comprehensive direct legal services to victims in legal matters relating to or arising out of that abuse or violence. UIOs are eligible to apply as non-profit organizations.
- Deadline: January 29, 2020
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Funding: OVC Housing Assistance Grants for Victims of Human Trafficking
The Office of Victims of Crime (OVC) has released a new funding opportunity (FY 2020 Housing Assistance Grants for Victims of Human Trafficking) to support:
- transitional housing, including funding for the operating expenses of a newly developed or existing transitional housing program; and
- short-term housing assistance, including rental or utilities payment assistance and assistance with related expenses
UIOs are eligible to apply. Up to 27 awards are expected to be awarded at $500,00 over 3 years.
- Deadline: February 3, 2020
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Funding: SAMHSA - Grants to Expand Substance Abuse Treatment Capacity in Adult and Family Treatment Drug Courts
The Substance Abuse and Mental Health Administration (SAMHSA) has released grants to apply for the Grants to Expand Substance Abuse Treatment Capacity in Adult Treatment Drug Courts (ATDC), Adult Tribal Healing to Wellness Courts or Family Treatment Drug Courts (FTDC). The purpose of this program is to expand substance use disorder (SUD) treatment services in existing drug courts. The program recognizes the need for treatment instead of incarceration for individuals with SUDs. SAMHSA intends to issue 25 grants of up to $400,000 per year for up to 5 years. UIOs and Tribes are eligible to apply.
- Deadline: February 4, 2020
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Funding: CDC Rape Prevention and Education Program Research Grant
The Centers for Disease Control and Prevention (CDC) has announced a funding opportunity on Evaluating Practice-Based Programs, Practices, and Policies from CDC’s Rape Prevention and Education Program: Expanding the Evidence to Prevent Sexual Violence. Research conducted with these funds will rigorously evaluate practice-based prevention approaches (i.e., programs, policies, or practices being implemented or that are planned to be implemented by a Rape Prevention and Education (RPE)-funded organization or partner) to increase the evidence for sexual violence prevention programs, policies, or practices that have traction within the sexual violence field and are, therefore, feasible to implement by practitioners and acceptable to communities.
CDC intends to commit approximately $2,250,000 in Fiscal Year 2020 to support up to six applications for a three-year project period (Component A), with a possible compete for additional funding for a two-year project period (Component B).
- Deadline: February 20, 2020
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New Funding: SAMHSA Circles of Care Grant
SAMHSA is accepting applications for Planning and Developing Infrastructure to Promote the Mental Health of Children, Youth and Families in American Indian/Alaska Natives (AI/AN) Communities (Circles of Care) grants. The purpose of this program is to provide tribal and urban Indian communities with tools and resources to plan and design a holistic, evidence and community-based, coordinated system of care to support mental health for children, youth, and families. These grants are intended to increase the capacity and effectiveness of mental health systems serving AI/AN communities. It is anticipated that SAMHSA will issue 17 grants of up to $310,000 per year for up to 3 years.
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