Tribal Health Proposes Policies for Medically Related Travel and Drug Utilization Policies

During August 27 - 30, 2018, Tribal Health (TH) will host a series of public hearings and comment opportunities regarding  1) Medically Related Recipient Travel Program and   2) Controlled Substance Utilization and Dispensing Limitation policies.  The hearings will take place on the following dates and locations:

 

Hearing Dates and Locations

  • Monday, August 27, 2018

Hot Springs Public Hearing

Hot Springs Senior Center

101 Main St #1

Hot Springs, MT 59845

1 - 2 pm - Medically Related Recipient Travel Program Hearing

2 - 3 pm - Controlled Substance Utilization and Dispensing Limitation Policy

Light refreshments

 

  • Monday, August 27, 2018

Arlee Public Hearing

Arlee Community Center

Pow Wow Road

Arlee, MT 59821

6-7 pm - Medically Related Recipient Travel Program Hearing

7-8 pm - Controlled Substance Utilization and Dispensing Limitation Policy

Light refreshments

 

  • Tuesday, August 28, 2018

St. Ignatius Public Hearing

St. Ignatius Community Center

332 Mountain View Drive

St. Ignatius, MT  59865

1 - 2 pm - Medically Related Recipient Travel Program Hearing

2 - 3 pm - Controlled Substance Utilization and Dispensing Limitation Policy

Light refreshments

 

  • Tuesday, August 28, 2018

Dixon/Charlo Public Hearing

Dixon School Community Building

411 B. Street

Dixon, MT  59831

6-7 pm - Medically Related Recipient Travel Program Hearing

7-8 pm - Controlled Substance Utilization and Dispensing Limitation Policy

Light refreshments

 

  • Wednesday, August 29, 2018

Pablo Public Hearing

CSKT Council Chambers

42487 Complex Blvd.

Pablo, Montana 59855

1 - 2 pm - Medically Related Recipient Travel Program Hearing

2 - 3 pm - Controlled Substance Utilization and Dispensing Limitation Policy

Light refreshments

 

  • Wednesday, August 29, 2018

Ronan Public Hearing

Marvin Camel Building/Ronan Senior Center

35806 Terrace Lake Road

Ronan, MT 59864

6-7 pm - Medically Related Recipient Travel Program Hearing

7-8 pm - Controlled Substance Utilization and Dispensing Limitation Policy

Light refreshments

 

  • Thursday, August 30, 2018

Polson Public Hearing

Polson Tribal Health Center, 3rd Floor

#5 Fourth Avenue East

Polson, MT 59860

1 - 2 pm - Medically Related Recipient Travel Program Hearing

2 - 3 pm - Controlled Substance Utilization and Dispensing Limitation Policy

Light refreshments

 

  • Thursday, August 30, 2018

Elmo Public Hearing

Elmo Health Center

33116 US Highway 93 North

Elmo, MT  59915

6-7 pm - Medically Related Recipient Travel Program Hearing

7-8 pm - Controlled Substance Utilization and Dispensing Limitation Policy

Light refreshments

 

Overview:  Medically Related Recipient Travel Program Policy

Tribal Health of the CSKT manages health care delivery to eligible TH recipients. Health care delivery includes providing health care in established health care centers and paying for purchased care from private providers (Tribal Health Paid Care) if the recipient is deemed eligible.

Federal Indian Health Service budget levels are limited to a fraction of the actual medical need.  Therefore, travel dollars taken from the health care budget impact the provision of health care and are not intended to cover all of the costs associated with medically related travel.  Proposed changes to the policy include new criteria and processes for authorization of medically related travel costs.

Copies of the proposed policy can be downloaded below, and hard copies can also be picked up at each of the Tribal Health Centers, in addition to CSKT Administration.  
 

FINAL-Medically Related Travel 8.6.18.pdf
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08/06/2018 8:35 PM

 

Overview:  Controlled Substance Utilization and Dispensing Limitation

Tribal Health Pharmacies of the CSKT have noted increased utilization and a significant disparity in the quantities of specific medications dispensed over the past several years. One of the offending drug classes are opiate medications, specifically those containing hydrocodone in which the prescriptions often meet or exceed quantity limits set by suppliers.

Pharmacists and medical clinicians also have access to the Montana Prescription Drug Registry online, which provides information regarding prescriptions filled at any pharmacy in Montana and includes the name of the medication, date filled, quantity dispensed and the prescriber's name. This information allows clinicians to identify individuals obtaining prescriptions from multiple clinicians and pharmacies.

Tribal Health has significant concerns in regard to increasing prescription drug abuse, rates of death secondary to opiate overdose and prevalence of infants born with Neonatal Abstinence Syndrome within our communities. In regard to these public health concerns about opiates and in accordance with fiscal responsibility, our TH pharmacies will benefit from a policy that guides pharmacists, pharmacy technicians, and other medical staff on the best course of action for addressing prescribing practices and dispensing high utilization medications.

Copies of the proposed policy can be downloaded below, and hard copies can also be picked up at each of the Tribal Health Centers, in addition to CSKT Administration.  
 

FINAL-Controlled Substance Utilization 8.6.18.pdf
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08/06/2018 8:35 PM

 

How to Comment

Comment forms can be downloaded below, or you can also fill in the electronic form as well.  Copies can also be picked up in hardcopy, at each of the Tribal Health Centers, or at CSKT Administration.  Members of the public who would like to comment are asked to call Yvonne Conko at Tribal Health,  406-745-3525, no later than three days prior to each hearing, to be placed on a scheduled list of commenters during each hearing.

Proposed public hearing oral comment time limit: 5 minutes

Deadline for written comment:   September 14, 2018

Written comment submission: 

EMAIL - This email address is being protected from spambots. You need JavaScript enabled to view it.

DELIVERY -  St. Ignatius Health Center
35401 Mission Drive (physical)
PO Box 880 (mailing)
St. Ignatius, MT 59865
Attn: Yvonne Conko
Confederated Salish & Kootenai Tribes
42487 Complex Blvd. (physical)
PO Box 278 (mailing)
Pablo, Montana 59855
Attn: Donna Durglo

Proposed effective date:  Fall of 2018.

 

Tribal Health Policy Comment Form
Popular 326.47 KB 20
07/11/2018 12:09 AM


Please print and fill out the PDF above, (or fill in and submit the electronic version below) to submit your comments and either email it to This email address is being protected from spambots. You need JavaScript enabled to view it. or deliver it to one of the addresses listed above. Alternatively, fill out the form below and your comments will be sent to us automatically.

 

Tribal Health Policy Comment Form

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Tribal Health of the Confederated Salish and Kootenai Tribes provides comprehensive health care services to recipients including audiology/speech; behavioral health; dental; medical; nursing; optical; pharmacy; physical therapy; radiology; and wellness across a rich network on the Flathead Indian Reservation.  Tribal Health is dedicated to a promise that every Tribal Health recipient receives high-quality health care grounded in tribal values— supporting each recipient’s journey of “Being in a Good Way.”

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