Notice2024-06905
Notice of Update to the Purchased/Referred Care Delivery Area for the Mississippi Band of Choctaw Indians
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
April 2, 2024
Effective
April 2, 2024
Issuing agencies
Health and Human Services DepartmentIndian Health Service
Abstract
Notice is hereby given that the Indian Health Service (IHS) has updated the geographic boundaries of the purchased/referred care delivery area (PRCDA) for the Mississippi Band of Choctaw Indians to include the counties of Carroll and Jackson in the State of Mississippi and the county of Lauderdale in the State of Tennessee. The PRCDA for the Mississippi Band of Choctaw Indians now comprises the Mississippi counties of Attala, Carroll, Jackson, Jasper, Jones, Kemper, Leake, Neshoba, Newton, Noxubee, Scott, and Winston, and the Tennessee county of Lauderdale. The sole purpose of this expansion is to authorize additional Mississippi Band of Choctaw Indians members and beneficiaries to receive purchased/referred care (PRC) services.
Full Text
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<title>Federal Register, Volume 89 Issue 64 (Tuesday, April 2, 2024)</title>
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[Federal Register Volume 89, Number 64 (Tuesday, April 2, 2024)]
[Notices]
[Pages 22731-22732]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-06905]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Notice of Update to the Purchased/Referred Care Delivery Area for
the Mississippi Band of Choctaw Indians
AGENCY: Indian Health Service, Department of Health and Human Services.
ACTION: Notice.
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SUMMARY: Notice is hereby given that the Indian Health Service (IHS)
has updated the geographic boundaries of the purchased/referred care
delivery area (PRCDA) for the Mississippi Band of Choctaw Indians to
include the counties of Carroll and Jackson in the State of Mississippi
and the county of Lauderdale in the State of Tennessee. The PRCDA for
the Mississippi Band of Choctaw Indians now comprises the Mississippi
counties of Attala, Carroll, Jackson, Jasper, Jones, Kemper, Leake,
Neshoba, Newton, Noxubee, Scott, and Winston, and the Tennessee county
of Lauderdale. The sole purpose of this expansion is to authorize
additional Mississippi Band of Choctaw Indians members and
beneficiaries to receive purchased/referred care (PRC) services.
DATES: This update is effective as of April 2, 2024.
ADDRESSES: This notice can be found at <a href="https://www.federalregister.gov">https://www.federalregister.gov</a>.
Written requests for information should be delivered to: CAPT John
Rael, Director, Office of Resource Access and Partnerships, Indian
Health Service, 5600 Fishers Lane, Mail Stop 10E85C, Rockville, MD
20857, or by phone at (301) 443-0969 (this is not a toll-free number).
SUPPLEMENTARY INFORMATION: The IHS provides services under regulations
in effect as of September 15, 1987, and republished at 42 CFR part 136,
subparts A-C. Subpart C defines a Contract Health Service Delivery Area
(CHSDA), now referred to as a PRCDA, as the geographic area within
which PRC will be made available by the IHS to members of an identified
Indian community who reside in the PRCDA. Residence within a PRCDA by a
person who is within the scope of the Indian health program, as set
forth in 42 CFR 136.12, creates no legal entitlement to PRC but only
potential eligibility for services. Services needed, but not available
at an IHS/Tribal facility, are provided under the PRC program depending
on the availability of funds, the relative medical priority of the
services to be provided, and the actual availability and accessibility
of alternate resources in accordance with the regulations.
The regulations at 42 CFR part 136, subpart C provide that, unless
otherwise designated, a PRCDA shall consist of a county which includes
all or part of a reservation and any county or counties which have a
common boundary with the reservation. 42 CFR 136.22(a)(6). Under the
Act of June 29, 2000, Public Law 106-228 at 1(a)(1), ``all land taken
in trust by the United States for the benefit of the Mississippi Band
of Choctaw Indians on or after December 23, 1944, shall be part of the
Mississippi Choctaw Indian Reservation.'' (114 Stat. 462). A Federal
Register Notice published by the Bureau of Indian Affairs on April 3,
2007, further provides that ``. . . when additional lands are taken
into trust by the United States for the Mississippi Band of Choctaw
Indians . . . each such additional land parcel shall automatically
become a part of the Mississippi Choctaw Indian Reservation without the
need for any other formal declaration to that effect. . .''. 72 FR
15899. In 2012 and 2013, parcels of land in Carroll and Jackson
Counties, Mississippi and Lauderdale County, Tennessee were taken into
trust by the United States for the benefit of the MBCI. Once taken into
trust, these parcels automatically became a part of the MBCI
reservation. Accordingly, and at the request of the MBCI, the IHS is
now updating the MBCI's PRCDA to include these three counties.
There are no other counties which share a common boundary with the
new reservation lands, nor is the MBCI requesting to include in their
PRCDA any additional counties which do not hold reservation lands. No
existing PRCDAs overlap with the MBCI's updated PRCDA. The MBCI
estimates that updating the Tribe's PRCDA will allow an additional 327
individuals, including tribal members, persons of Indian descent
residing on the reservation, and other eligible individuals with close
social and economic ties to the MBCI to become PRC-eligible. The MBCI
further estimates that a significant portion of the newly PRC-eligible
individuals have third-party insurance, which will help
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defray the costs associated with the expanded PRCDA.
An updated listing of the PRCDAs for all federally recognized
Tribes may be accessed via a link on the IHS PRCDA Expansion website
(<a href="https://www.ihs.gov/prc/prcda-expansion">https://www.ihs.gov/prc/prcda-expansion</a>).
This notice does not contain reporting or recordkeeping
requirements subject to prior approval by the Office of Management and
Budget under the Paperwork Reduction Act.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2024-06905 Filed 4-1-24; 8:45 am]
BILLING CODE 4165-16-P
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