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Model Application Template for the State Children’s Health Insurance Program

Effective Date:

Approval Date: 55 2107(c)) (42CFR 457.120(c))

Federally recognized Native American tribes are actively consulted by phone, email, letters and/or visits to discuss questions and procedures regarding outreach, benefits, billing, eligibility and enrollment and cost sharing. In addition, efforts are made to keep non-federally recognized tribes informed and involved through the NC Commission on Indian Affairs, inclusion of representatives from non-federally recognized tribes on statewide outreach groups and through representation of the program by state employees at Pow Wows held by various tribes across the state.

9.9.2 For an amendment relating to eligibility or benefits (including cost sharing and enrollment procedures), please describe how and when prior public notice was provided as required in §457.65(b) through (d).

All changes to the NC Title XXI Plan (see note on previous page regarding special needs) are required by state law to go through the legislative process and to be subject to the public scrutiny of any law change. Therefore, proposed changes are published in news articles, on television, on radio and in newsletters of various associations and advocacy groups. In addition, when major change is considered in the program, the Secretary of NC DHHS, the Governor and the NC General Assembly have asked the NC Institute of Medicine to call together an appropriate mix of members of the legislature, provider groups and advocacy groups to assure that the best alternatives are recommended to the legislative body. All IOM meetings are public meetings.

In addition, when major change is considered in the program, the Secretary of NC DHHS, the Governor and the NC General Assembly have asked the NC Institute of Medicine to convene an appropriate mix of members of the legislature, provider groups and advocacy groups to assure that the best alterations are recommended to the legislative body. All IOM meetings are public meetings.

For example, in the recent case of a change in cost sharing for prescription drugs, the concept was first raised in fall of 2002 in a meeting of the NC Health Choice Task Force of the NC Institute of Medicine, There were a series of public meetings called at the request of the NC General Assembly and the Secretary of NC Health and Human Services to decide how to best reform NC