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UPDATED: NOVEMBER 2009

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OTHER ELIGIBILITY REQUIREMENTS STATE AND FEDERAL CHARGES

NATIVE AMERICANS AND THEIR FAMILIES LIVING ON A RESERVATION

Policy: There is no local participation in the cost of Medicaid provided to Native Americans and their families living on reservations in New York State. When such a person is eligible (See OTHER ELIGIBILITY REQUIREMENTS NATIVE AMERICANS), the cost of his/her care is shared by the State and federal government.

NYS will receive 100% Federal Financial Participation (FFP) when Medicaid services are provide through an Indian Health Services facility, whether operated by the Indian Health Service or by an Indian tribe or tribal organization, to Native Americans living on a reservation.

References: SSL Sect.

2.19(b) 368-a(1)(c)

SSA

1095 (b)

Interpretation: Although there is no local share in the cost of Medicaid provided to Native Americans and their families living on reservations, local districts remain administratively responsible for processing the cases of such persons. For Native Americans not living on reservations and receiving Medicaid, the local share of the cost of care is the usual percentage. (See OTHER ELIGIBILITY REQUIREMENTS STATE AND FEDERAL CHARGES)

Disposition: Local districts determine Medicaid eligibility for Native Americans and their families living on reservations using the appropriate category. The cost of care for such persons is fully reimbursed by the State or by the State and federal government.

MRG