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Page 32 – CMCS Informational Bulletin Appendix D. Applicability to American Indians and Alaska Natives This is a summary of the Tribal exceptions in the WFTC legislation. CMS is still analyzing the impacts of the provisions on American Indian and Alaska Native (AI/AN) Medicaid beneficiaries and is committed to continuing to work with Tribes on future guidance. Section Provision Applicable to American Indians and Alaska Natives? Section 71107 Eligibility Redeterminations Does not apply to AI/ANs described in subsection (xx)(9)(A)(ii)(II)58 Section 71119 Requirement for States to Establish Medicaid Community Engagement Requirements for Certain Individuals Does not apply to AI/ANs described in subsection (xx)(9)(A)(ii)(II)59 Section 71120 Modifying Cost Sharing Requirements for Certain Expansion Individuals under The Medicaid Program Does not apply because existing cost sharing exemptions for certain American Indians and Alaska Natives are not changed by this section and still apply60 58 Specifically, the exemption applies to: an Indian or Urban Indian (as such terms are defined in paragraphs (13) and (28) of section 4 of the Indian Health Care Improvement Act); a California Indian described in section 809(a) of such Act; or those who have otherwise been determined eligible as an Indian for the Indian Health Service under regulations promulgated by the Secretary. 59 See footnote 45. 60 See section 1916(j) of the Act.