There are numerous federal laws and treaties which impact the administration of care for Tribes, this section of the Medicaid website provides information for Tribal Health Providers enrolled in Nebraska Medicaid.
See more information for Medicaid providers.
Each year Indian Health Services (IHS) approves the All-Inclusive Rate (AIR), also known as the encounter rate. This is the reimbursement rate for inpatient and outpatient medical care provided by IHS and 638 Tribal Health Facilities for Medicaid beneficiaries. These rates are published periodically in the Federal Register.
During the COVID-19 Public Health Emergency, telehealth services can be billed at the encounter rate as long as they meet all necessary requirements. Services provided must also follow the four walls rule for this to be applicable, with either the patient or practitioner located within the facility when services are rendered.
ITU is an abbreviated acronym that refers to different types of providers who serve people in Tribal communities. Each letter in ITU stands for a different type of provider.