Contract Health

Contract Health Services

When eligible patients of the Muscogee Nation Department of Health system require specialty care that is not directly available from one of our clinics or hospitals; referrals can be made to medical facilities and/or physicians outside of MCN Health.

CHS is a payer of last resort.  All other resources must be utilized first, including, but not limited to: Medicare, Medicaid, Sooner Care, Veteran’s Benefits, Worker’s Compensation, and private insurance.

 

ELIGIBILITY REQUIREMENTS

• Citizen of a Federally Recognized Tribe

Tribal Citizenship or Certificate of Degree of Indian Blood (CDIB)

• Live within Muscogee Nation Contract Health Services Delivery Area

Designated by Indian Health Services and does not include the entire Muscogee Nation jurisdictional area

• Prior approval for each case of needed medical service or give notice within 72 hours in emergency cases (30 days for elders & disabled)

*There are a few narrowly defined exceptions. Ask CHS staff for more specifics about individual eligibility, CHS, or prior notice.*

 

EMERGENCY CALL-IN PROCEDURES

Emergencies must be reported by the patient or someone acting on behalf of the patient to the CHS office within 72 hours after the beginning of the treatment or admission to a health care facility. It is extended to 30 days for elderly Native American, 65 years of age or older, and for disabled Native Americans who have a limiting physical condition that prevents them from calling. This includes ambulance rides to Indian Health and Tribal hospitals.

Call 918-758- 3060 or 1-877-435-2323; if a case manager is unavailable, leave your name and number.  If after-hours or weekends, your call will be returned the first business day.

TRIBAL VISION PROGRAM

The Tribal Vision Program aids in obtaining a vision examination and eyeglasses to eligible Muscogee citizens who reside within Oklahoma. Citizens are eligible every two years and must apply; however, diabetic patients are eligible every year. Funding is expended based on priority guidelines with enrolled original allottees and children 18 years of age and under receiving the highest priority. Please call 918-758-2710 ext. 4358 for more information.

DME

The DME program is a tribal program that provides assistance to eligible Muscogee citizens.  This program assist with the following:

• Prescribed medications not available within a tribal or IHS health facility (no over the counter medications)
• Prescribed medical equipment necessary to sustain health and well-being (oxygen, concentrators, walkers)
• Prosthesis (artificial limbs)

This program is not intended to cover the total cost of prescriptions and related expenses. An order must be initiated by your MCN Health PCP. There are benefit limit amounts for each category and an applicant must furnish documentation verifying all other available resources (Medicaid, Medicare, Private Insurance, etc.) have been exhausted.