The Muscogee (Creek) Nation Contract Health Services (CHS) Program was established as a result of tribal nations’ ability to receive funds from the Department of Health and Human Services administered by Indian Health Service (IHS) to provide outsourced specialized health care for outpatient and inpatient services for their Contract Health Service Delivery Area.
CHS is a federally funded program and not an insurance company or an entitlement program. Funds are used to supplement and complement other health care resources available to eligible Indian people. Since IHS programs are not fully funded, the CHS program must rely on specific regulations for eligibility, notification, residency and a medical priority rating system.
CHS is staffed with 19 employees at the Central Office in Okmulgee and 11 coordinators at the five outlying MCN clinics and hospital. Get to know your coordinators in the field as they are an important part of the referral process and serve as the liaison between MCN doctors and contracted providers. Coordinators at each clinic include:
TRIBAL HEALTH CARE FUNDS
The CHS program also receives health care funds from the Muscogee (Creek) Nation to supplement the IHS funds for referred services and to provide tribal programs for emergency medical assistance (EMA) and vision services. This allows a majority of Creek citizens to get the needed medical services, medicines, durable medical equipment and glasses they require.
Eligibility requirements for use of tribal funds are nearly the same as for the CHS program. Creek citizens must reside within the Muscogee (Creek) Nation boundaries to receive medical health care referral approval. However, for the EMA and Vision Programs, requirements vary in that the vision program covers the entire state, while the EMA program will assist Muscogee (Creek) citizens regardless of residence. Please see the map which shows the Muscogee (Creek) Nation boundaries.
EMERGENCY MEDICAL ASSISTANCE
The Emergency Medical Assistance (EMA) program is a tribal program that provides assistance to eligible Creek citizens regardless of where they live in obtaining:
This program is not intended to cover the total cost of prescriptions and related expenses. An application must be initiated at one of our health facilities and eligibility must be established prior to receiving assistance. There are benefit limit amounts for each category and applicant must furnish documentation verifying all other available resources (Medicaid, Medicare, Private Insurance, etc.) have been exhausted.
TRIBAL VISION PROGRAM
The Tribal Vision Program provides assistance to eligible Creek citizens who reside within the State of Oklahoma in obtaining a vision examination and eye glasses. Citizens are eligible every two years for this program and must fill out an application and follow these general guidelines:
Funding is expended based on priority guidelines with enrolled original allottees and children 18 years of age and under receiving the highest priority. Click here for application.
Case management for the CHS program is a critical component for receiving services and assistance with processing a 72-hour call-in and reporting an emergency room visit. Our staff at CHS provides the liaison support for patients and is the first-step in obtaining help for medical expenses incurred when accidents happen or hospitalization is needed for critical care. Our case management provides the following services:
The case management staff is available to answer questions or provide additional information as needed. Please feel free to contact our staff at any time!
Emergency Call-In Procedures
Emergencies must be reported within 72 hours after the beginning of treatment or admission to a health care facility. The notification is extended to 30 days for the elderly 65 years of age or older who have a limiting physical condition that prevents them from notifying CHS. Steps to follow when calling:
1. Call 918.758.2710 x 238 or toll-free 877.435.2323 x 238
2. Speak with a case manager who will take your information and ask specific questions regarding your emergency
3. If case manager is unavailable, leave your name and number. If after-hours or weekends, your call will be returned the first business day.
CASE MANAGEMENT CONTACTS
Our goal at Contract Health Services is to provide the most effective and efficient services available to ensure those who are entrusted to our care receive quality services. MVTO!
CONTRACT HEALTH SERVICES
206 S. Grand, Ste. 202, Okmulgee, OK 74447 | Phone (918) 758-2710 | Fax (918) 756-1732