CRIHB

1020 Sundown WayRoseville, CA 95661

Phone: (916) 929-9761Fax: (916) 929-7246

www.crihb.org

ADVISORTribal Health

In This Issue:

April BOD Orientation 2

New Strategic Plan is Released 3

March on Washington 2019 4

Workforce Development Programs 7

Annual Wellness Conference 8

Adventures of Rippy 9

New CRIHB Staff 10

Joint NPAIHB & CRIHB Meeting 11

Tribal Youth Leadership Conference 13

Calendar of Events 14

April 2019 Volume 51, No. 2

The California Rural Indian Health Board, Inc. (CRIHB) hosted its annual March on Washington April 29–May 3, 2019. This year’s theme was California Tribal Voices—Making a Difference. The following group of California Tribal health care delegates, forty members strong with ages ranging from twelve to seventy, traveled to Capitol Hill to meet with congressional representatives to advocate for improved health care services and to request additional resources: Aliyah Vigil, Talon Borden, Lisa Carle, Frieda Bennett, Kyle Nelson, Lucretia Fletcher, Lauri Hayward, Louise Davis, Joseph Miralez, Elvida Banuelos, Denise Winn-Wright, Jess Montoya, Trinidad Krystall, Brandie Miranda, Catalina Villarruel, Teresa Sanchez, Running Bear Ramirez, Mary Bussing, Harold Matthews, Jonell John, Lisa Elgin, Rick Maddux, Janice Mendez, Shawn Gonzales, Donna Medrano, Laura Borden, Dr. Joe Giovannetti, John Green, Yvonne Guido, Tracy Mahoney, Susan Masten, Leanne McCallum, LaWanda Quinnell, Ruby Rollings, Lisa Sundberg, Carol Larsen, John Reeves, Marilyn Pollard, Dr. Mark LeBeau, Anna Scrimenti, and Nicamer Tolentino.

The delegates represented Tribes in southern, central, and northern California as well as the following Tribal Health Programs (THPs): Anav Tribal Health Clinic; Greenville Rancheria Tribal Health Program; Pit River Health Service; Riverside-San Bernardino County Indian Health; Sonoma County Indian Health Project; Toiyabe Indian Health Project; Tule River Indian Health Center; and United Indian Health Services.

California Tribal Health Care Delegates March on Washington

California Tribal health care delegates met with Congressman John Garamendi in his Washington, D.C. office on April 30, 2019, as part of CRIHB's Annual March on Washington.

(continued on page 4)

On April 18th and 19th, 2019, the CRIHB Board of Directors (BOD) convened in Oroville, California for the Board meeting and orientation. Board orientation is a process to thoughtfully provide Board members with the precise information they need to fulfill their role in the organization. The intent of this Board orientation was to provide important information about the organization and about the Board’s roles and responsibilities. The session opened with Robert Portman (Principal, Powers Law Firm) detailing the governance roles and responsibilities of the Board. Several topics were covered and a comprehensive resource binder was provided to all members. A few of the topics covered include:

• BOD Roles and Responsibilities; • Code of Conduct;• Governing Policies for the BOD; • Overview and Introduction to CRIHB Departments;

and • Overview of several operational policies that impact

the BOD.

Overall, the orientation provided useful information that the Board can draw on in their work. The orientation binder detailed the essential policies that guide the delegates in setting policy and monitoring the performance of CRIHB.

CRIHB Board of DirectorsFrieda Bennett and Lisa CarleAnav Tribal Health Clinic

Patricia Reece and Guy TaylorFeather River Tribal Health, Inc.

Andrea Cazares-Diego and Angela MartinGreenville Rancheria Tribal Health Program

Archie Super and Michael ThomKaruk Tribal Health & Human Services

Lesley Hunt and Marcellene Norton K'ima:w Medical Center

Clois Erwin Mathiesen Memorial Health Clinic

Lauri Hayward and Agnes GonzalezPit River Health Service, Inc.

Michelle Hayward and JoAnn TurmelRedding Rancheria Tribal Health Center

Teresa Sanchez and Trinidad KrystallRiverside-San Bernardino County Indian Health, Inc.

Lisa Elgin and Reno FranklinSonoma County Indian Health Project, Inc.

Matthew Jones and Richard JonesTable Mountain Medical Center

Rick Maddux and Kristopher HohagToiyabe Indian Health Project, Inc.

Donna Medrano and Gayline Hunter Tule River Indian Health Center, Inc.

Teresa Ballew and LaWanda Quinnell United Indian Health Services, Inc.

Nick FoltzWarner Mountain Indian Health Program

Delegates to be determinedChapa-De Indian Health Program, Inc.

CRIHB Management StaffDr. Mark LeBeau, Chief Executive Officer Marilyn Pollard, Chief Operations Officer Ron Moody, Chief Financial Officer Susan Dahl, Chief Compliance Officer Ann Bonnitto, Tribal Child Development Director Vanesscia Cresci, Research & Public Health Director Matthew Waggoner, Human Resources Director

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Recruitment and Retention for Tribal Health Facilities

CRIHB Board of Directors Orientation

Rural Tribal health facilities often face challenges in hiring and maintaining a robust workforce, making it difficult to provide needed patient care or to meet staffing requirements. There are a number of best practice methods that clinic leaders can use to hire and maintain staff. One method is to focus on recruiting current health professionals and college students for open positions. Retention is another method of keeping health care professionals employed in their health care facilities and communities. Successful recruitment and retention practices can minimize the number and duration of staff vacancies, which saves money, improves quality of care, and ensures that services are provided in the community.To assist in recruitment of staff, CRIHB offers the opportunity for Tribal Health Programs to post open postions on the careers page on the CRIHB website.

California Rural Indian Health Board, Inc.

Tribal Health Advisor - April 20193

Northern California Regional TrainingIn March, CRIHB held its first Regional Training Event of 2019. The Northern California Regional Training took place in Redding, spanning over two days and covering numerous sessions. CRIHB’s Grant Writer, Carol Maytum, delivered two days of comprehensive and meticulous training designed to maximize the development and ultimate success of crafting a proposal and navigating the submission process.

On day one, the Northern California event featured Governance and Community-focused training tracks. This included an overview of Tribal Council and Board Governance, which is designed to explain the roles, responsibilities, and tasks performed by Tribal Councils and Health Boards. A fiscal discussion surrounding the allowances provided by the Indian Self-Determination Education and Assistance Act, gave insight into managing federal programs, resources, and governments. An overview of the impact of public health focused on beyond health care by showing how the role of social determinants affect community health and health equity. A cultural responsiveness session provided information to participants on how to enhance support to Tribal communities.

The final day of the event featured training tracks designed to address public health issues that face Tribal communities. Participants were trained in the dangers of opioids. CRIHB staff engaged participants in recognizing the signs and impact of opioids as well as how to administer Narcan and the signs of overdose that would require its usage. Attendees were engaged in a discussion about mental health awareness and the positive impact community members can have on suicide prevention. Rounding out the event was a workshop that explored indigenous harm reduction strategies and the ways we can change our perspective on the stigma associated to individuals who use drugs.

CRIHB is in the process of planning another Regional Training Event in Central California later this year, which will feature deeper discussions on some topics delivered at the Northern California Regional Training as well as new topics that are currently being developed. More information will be provided to the community as it becomes available.

Board Approved: July 21, 2018

2018-2023

California Rural Indian Health Board Inc.

1020 Sundown Way

Roseville, CA 95661

CRIHB Strategic Plan

CRIHB is pleased to announce that the 2018-2023 Strategic Plan has been released. The new plan is designed to grow and strengthen the network of Tribal health organizations and increase the influence of the California Tribes' advocacy on health services and policy. At the same time, the plan focuses on strengthening CRIHB’s own internal capacity to best serve the needs of THPs. Countless hours of work by the CRIHB Board of Directors, staff and leadership went in to developing the plan. The plan outlines six strategic goals for 2018 – 2023:

1. Enhance the Quality of Effectiveness of Tribal Governments and THPs

2. Strengthen the Network3. Continue to Forge the Native American Voice4. Enhance Internal Capacity and Collaboration5. Develop CRIHB Leadership6. Enhance CRIHB’s Value

The current Strategic Plan will focus on the role CRIHB staff and programs can serve in supporting and strengthening the quality of effectiveness of THPs and Tribal governments. A key focus will be to assist in bringing Federal and State-funded programs directly to THPs and Tribes in the membership. An additional focus will entail assisting in enhancing THPprogrammatic performance scores. For CRIHB’s continued success, it will continue to strengthen collaborative functions that serve member THPs and Tribal governments. To do that, CRIHB will continue to enhance its strengths and capabilities as the “go-to” organization.

New Strategic Plan is Released

CRIHB'S MARCH ON WASHINGTON 2019

California Rural Indian Health Board, Inc.

Teresa Sanchez, Riverside-San Bernardino County Indian Health, Inc. delegate and Congressman Pete Aguilar discussed the California Tribal health care legislative priorities at his Washington, D.C. office on April 30, 2019, during CRIHB's Annual March on Washington.

The three-day event began with legislative updates and advocacy training provided by CRIHB and the National Indian Health Board staff members. The delegation, organized into four groups: Raccoon Group, Fox Group, Squirrel Group, and Otter Group then split up and met with scores of lawmakers and legislative staff over two days. CRIHB staff had scheduled forty-five meetings with Congressional offices prior to the trip, and the groups met face-to-face with many California lawmakers including: Congressman Lou Correa, Congressman Jimmy Gomez, Congressman Mike Levin, Congressman Mike Thompson, Congressman Pete Aguilar, Congressman Jared Huffman, Congressman Doug LaMalfa, Congresswoman Barbara Lee, Congressman Juan Vargas, and Congressman John Garamendi.

During the meetings, the California Tribal health care delegates spoke passionately and strove to educate each congressional representative about the group’s key legislative priorities:

Janice Mendez, Toiyabe Indian Health Project delegate (left) shared her personal testimony with Congressman John Garamendi (right) in his Washington, D.C. office on April 30, 2019, during CRIHB's Annual March on Washington.

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(continued from page 1)

• Fully fund the Indian Health Service (IHS) Agency and ensure each IHS Area receives an equitable amount of the resource.

• Increase the IHS Community Health Representatives program funding.

• Maintain the IHS Health Education program.• Secure advanced appropriations for IHS. • Enact mandatory appropriations for IHS. • Support THPs’ use of Commissioned Corps officers

and practitioners at no cost to the Tribal facilities. • Support THPs’ use of emergency transportation

services through IHS. • Support establishing a 105(l) lease line item in the

IHS Agency budget.• Increase appropriations to Indian Country outside of

IHS.• Enact long-term renewal for the Special

Diabetes Program for Indians at $200 million. (continued on page 6)

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Tribal health care delegates met with Congressman Doug LaMalfa in his Washington, D.C. office.

Tribal health care delegates take a moment to rest and take a selfie before their next legislative meeting.

Tribal Health Advisor - April 2019

Tribal health care delegates pose for a photo outside Congresswoman Judy Chu's office.

Tribal health care delegates enjoyed meeting Congressman Lou Correa.CRIHB staff had scheduled forty-five meetings with Congressional offices prior to the trip, and the four groups of California Tribal health care delegates met with lawmakers and legislative aides over two days.

CRIHB'S MARCH ON WASHINGTON 2019

California Rural Indian Health Board, Inc. 6

One of the most critical legislative priorities is the fact that the IHS California Area is not receiving its fair share of Purchased/Referred Care, hospital, health center, staff quarter, and joint venture construction funds. The delegation asked the California lawmakers for assistance in rectifying the funding disparities; each congressional office received a hard copy of the three-page California Tribal health care legislative priorities.

The 2019 March on Washington concluded with an all-day informational meeting where presenters from numerous federal agencies dialogued with the delegation. The presenters included: RADM Michael Weahkee, Indian Health Service Principal Deputy Director; Stephanie Birdwell, Veterans Administration Tribal Government Relations Director; Cynthia LaCounte, Administration for Community Living American Indians/Alaska Natives/Native Hawaiian Programs Director; Dr. David Wilson, National Institutes of Health (NIH) Tribal Research Office Director; Dr. Juliana Blome, NIH Tribal Research Office Assistant Director; Dr. Stephanie Devaney, NIH All of Us Research Program Director; and Captain Jean Plaschke, Substance Abuse and Mental Health Services Administration Program Officer.

Dr. Mark LeBeau, CRIHB CEO, welcomed attendees to the California Tribal Health Care Informational Meeting in Washington, D.C. on May 2, 2019.

Tribal health delegates with Congressman Mike Levin in the Capitol Building in Washington, D.C.

(continued from page 4)

Workforce Development Programs

Tribal Health Advisor - April 20197

Community Health Representative (CHR): CRIHB is currently recruiting for the second cohort of the CHR Training Program. The program is an eight-week hybrid course (in-person and online) facilitated by the Washington State Department of Health. CHRs will learn essential core competencies such as assessment, documentation, and case management skills. These skills are necessary when connecting patients to community resources that may not be medically-related or offered within the THP.

Clinical Medical Assistant (CMA): CRIHB will be graduating the second cohort of CMAs, sixteen students total, in May 2019. Students from various THPs and Tribal communities within CRIHB’s membership have been enrolled into this hybrid program, which includes four months of online course work and monthly in-person clinical skills labs. CMAs will earn a certificate of completion from San Francisco State University College of Extended Learning, national certification as a Certified Clinical Medical Assistant (CCMA), and 120 practicum hours from a local health facility.

Medical Scribe: In partnership with Shasta College, CRIHB is recruiting for the first cohort of Medical Scribes. Shasta College is the first in the nation to provide an online, accredited program for Medical Scribes. This program specifically caters to Tribal communities who may not necessarily have easy access to local medical training programs. The program starts in the Fall of 2019. CRIHB is currently accepting applications.

If you have any questions regarding these workforce development programs, please contact Christy Tonel, Provider Outreach Coordinator, at ctonel@crihb.org.

In today’s globalized world, the internet is the driving vehicle for content delivery systems. With this in mind, the Health Systems Department launched CRIHB Academy earlier this year. CRIHB Academy has performed well in eliminating the geographical barriers when providing education opportunities to rural areas. This web-based training program is a way to provide online Continuing Education Units (CEUs) for nurses and other health care professionals employed at various THPs within CRIHB’s membership. A CEU is a measure used in continuing education programs to assist the professional in maintaining their professional licensure.

CRIHB’s web-based training allows individuals employed at THPs to attend a variety of health-based education seminars monthly and earn CEUs. The webinars are presented live by CRIHB personnel and are recorded for those individuals that cannot attend the live session. The webinar recordings can be requested from Diana Zamora at dzamora@crihb.org and Christy Tonel at ctonel@crihb.org. We hope to continue to grow this program to address the specific needs of all the health care workers employed at THPs.

CRIHB ACADEMY

Learning for Work and Life

CRIHB Academy Offers Online Training Opportunities

CMA students and CRIHB's Provider Outreach Coordinator Christy Tonel (first row, far right) at a hands-on clinical skills lab held at CRIHB's office in March 2019.

50 Years of Self-Determination: a Commemorative History of the California Rural Indian

Health Board, Inc. Khal Schneider, a professor of history at Sacramento State, is currently researching and writing CRIHB’s 50th anniversary history book, 50 Years of Self-Determination: a Commemorative History of the California Rural Health Board, Inc., highlighting CRIHB’s founding, growth, and impact across half a century.

COMING SOON!

California Rural Indian Health Board, Inc. 8

CRIHB’s Research & Public Health Department (RPH) hosted its annual Wellness Conference, April 9-11, 2019, in Rancho Cordova, California.

The first two days of the conference was the “Being Trauma Informed” training taught by Jillene Joseph and Robert Johnston of the Native Wellness Institute. Participants explored the roots of trauma faced by individuals and communities, ways to be aware of trauma that has been experienced, and how to help move past those traumas. The training included lectures, discussions, interactive activities, and moments allowing participants to de-stress and provide themselves self-care. “Being Trauma Informed” culminated with a Letting Go Ceremony, allowing participants to pass pain and trauma they have been holding onto out of their body.

The final day of the conference included presentations by CRIHB staff and guest speakers. RPH Deputy Director Kathleen Jack and Health Education Specialist Julie Villa provided “Wellness Through Self-Care,” opening the final day with discussion and movement. Treasa McPherson of the American Cancer Society shared her personal survivorship story in “Changing our View on Cancer Survivorship.” Keely Linton, Executive Director of the Strong Hearted Native Women’s Coalition, provided information about Missing and Murdered Indigenous Women and shared work that her organization is doing in Southern California to foster a safe environment for victims and survivors of domestic violence. Behavioral Health Clinical Manager Daniel Domaguin and Provider Outreach Coordinator Christy Tonel presented “Sex Positivity as Trauma Informed Practice,” followed by ACORNS Project Coordinator Janeva Sorenson talking about “Weaving Wellness into Our Work – Moving from Practice to Policy.” Presentations concluded with Health Education Specialist Haille Worrell introducing the audience to the concepts and practice of harm reduction, which was followed by a drawing and closing blessing.For more information about CRIHB's annual Wellness Conference, contact Kathleen Jack, RPH Deputy Director at kjack@crihb.org

Annual Wellness Conference Explores Healing From Trauma

Danielle Brewster, Ivy Wilson, and Lewis George from Northstate Women's Health Network.

Patsy Thompson, Pit River Health Service, Inc. and Jennifer Gagliano, Greenville Rancheria Tribal Health Program at the 2019 Wellness Conference.

Executive Director Jillene Joseph and trainer Robert Johnston from the Native Wellness Institute discuss healing from trauma with Wellness Conference attendees.

Tribal Health Advisor - April 2019 9

California Indian Opioid Safety Coalition Kick-Off Meeting

Research & Public Health (RPH) Department's mascot Rippy has been accompanying his fellow RPH coworkers on their journeys to outreach events, conferences, and services in California Indian communities.

On April 3-4, 2019, CRIHB and the California Consortium for Urban Indian Health (CCUIH) partnered in launching the California Indian Opioid Safety Coalition (CIOSC) kick-off meeting. The purpose of CIOSC is to provide an educational and networking platform for both Tribal and urban Native American opioid coalition participants. Attendees engaged in discussions around opioid use disorder, misuse, and overdose deaths, using the core tenants of harm reduction. Several experts provided presentations on medication assisted treatment (MAT), coalition building, accessing and utilizing data, naloxone training, partnership development skills and strategies, Tribal MAT Project ECHO (Extension for Community Healthcare Outcomes), funding, and services.

Dr. Kelly Pfeifer of the California Health Care Foundation served as the keynote speaker. She provided a fruitful talk on proper pain management methods to prevent opioid misuse, benefits of MAT programs, and outcomes of prevention efforts to date. An attendee commented that “the event was an amazing coalition of professionals focused on ways to combat the opioid crisis in Indian country, and help heal the ones who suffer from opioid addiction!” While this event was the first of its kind, it will definitely not be in the last. CRIHB and CCUIH are gearing up to host three more meetings before the end of the year. Ultimately, it is CIOSC’s aim to bridge together a community of coalitions strategically working together throughout California to use best practices in ending the opioid crisis.

For more information about CIOSC or the Tribal MAT project, please contact Tamika Bennett, Project Coordinator at tbennett@crihb.org.

Yessenia Cervantes, San Pasqual Education Department Program Coordinator and Rippy at the CTEC Data, Evaluation and Grant Writing Training in Cabazon, CA in April 2019.

Rippy with dedicated CRIHB staff at the Wellness Conference in Rancho Cordova in April 2019. Over eighty people attended the conference.

Major Sabino Martinez, California National Guard Counterdrug Task for Civil Operations Program Manager was a presenter at the California Indian Opioid Safety Coalition Kick-Off Meeting in April 2019. His presentation was titled "Opioid Coalition Best Practices."

The Adventures of Rippy

Arunaranjani Arthanari joins CRIHB as an Epidemiologist. She has worked in the public health field since 2008, focusing on infectious diseases in epidemiology and worked as a Research Associate in the Surveillance and Statistics Section of the California Department of Public Health. Arunaranjani has an MPVM.

Cliff Ingram joins CRIHB as Finance Deputy Director. He has ten years’ experience working in accounting and finance in the government sector to include working for Tulare County and Placer County Health and Human Services as a Senior Accountant-Auditor. Cliff has a Certified Public Accountant license and an MAM.

CRIHB Welcomes New Staff

10California Rural Indian Health Board, Inc. 10

Leeann Cornelius joins CRIHB as an Epidemiologist. She worked for the San Francisco Department of Public Health, where she was the Tobacco Cessation Coordinator for the San Francisco Health Network. Leeann has a BS in Biology and Environmental Studies and an MS in Epidemiology.

Anna Scrimenti joins CRIHB as a Policy Analyst. Anna has worked in various areas of policy, including public health, financial policy, and public policy. Anna has an MS in Biomedical Science and Advocacy; she recently completed a fellowship in food safety policy and data analytics. She is stationed in Washington, D.C. as a remote employee for CRIHB. .

Stratton King joins CRIHB as the Operations Manager. He has a diverse professional background that includes work with Public Radio, information technology project management, and retail operations management. He has a BS in Mass Communication with an emphasis on Broadcasting and an MBA.

CRIHB congratulates Todd Jackson! Todd joined CRIHB in 2017 as a Tribal PREP Coordinator; earlier this year, he was hired to be a Project Coordinator of the SAMHSA Tribal Opioid Grant. He has over twenty years’ experience, including working as the Program Coordinator at a large system of health centers in the Los Angeles area. Todd has a BA in Physical Education.

Kimberly Cummings joins CRIHB as the Communications Specialist. She has twenty years' experience working as a writer and editor in both government and nonprofit sectors. Kimberly has an MS in English with an emphasis on Technical and Professional Writing; she recently completed a Professional Sequence in Editing Certificate.

Alexis Dailey joins CRIHB as a Health Education Specialist II. She has experience working as a community activist, educator, and reproductive justice advocate with a focus on health care disparities and epidemiology in marginalized communities. Alexis has a BSEd in Instruction and Curriculum Leadership and an MA in Sociology.

Tribal Health Advisor - April 201911

MONDAY, JULY 15, 2019

8:00 A.M.— 9:00 A.M. REGISTRATION9:00 A.M.— 5:00 P.M. CRIHB TRIBAL GOVERNMENTS CONSULTATION COMMITTEE 9:00 A.M.— 5:00 P.M. CRIHB PROGRAM DIRECTORS 9:00 A.M.—11:00 A.M. NPAIHB CHAP BOARD ADVISORY 2:00 P.M.— 5:00 P.M. NPAIHB TRIBAL HEALTH DIRECTORS 7:00 P.M.— 9:00 P.M. WELCOME RECEPTION

TUESDAY, JULY 16, 2019

8:00 A.M.—9:00 A.M. REGISTRATION 8:30 A.M.—9:00 A.M. CRIHB CREDENTIALS COMMITTEE9:00 A.M.—3:00 P.M. CRIHB BOARD OF DIRECTORS 9:00 A.M.—3:00 P.M. NPAIHB BOARD OF DIRECTORS 4:00 P.M.—7:00 P.M. CRIHB CENTRAL OFFICE OPEN HOUSE

WEDNESDAY, JULY 17, 2019

8:00 A.M.—9:00 A.M. REGISTRATION9:00 A.M.—4:45 P.M. JOINT SESSION—CRIHB AND NPAIHB BOARD OF DIRECTORS4:45 P.M.—5:30 P.M. PUBLIC HEALTH ACCREDITATION OPEN SESSION

THURSDAY, JULY 18, 2019

8:00 A.M.—9:00 A.M. REGISTRATION 9:00 A.M.—5:00 P.M. JOINT SESSION—CRIHB AND NPAIHB BOARD OF DIRECTORS

The 15th Biennial Northwest Portland Area Indian Health Board &

California Rural Indian Health BoardJoint Board of Directors Meeting

CONTACTS

BOARD MEETING:Leah Hawkins

(916) 929-9761 ext. 1001lhawkins@crihb.org

PROGRAM DIRECTORS:Kathy Greer

(916) 929-9761 ext. 1301kgreer@crihb.org

TRIBAL GOVERNMENTS CONSULTATION COMMITTEE:

Stratton King(916) 929-9761 ext. 1103

sking@crihb.org

LOCATION Thunder Valley Resort

1200 Athens Ave.Lincoln, CA 95648

(916) 408-7777Room code: 19071CRIHB

July 15-18, 2019

TENTATIVE AGENDA

The Tribal Medi-Cal Administrative Activities (TMAA) program has encountered changes over the last year to Non-Medical Transportation (NMT) services. Effective October 1, 2017, as a result of Assembly Bill 2394, the California Department of Health Care Services (DHCS) has shifted the reimbursement for NMT services through TMAA reimbursement to designated Managed Care Organizations (MCO). NMT for Medi-Cal Fee-For-Service (FFS) beneficiaries will continue to be reimbursed through the DHCS TMAA program. NMT services for Medi-Cal beneficiaries enrolled into a MCO will now be reimbursed through the MCO’s contracted transportation provider. Medi-Cal Administrative Activities are claimed and processed as normal. CRIHB is diligently working with DHCS regarding process changes and concerns identified for the TMAA program. For more information, please contact Nynalea Lee, Program Analyst, at nlee@crihb.org.

Billing and Compliance Conference

Changes to Tribal Medi-Cal Administrative Activities

The 2019 Annual Billing and Compliance Conference was held at CRIHB May 14-16, 2019. The conference provided education and updates through general sessions as well as breakout sessions for billing/coding and compliance.The general session covered topics including: fraud and compliance presented by Office of Inspector General (OIG); transportation and patient incentives; 340B billing and compliance; and Health Insurance Portability and Accountability Act (HIPAA) security and privacy.Compliance breakout sessions included: auditing and monitoring; Controlled Substance Utilization Review and Evaluation System (CURES) and compliance; research in the clinic setting; Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) readiness; and compliance in internal investigations.The billing and coding breakout sessions included: documentation and coding guidance for: diabetes self-management, medical nutrition therapy, chronic care management, transitional care management; coding to capture quality data with a focus on Healthcare Effectiveness Data and Information Set (HEDIS) measures; insurance credentialing; and balancing with finance.

Based on discussions and survey results from the Advancing California Opportunities to Renew Native health Systems (ACORNS) and California Indian Tobacco Education (CITE) grantees in years three and four, it was identified that conducting more regional trainings was needed. These regional trainings provide an opportunity for the ACORNS/CITE team to present tailored training materials and for ACORNS/CITE grantees to build relationships with others in their area. On April 25, 2019, the ACORNS/CITE team gathered in Southern California to conduct its third of four regional trainings. The training included staff from three different grantee communities and included a hands on Excel training as well as presentations on commercial tobacco cessation resources and infographic development. Previous regional trainings were held in Redwood Valley and Rancho Cordova and included participants from eleven additional grantee communities. For more information about the ACORNS/CITE project, please contact Janeva Sorensen, Project Coordinator at jsorensen@crihb.org.

ACORNS/CITE Regional Meeting

The California Endowment is supporting statewide outreach and education efforts for the 2020 U.S. Census. "People Power" is based on the idea that when democracy thrives, health thrives. In order for democracy to thrive, communities need to be active and engaged with the decision-making process, especially when they have been historically marginalized and excluded. The failure to fully enumerate the American Indian and Alaska Native population results in reductions in federal and state services and resources. CRIHB will engage in outreach and community efforts in 2019 to promote the importance of an accurate census count and encourage civic participation.

2020 Census Campaign: People Power

10California Rural Indian Health Board, Inc. 12

Tribal Health Advisor - April 201913

Registration Opens: May 20, 2019Registration Deadline: July 1, 2019

Registration is limited to three youth per CRIHB Member Tribal Health Program.Youth must be between the ages of 12 and 19.

For more information, please contact Todd Jackson at tjackson@crihb.org or (916) 929-9761, ext. 1525.

LocationsThunder Valley Casino Resort

1200 Athens Avenue, Lincoln, CA 95648

California Rural Indian Health Board1020 Sundown Way, Roseville, CA 95661

California Rural Indian Health Board & Northwest Portland Area Indian Health Board

Registration Link: https://events.eventzilla.net/e/2019-tribal-youth-leadership-conference-2138747555

Tribal Youth Leadership ConferenceJuly 15 - 18, 2019

California Rural Indian Health Board, Inc. 14

CRIHB Member Tribal Health Programs

CAIHS Course: Introduction and Overview to Chemical Dependency ACORNS/CITE Resource MeetingFinance Committee Meeting Independence Day Holiday Joint NPAIHB & CRIHB Board of Directors, TGCC & THP Directors MeetingTribal Youth Leadership Conference & Traditional Indian Health Youth GatheringHead Start Pre-Service TrainingCAIHS Networking SessionCAIHS Course: Family Roles in Treatment & Recovery & Harm Reduction Labor Day Holiday NIHB 39th Annual National Tribal Health ConferenceCalifornia Native American Day (Observed) 50th Annual Board of Directors, TGCC & THP Directors Meeting Finance Committee MeetingVeterans Day Holiday Th anksgiving Holiday Holiday

June 10-14June 11-13June 28 July 4 July 15-18 July 15-18 August 12-15

August 14August 15-16 September 2September 16-20September 27

October 17-19 October TBD November 11November 28

December 25

Remaining Events in 2019

ACORNS CAIHS NIHB NPAIHB TGCC

CRIHB Forestville, CACRIHB Lincoln, CA Lincoln, CA CRIHB CRIHB CRIHB Temecula, CA CRIHB CRIHB

Advancing California Opportunities to Renew Native health SystemsCalifornia Indian Health ServiceNational Indian Health BoardNorthwest Portland Area Indian Health Board Tribal Governments Consultation Committee

Request for Community Events!

Do you have any upcoming events in your area that you would like a CRIHB department or staff to attend?

Please send your health/wellness fairs, walk/runs, or any other community events information to CRIHB.

Attention: Melissa Barhammbarham@crihb.org916-929-9761 916-929-7246 (fax)

Tribal Health Advisor - April 201915

CRIHB Member Tribal Health Programs

Greenville Rancheria Tribal Health Program

P.O. Box 279Greenville, CA 95947

530-284-7990

United Indian Health Services, Inc.

1600 Weeot WayArcata, CA 95521

707-825-5000

Karuk Tribal Health& Human Services

P.O. Box 1016 Happy Camp, CA 96039

530-493-5305

Mathiesen MemorialHealth ClinicP.O. Box 535

Jamestown, CA 95327209-984-4820

Pit River Health Service, Inc.36977 Park Avenue Burney, CA 96013

530-335-5090

Tule River Indian Health Center, Inc.

P.O. Box 768Porterville, CA 93258

559-784-2316

Feather River Tribal Health, Inc.

2145 5th Ave.Oroville, CA 95965

530-534-5394

Redding RancheriaTribal Health Center

1441 Liberty StreetRedding, CA 96001

530-224-2700

Toiyabe Indian Health Project, Inc.

52 TuSu LaneBishop, CA 93514

760-873-8464

Chapa-De Indian Health Program, Inc.

11670 Atwood AvenueAuburn, CA 95603

530-887-2800

Riverside-San Bernardino County Indian Health, Inc.

11980 Mt. Vernon Ave.Grand Terrace, CA 92313

909-864-1097

Warner Mountain IndianHealth Program

P.O. Box 247Fort Bidwell, CA 96112

530-279-6194

K'ima:w Medical CenterP.O. Box 1288

Hoopa, CA 95546530-625-4261

Anav Tribal Health Clinic 9024 Sniktaw Lane

Fort Jones, CA 96032530-468-4470

Table Mountain Rancheria Medical

P.O. Box 410Friant, CA 93626

559-822-3785

Sonoma County Indian Health Project, Inc.144 Stony Point Rd

Santa Rosa, CA 95401707-521-4545

CALIFORNIA RURAL INDIAN HEALTH BOARD, INC.1020 Sundown Way, Roseville, CA 95661916-929-9761 916-929-7246 faxwww.crihb.org

NONPROFITPRSRT STANDARD

U.S. POSTAGEPAID

ROSEVILLE, CAPERMIT 226